Article Figures & Data
Figures
- Figure 1.
Flow chart for determining eligibility. BMI, body mass index; CHD, coronary heart disease; EHR, electronic health records; GFR, glomeruler filtration rate; HDL, high-density lipoprotein.
- Figure 2.
HeartBeat Connections program materials, including a booklet about risk reduction, a community resource guide, and a heart-healthy cooking booklet.
Tables
Measures of High Cardiometabolic Risk Measurement Components Description Metabolic syndrome26 • Systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥85 mmHg This is the first eligibility criteria calculated for patients. To meet the definition, patients must have 3 of the 5 risk factors. Although not associated with a specific risk percentage in a 10-year period, metabolic syndrome significantly increases the risk of CVD and diabetes. • Waist circumference ≥40 inches (men) or ≥35 inches (women); if waist circumference is unavailable, BMI ≥30 kg/m2 • HDL cholesterol <40 mg/dL (men) or <50 mg/dL (women) • Triglycerides ≥150 mg/dL • Fasting blood glucose ≥100 mg/dL Reynolds CHD risk score24,25 • Age This score uses the most information, including C-reactive protein and family history of heart disease, in addition to risk factors in the Framingham risk score. • Sex • Tobacco use • Systolic blood pressure • Total cholesterol • HDL cholesterol • High-sensitivity C-reactive protein • Family history of heart disease Framingham CHD risk score23 • Age This score is assessed if there is no metabolic syndrome and incomplete information to assess the Reynolds risk score. • Sex • Tobacco use • Systolic blood pressure • Total cholesterol • HDL cholesterol BMI, body mass index; CHD, coronary heart disease; CVD, cardiovascular disease; HDL, high-density lipoprotein.
Measure Reported from Last Available in EHR Reported from HBC Flow Sheet (Self-Reported Data From Each Coaching Call) Program Goal BMI (kg/m2) X <30 Blood pressure (mmHg) X <130/85 Total cholesterol (mg/dL) X <200 LDL cholesterol (mg/dL) X ≤100 HDL cholesterol (mg/dL) X ≥40 For men, ≥50 for women Triglycerides (mg/dL) X <150 Frequency of aspirin use X 100% Adherent if recommended Frequency of blood pressure medication use X 100% Adherent if recommended Frequency of statin use X 100% Adherent if recommended Fruit and vegetable servings eaten each day (n) X ≥5 Physical activity/week (min) X ≥150 Tobacco status X Never or quit Overall stress on a scale from 1–10* X 1–3 -
↵* 1 = Not stressed at all, 10 = very stressed.
BMI, body mass index; EHR, electronic health record; HBC, HeartBeat Connections program; HDL, high-density lipoprotein; LDL, low-density lipoprotein.
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