CARDIOVASCULAR HEALTH ASSESSMENT

Cardiovascular Risk Screening – Instructions

This assessment evaluates cardiac and vascular risk factors including hypertension, chest discomfort, dyspnea, palpitations, and lifestyle contributors.

It is designed to support early detection of cardiovascular disease risk and prevention of acute cardiac events.

How to Take

  • Answer based on symptoms experienced within the last 1–6 months.
  • Include family history and known medical conditions.

Clinical Use

  • Guides need for ECG, blood pressure monitoring, lipid testing.
  • High-risk results require urgent clinical review.
  • Reports may be shared with cardiology specialists.
Proceed to Clinic
1. Have you ever been diagnosed with high blood pressure?
2. Do you monitor your blood pressure regularly?
3. Have you experienced chest discomfort or pressure?
4. Do you experience chest pain during physical exertion?
5. Does chest discomfort improve with rest?
6. Do you experience shortness of breath on mild activity?
7. Do you experience shortness of breath at rest or lying flat?
8. Do you experience palpitations or irregular heartbeat?
9. Have you ever fainted or nearly fainted?
10. Do you experience swelling in the legs or ankles?
11. Do you have a history of heart disease?
12. Do you have diabetes or impaired glucose control?
13. Do you smoke or use tobacco products?
14. Do you consume alcohol frequently?
15. Do you engage in regular physical exercise?
16. Do you experience excessive fatigue with daily activities?
17. Have you noticed reduced exercise tolerance?
18. Do you experience nighttime breathlessness or coughing?
19. Have your cardiovascular symptoms worsened recently?
20. Do your symptoms interfere with daily activities?

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