Spreadsheet: 67908968-9181-492c-9a55-ad3e442e20a9
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8
 | What is a heart attack risk estimation calculator?
 | This spreadsheet program estimates your risk for having a heart attack over the next 10 years.
 | To do this, it uses answers that you type in for your risk factors for heart attack.
 | The program is intended to help you gain a realistic understanding of your level of risk for heart attack.
 | The progam also estimates what your risk would be if you took cholesterol medicine to lower your LDL cholesterol.
 | The developers of the program (details below) would like to encourage persons whose 10-year risk is above 10%
 | to improve their dietary habits as much as possible and take cholesterol medicine to lower their risk for heart attack.
 | The calculator is based on information about heart attack risk gathered by the Framingham Study since the early 1950s.
 | You may need to get copies of some of your risk factor test results (total, LDL, & HDL cholesterol, triglycerides)
 | from your doctor before you can use the risk calculator.
 | How to calculate & interpret your estimated risk for heart attack for the next 10 years:
 | 1. Click on the UserRiskEstimate sheet (sheet 2) tab below and answer the 23 questions.
 | (Answers for an imagery patient, [NAME], are already entered as an example. Just type your answers over those.)
 | 2. Your 10-year risk estimate appears in 2 forms. The estimate in the orange box at bottom of screen ignores your family history.
 | Your risk estimate that includes your family history is shown in the middle of the screen (also in an orange box).
 | 3. The family history adjustment method used in this calculator oversimplifies the modifying effect of family heart attack history
 | on 10-year risk. Because of this, it produces a somewhat overestimated risk for heart attack adjusted for family history.
 | The family-history-adjusted estimate probably is a better estimate of your risk for heart attack and stroke combined.
 | 4. Your risk estimates (for now and 10 years from now), with & without cholesterol medicine, are shown in the graphs on the right.
 | Larger versions of these graphs are shown on the RiskGraphs sheet. Click on this sheet to print out a more legible copy.
 | 5. Your LDL (bad) cholesterol is shown in the perspective of its heart attack risk in the graph in the lower right corner.
 | Scroll down, using the "down arrow" to see all of it. Click on the LDLPerspective sheet to print out a more legible copy.
 | 6. If you already have coronary artery or heart disease, the calculator cannot give a good estimate of your risk, but it is over 20%.
 |  |  | Scroll down twice for more information
 | User Background Information
 | Please answer the following questions if you send a copy of your risk estimate to us*,
 | so we can keep track of what kind of people use the risk calculator.
 | 1. What is your name? (first name, then last name) |  |  |  |  |  |  | [NAME]
 | 2. When were you born? ("Mo/Da/Yr"; e.g., "7/19/46") |  |  |  |  |  |  | 2005-11-10 00:00:00
 | 3. How many years of education have you completed? |  |  |  |  |  |  | 26
 | 4. What do you consider to be your race or ethnic group? |  |  |  |  |  |  | w
 | Enter "af" for African-American or Black.
 | Enter "as" for Asian or Oriental
 | Enter "h" for Hispanic, Spanish, Mexican-American, Chicano, etc.
 | Enter "w" for Non-Hispanic White, Caucasian, etc.
 | 5. What is today's date? |  |  |  |  |  |  | 2006-06-27 00:00:00
 | HeartAge--a different way to think about your risk for heart attack
 | Most people have trouble understanding just what their 10-year heart attack risk really means.
 | A different way to think about your risk is called HeartAge. It is easier to make sense of than 10-yr risk.
 | This method uses your risk factor values to calculate "how old your heart is", compared to the
 | heart of the average person your age. It is based on the notion that the hearts of persons
 | with higher risk factor values age faster than the hearts of those with lower risk factor values.
 | If you would like to check this out, go to the internet website www.heartage.com, click on the
 | "Try the HeartAge patient tool" and follow the instructions to answer the risk factor questions and
 | find out your HeartAge. To make the best use of HeartAge, after you get your HeartAge answer,
 | click "Try Again" and enter different values for your untreated risk factors that could be improved.
 | For LDL cholesterol, subtract 40% from your value (what taking cholesterol medicine would do).
 | For systolic blood pressure, subtract 20 from your value if it is above 140 or higher & is untreated.
 | For HDL cholesterol, if yours is below 50, add 5 points if you are sedentary but could exercise more.
 | Write down your current HeartAge and your "achievable" HeartAge and compare them.
 | If you would like to see a graph of your current and achievable HeartAges, enter your values in boxes
 | along the lefthand side of the UserRiskEstimate sheet. You can then view & print the HeartAge sheet.
 | Background of Family-Oriented Risk-of-a-Coronary Estimate (FORCE) calculator
 | This decision support system was first developed in 2002 by [NAME], MD, MSPH, & [NAME], PT.
 | Dept Family & Community Medicine, Baylor College of Medicine & School of Health Informatics Science, U Texas Houston
 | It was developed in UTHSC courses Health Informatics 5303 & 6309, May-Aug, 2002.
 | It has been extensively revised (2/25/04, 1/31/06, 6/22/06) to make it easier to use and understand.
 | The Framingham risk calculation module is based on the equations in [NAME], [NAME], Odell PM, Kannel WB.
 | An updated coronary risk profile: a statement for health professionals. Circulation 1991;83:356-62.
 | *Although family history of coronary artery disease is one of the stronger independent risk factors for heart attack,
 | it is omitted from the 1991 & 1998 Framingham risk equations because family history data was not collected
 | for all second generation Framingham Study cohort participants.
 | This heart disease risk estimate calculator combines an individual's estimated risk from Framingham equations
 | with an estimation of  risk attributable to their family history.
 | The 1991 version of Framingham equations was chosen because of its including left [NAME] (LVH).
 | Although LVH is one of the strongest risk factors, it was left out of later equations because of debate about the
 | precision of the definition of LVH by electrocardiogram (ECG).
 | More recent versions of the Framingham equations (which omit LVH) include:
 | Wilson PW, D’Agostino RB, [NAME] D, Belanger AM, Silberhatz H, Kannel WB.
 | Prediction of coronary heart disease using risk factor categories.  Circulation 1998 May 12;97(18):1837-47.
 | The risk estimator was last revised on June 22, 2006.
 | To Contact the Program Developers
 | [NAME], MD, MSPH    Email:  [EMAIL]    Academic Phone:  [PHONE]     Home Phone:  [PHONE]
 | Academic Office Address:  3701 [NAME], Suite 600, Houston, TX  77098
 | Dr. [NAME] welcomes constructive criticism and suggestions for improving the risk calculator.
 | Dr. [NAME] also welcomes collaboration on validating and/or improving the validity of the family history risk adjustment.