Skip left side navigation and go to content

Are You at Risk for Heart Disease?

Contents

Be Heart Smart
Lola Learns Important Facts About Heart Disease
Are You at Risk for Heart Disease?
Take the Path to Heart Health
Don't Wait
Take Action!
My Heart Health Card
Resources

My Heart Health Card

Print-friendly Version (PDF, 258 KB)

Use this card to record the results of your tests.

Take action to keep your heart healthy.

Name:

Note: Normal values = Normal values

Basic information
Weight Date        
Result        
BMI
Normal values18.5 to 24.9
Date        
Result        
Waist Measurement
Normal valuesMen - 40 inches (102 centimeters) or less
Normal valuesWomen - 35 inches (88 centimeters) or less
Date        
Result        
Blood Pressure
Normal valuesLess than 120/80 mmHg
Date        
Result        
Tests to measure "fats" in the blood
Total Cholesterol
Normal valuesLess than 200 mg/dL (ideal)
Date        
Result        
LDL
Normal valuesLess than 100 mg/dL (ideal)
Normal valuesLess than 130 mg/dL (near ideal)
Date        
Result        
HDL
Normal values40 mg/dL or more
Date        
Result        
Triglycerides
Normal valuesLess than 150 mg/dL
Date        
Result        
Tests to check sugar in the blood for diabetes
Blood Glucose
Normal valuesLess than 100 mg/dL
Date        
Result        
A1C
Normal valuesLess than 7%
Date        
Result        
Other Date        
Result        

Previous Page | Next Page


U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
National Institutes of Health
National Heart, Lung, and Blood Institute
NIH Publication No. 08-6345
June 2008



Skip footer links and go to content
Twitter iconTwitterExternal link Disclaimer         Facebook iconFacebookimage of external link icon         YouTube iconYouTubeimage of external link icon         Google+ iconGoogle+image of external link icon