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Heart Attack Risk Calculator

First name*:
Last name*:
Telephone:
Zip:
 
Email*:
Age:
Gender:
Height:
Weight:
Is your waist size greater than 35 inches (women) or 40 inches (men)?:
Smoker:
Diabetes:
Do you take medication to treat high blood pressure?:
Have you had a heart attack, angina, cholesterol blockages in the neck or leg arteries, heart or blood vessel disease events, conditions or procedures?:
Is your fasting blood sugar 100 mg/dL or higher?:
Total Cholesterol (mg/dL):
HDL Cholesterol (mg/dL):
LDL Cholesterol (mg/dL):
Systolic Blood Pressure (mmHg):
Diastolic Blood Pressure (mmHg):
Are your triglycerides 150 mg/dL or higher?:

Does anyone in your immediate family have a history of the following:

Early heart disease before age 55 (men) or 65 (women):
Diabetes:
Stroke:

Fields marked with * are required.

QUESTIONS? CONTACT OUR NURSE NAVIGATOR 1-718-226-1603 or email

Give the Gift of heart health!

Arrange a calcium scoring test for a loved one to learn if they’re at risk for heart disease. Contact our Nurse Navigator to learn how.