Heart attack prevention - A Takeheart report in English

Takeheart Health Check       [Heart Attack Prevention Report English]

Heart Attack Prevention an Example Report - English (French as well)


TAKEHEART HEALTH CHECK
12/ 7/2014 COLNEY

DR GEOFFREY CLAYTON       40 yrs

***********************************

The TAKEHEART HEALTH CHECK is exactly what it says it is. It concentrates on matters which are known to affect heart disease - it is not a complete health check.
We can do nothing at all to change our gender, our family history nor our age, all of which are risk factors. On the other hand we are responsible for our smoking and eating habits and these we can influence. Likewise blood pressure abnormalities can often be corrected and cholesterol levels can be reduced.

This report makes use of the following information supplied by you at the beginning.

Smoker N
Years smoked 0
A personal history of coronary thrombosis N
A personal history of diabetes N
A personal history of angina N
A parent who has died of heart trouble N
****************
TODAY is day 14660 of your life. It is also the first day of the rest of your life which, if Life Expectancy Tables are to be believed, will last for about another 12125 days. Make the most of them and stay healthy.

WEIGHT

Your weight today is 70.00 kilograms ( 11 stones 0 lbs). Your height is 173 cms ( 5 ft 8 ins).

The maximum desirable weight for you is 69.91 kilograms ( 11 stones 0 lbs).

Your weight is just about right for a person of your height and body build.

The maximum desirable weight is a figure obtained from life assurance tables. It is the weight above which there is an effect upon life expectancy. Your best weight is probably somewhat lower than this.
Both the Maximum Desirable Weight and the Body Mass Index take account of normal indoor clothes and shoes.

THE BODY MASS INDEX

The Body Mass Index or BMI is a figure obtained by dividing your weight by the square of your height. It is the method of expressing your weight used by doctors and the result will be of great interest to your usual medical attendant. Your Body Mass Index has been calculated as 24.1 which indicates that you are a little overweight, you should be careful not to put on any more.

A normal BMI for you would be somewhere between 20 and 24.

PEAK FLOW RATE

The peak flow rate measures the fastest speed that you can expel the air from your lungs. It gives a good indication of the efficiency of your breathing. The expected peak flow rate of someone of your age and height is 558 litres per minute. Your peak flow rate measured today is 450 litres in a minute.
This indicates that your lungs appear to be working satisfactorily but not to the fullest extent expected for someone of your age and size. Do you know of any reason why this should be so? Hay fever? Asthma? Smoking? Come back on another occasion to have another TAKEHEART HEALTH CHECK and to see whether there has been an improvement.

CARBON MONOXIDE

Carbon monoxide is one of the poisonous substances which enter your blood when you smoke and which undermines the health of your heart. Non smokers usually have less than ten parts per million in their breath.

The carbon monoxide level in your breath is 5 parts per million.

This level of carbon monoxide in your breath is normal. Congratulations! You are wise not to smoke. Smoking kills people.

BLOOD PRESSURE

Your blood pressure measured today is 130/ 85 mms of mercury.
This is generally regarded as a normal blood pressure.

CHOLESTEROL

Your blood cholesterol has been measured using the "Reflotron Analyser".
Your cholesterol level measured today is 5.00 mmols/l.

On this occasion your blood level is normal. Come back in a year or so to have it checked at another TAKEHEART HEALTH CHECK.

CORONARY RISK SCORE FOR MEN

The coronary risk score has been validated for men in the age range of 40 to 59 years and therefore TAKEHEART is able to make an accurate prediction for your likelihood of suffering a heart attack.

Your coronary risk factor score has been calculated as 645.

This puts you into the low risk group. Nine out of ten people in your age group are more likely to develop a heart attack in the next five years than you are yourself. This is excellent news but please don't become complacent about it. Health is valuable - look after yourself!

The Coronary Risk Factor Score was devised by Professor Shaper of the Royal Free Hospital in London. His method is based upon the study of seven thousand middle aged men in Britain. A score above 1000 represents a high risk. The scores range from about 500 for the lowest risk to about 1500 for the highest.
The score can be used to calculate the probability of a heart attack occurring during the next five years. The results have been validated for middle aged men, but for women and younger and older men extrapolation has to be used to interpret the scores.

SUMMARY

Congratulations!!! DR CLAYTON.
TAKEHEART has not found anything on this occasion that you should be doing to reduce your risk of heart attack. However, one of the dangers of being given a clean bill of health as it were is that one tends to become complacent and even self satisfied. Health is an on-going activity and needs to be worked at. For this reason you will find in your TAKEHEART folder some general advice about health including some of the items concerned with heart disease that have not been stressed in this report - exercise, stress, diet, alcohol.

FURTHER READING

Many people have found the following books useful and interesting to read. They can be purchased from bookshops or borrowed from public libraries. Some general practices and health centres operate a lending library service for their patients - it is always worth asking.

Cycling: Towards Health and Safety.
The British Medical Association.
The Oxford University Press 1992 ISBN 0-19 286151-4 5.99

"The Jargon-Busters Guide to Heart Disease" Dr Duncan Dymond
Metro Publishing 1996 6.99

Safe And Sound: The Complete Guide to First Aid and Emergency Treatment for Children and Young Adults.
Linda Wolfe. Hodder & Stoughton 1993 12.99

"The Lazy Man's Guide to Relaxation" by Israel Regardie.
Falcon Press 1985, 83 pages.

"The Power of Positive Thinking" by Norman Peale.
Cedar Books 1987, 302 pages.

"Naturally Healthy - A Vegetarian Guide" by Phillipa Arnett.
Kaye and Ward 1984.

"Nutritional Medicine" by Stephen Davies and Alan Stewart. Pan Books

"Beat Heart Disease". Dr Risteard Mulloahy
Published by the South China Printing Company 1980 126 pages

EXERCISE

Exercise is good for the heart. Exercise until you are pleasantly tired, but don't push it to exhaustion! - you may do more harm than good. With the right level of activity you will be breathless, but not speechless. Try to exercise three or four times a week - 15 - 20 minutes each session although not straight after a meal. Easy rhythmic movements are best. Cycling and walking rather than weight lifting or physical jerks.
Try to sneak some exercise into your daily routine. Use the stairs instead of the lift. Walk to work, or leave the car a few streets away. Get off the bus a stop or so early and walk the rest of the way.

ALCOHOL

Alcohol is a risk factor for coronary heart disease. People who take an excessive amount increase their risk greatly and affect their health in other important ways as well. The difficulty is to distinguish between social drinking and problem drinking. Men who drink fewer than 21 units a week are not usually considered to have a problem. A unit of alcohol is half a pint of beer, a glass of wine or a measure of spirits.

If your regular consumption is approaching this figure please be careful.

STRESS

Stress has been associated with heart disease as it has, indeed with other diseases as well. It is a difficult idea to describe and to evaluate. It is probable that excessive stress will show itself in such things as raised cholesterol or blood pressure or extra cigarettes. It will also very often result in an increase in the level of anxiety or depression felt. A view can be formed about this by considering the replies to a number of questions. The answers that you have given to these questions suggest that you are not under undue emotional strain. Nevertheless, if you do lead a stressful style of life it would certainly be sensible to explore ways to reduce or control the stress.


Thank you for coming to a TAKEHEART HEALTH CHECK at The Old Rectory. You will have found the experience informative and helpful. We are able to offer the service at the place of work or elsewhere and are keen to develop our contacts in industry. It is here on the shop floor where we can do most to combat the present epidemic of heart disease. Please enquire about the prospects for running a session in your factory, office or leisure centre - or anywhere else for that matter where a dozen or so people can be gathered.

In summary - thank you for coming, if you like what you have seen tell someone else about us, if not please tell us.

On behalf of the TAKEHEART HEALTH CHECK Dr and Mrs Clayton would like to wish you a very healthy 2008.


ADDITIONAL INFORMATION

You may find the following additional information helpful.

TATTOO REMOVAL

Are you one of the many people who regret having tattoos?
Have your tattoos ever caused you
embarrassment
social problems
poor self esteem
or difficulty getting a job?
Do you want to get rid of them?

Then contact the Skin Laser Clinic now on 020 7435 7521 for your free initial consultation.

The Skin Laser Clinic also provides treatment for birthmarks, facial thread veins, age spots and unwanted hair.

Dr William Clayton
Skin Laser Clinic
Dermatology Outpatients
Clinic 6, First Floor
The Royal Free Hospital
Pond Street
London NW3 2QG
Tel 020 7435 7521
http://www.skinlaser.u-net.com

The TAKEHEART HEALTH CHECK was devised and written by Dr G.M.Clayton, 11 Bluebell Road, Norwich NR4 7LF Tel (01603) 454314

This is version number 1.10 licensed for use by DR G.M.CLAYTON
THE OLD RECTORY COLNEY NORWICH
(C) Dr G.M.Clayton 1989
GMC Register Number 0147091

The TAKEHEART HEALTH CHECK was awarded the John Perry Prize for an outstanding contribution to primary health care by the British Computer Society in 1990.

Visit TAKEHEART at http://www.takeheart.co.uk or Contact Us

YOUR NEXT APPOINTMENT

Please make an appointment for another TAKEHEART on or about 1/ 1/2007



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