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Health Information for the Public

My Heart Health Card

Healthy Heart, Healthy Family - Are You at Risk for Heart Disease?/Malusog na Puso, Malusog na Pamilya - Nangangamba Ka Bang Magkaroon ng Sakit sa Puso?

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        

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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

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