CARRIER

Detection and primary and secondary prevention of coronary artery disease

Please provide the following information, this basic information is mandatory.

Do you use antihypertensives: Yes No
Do you use beta blocking agents: Yes No
Do you use calcium channel blockers: Yes No
Do you use RAS inhibitors: Yes No
Do you use Lipid modifying agents: Yes No
Are you a current smoker: Yes No
Are you an ex-smoker: Yes No
What is your gender: Male Female
What is your age:
What is your TC (:
What is your HDL:
What is your eetscore:
What is your SBP:
What is your LDL:
What is your CHAMPS_MVPA_score:
What is your postalcode:
What is your housenumber:
Please enter any relevant interventions, these values are optional.
Intervention SBP: <120 120-130 130-140 140-150 150-160 >160 No intervention
Intervention LDL: <1.0 1.0-1.4 1.4-1.8 1.8-2.6 2.6-3.0 >3.0 No intervention
Intervention Smoking: Yes No No intervention
Intervention diet: Very low Low Average High Very High No intervention
Intervention Exercise: 0-3 hours 3-4.75 hours 4.75-8 hours >8 hours No intervention