Heart Attack Prevention Questionnaire

Cedars-Sinai recommends that your doctor evaluate your risk factors to prevent heart attacks. Do you have, or are you being treated for, any of the following:

  •     Yes     No     High blood pressure
  •     Yes     No    Abnormal cholesterol levels
  •     Yes     No     Chronic inflammatory disease or disorder (such as rheumatoid arthritis, lupus, psoriasis, HIV, inflammatory bowel disease)
  •     Yes     No     Diabetes or metabolic syndrome
  •     Yes     No     Obesity
  •     Yes     No     Family history of heart disease
  •     Yes    No      Sleep apnea
  •     Yes     No     Former or current tobacco user
  •     Yes     No     Exercise less than 30 minutes per day

Coronary calcium screening or the  carotid intima media thickness test can be performed on people between the ages of 35 and 80, but generally should be considered in men over age 45 and women over 55 with one or more risk factors.

Please call (310) 423-8000 and press 15 to schedule an appointment. You will need to provide the phone number of a physician to whom the results will be sent.