Quick Health & Activity Check Part 1
Please review the following.
If none apply, simply reply ‘No’. If yes to any, let me know the details.
Heart-Related Issues
Coronary Artery Disease
Heart Attack
Coronary Artery Bypass Surgery
Angioplasty
Stent Placement
Angina (chest pain)
Valvular Heart Disease
Cerebrovascular Disease
Cardiomyopathy
Congestive Heart Failure
Congenital Heart Disease
Heart-Related Issues cont. / Respiratory Issues
Stroke
Transient Ischemic Attack (TIA, Mini Stroke)
Abnormal Heart Rhythm
Placement of Pacemaker/Defibrillator
Cerebral, Aortic, or Thoracic Aneurysm
Abdominal Aortic Aneurysm
Chronic Obstructive Pulmonary Disease (COPD)
Chronic Bronchitis
Emphysema
Sarcoidosis
Pulmonary Hypertension
Respiratory Issues cont. / Neurological and Blood Disorders
Cystic Fibrosis
Parkinson’s Disease
Dementia
Alzheimer’s Disease
Sickle Cell Anemia
Pernicious Anemia
Thalassemia
Clotting Disorders
Lou Gehrig’s Disease (ALS)
Muscular Dystrophy
Demyelinating Disease (including Multiple Sclerosis)
Huntington’s Disease
Hydrocephalus
Neurological and Blood Disorders cont. / Liver Disease
Cerebral Palsy
Quadriplegia
Paraplegia
Liver Disease
Chronic Kidney Disease
End-Stage Renal Disease
Liver Failure
Cirrhosis
Renal Insufficiency
Hepatitis (excluding Hepatitis A from which you have fully recovered)
Any disorders of the blood