Heart to Heart - Coronary Heart Disease Risk Assessment

Please fill out the following information, which is necessary to assess your risk of heart disease. If you are unsure of any values, please check with your physician. The information you will provide is enough to accurately predict your risk of heart disease, even though other things may also contribute to your risk. Please note that this calculation predicts best in individuals ages 30-74.
Name (optional)
Age years
Systolic Blood Pressure mm Hg
Total Cholesterol
HDL Cholesterol
Sex Male Female
Smoker Yes No
Diabetes Yes No

ECG based LVH
(Enlarged Heart)

Yes No

Time over which to Calculate Risk
(number of years to estimate risk for -
To be consistent with current guidelines
about heart disease, calculate your risk
over 10 years.)

Your information is not recorded or stored in any fashion. Nonetheless, data transmission across the Internet is not considered secure. Please contact us if you have any questions. To learn more about how your risk is calculated, click here.