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Heart Attack (arteriosclerotic heart disease) Personal Health Assessment
1) Have you had a heart attack?
2) Have you had any of the following complications of heart disease?
Congestive Heart Failure
Abnormal Heart Rhythm
No, I don't have any of these problems
3) Are you considering having a heart stent or bypass operation?
4) Do you have a problem with cholesterol?
5) Are you taking any of these medications for your heart?
Anticoagulants: Aspirin, Plavix, and/or Coumadin
Blood pressure medication
Drugs for angina
6) Are you taking supplements for your heart?
7) Are any of these laboratory blood tests abnormal?
I have not had any of these blood tests
8) Have you taken any of the following tests of heart function?
Heart Rate Variability
Live Blood Cell Analysis
No, I have not taken any of these tests
9) Do you have any of these disorders that predispose to heart attacks?
Anger Management Issues
No, I don't have any of these health problems
10) Are you interested in lifestyle management as a tool to improve your heart condition?
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Health Sessions with Len Saputo, M.D.
Health Medicine Center
1620 Riviera Avenue
Walnut Creek, CA 94596
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