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My Heart Health Card
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My Heart Health Card
Print-friendly Version (PDF, 193 KB)
Use this card to record the results of your tests. Take action to have normal levels.
 = Normal values
Basic information
| Weight |
Date |
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| Result |
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BMI
18.5 to 24.9 |
Date |
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| Result |
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Waist Measurement
Men - 40 inches or less
Women - 35 inches or less |
Date |
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| Result |
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Blood Pressure
Less than 120/80 mmHg |
Date |
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| Result |
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Tests to measure "fats" in the blood
Total Cholesterol
Less than 200 mg/dL |
Date |
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| Result |
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LDL
Less than 100 mg/dL |
Date |
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| Result |
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HDL
40 mg/dL or more |
Date |
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| Result |
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Triglycerides
Less than 150 mg/dL |
Date |
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| Result |
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Tests to check sugar in the blood for diabetes
Blood Glucose
Fasting-less than 100 mg/dL |
Date |
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| Result |
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A1C
Less than 7% |
Date |
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| Result |
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| Other |
Date |
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| Result |
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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
National Institutes of Health
National Heart, Lung, and Blood Institute
NIH Publication No. 08-6354
June 2008
|
Department of Health
and Human Services
National
Institutes of Health
National Heart, Lung, and Blood
Institute