Handout: Uncover Your Hidden Risks

Page 1

Traditional screening for heart attacks is just the tip of the iceberg — find out what risks lurk beneath the surface.... Indians and South Asians are at 2–4x greater risk for heart disease and diabetes. Your annual physical and traditional testing are not comprehensive enough to identify these risks. Fill out the form, evaluate your risk, and see what advanced markers you're missing. Then, scan/email it to admin@southasianheartcenter.org or fax to 650-966-9269.

Sign up for the AIM to PreventTM Program at the South Asian Heart Center to uncover and reduce your hidden risks. Full name: ........................................................................... Phone: .................................................... Email: .........................................................................................

Traditional Guidelines

Sample Profile

Metabolic Panel Total cholesterol (mg/dL)

MY PROFILE

NCEP ATP III Goal

170

≤200

LDL-C (mg/dL)

100

<130; <100|<70 w/CAD*

HDL-C (mg/dL)

48

Triglycerides (mg/dL) TC/HDL ratio Glucose Anthropometrics Blood pressure BMI Ten Year Risk ASCVD (%)

South Asian Heart Center Advanced Screening Personal History CAD / Diabetes / Hypertension Disorders of LDL Cholesterol LDL Medium (nmol/L) LDL Small (nmol/L) Apo B (mg/dL) / LDL Particles (nmol/L) LDL Particle Size (Ang) / Phenotype Reverse Cholesterol Transport HDL Large (nmol/L) Non-HDL Cholesterol (mg/dL) Genetic Predisposition Lp(a) (nmol/L) Family history of CAD / Diabetes Inflammation CRP (hs) (mg/dL) Predisposition to Diabetes Insulin (mU/mL) and Dysmetabolism Hemoglobin A1c (%) Homocysteine (mmol/L)

≥40

108

<150

3.5

≤3.5

112

<100

120/80

≤130/85

24

≤26 ; ≤23*

1.9

<7.5

Sample Profile

MY PROFILE

Coronary Artery Disease CT calcium score (%ile)

*Optimal (South Asian Heart Center)

N/Y/N

257

<201

442

<162

75 / 1420

<80 / <1260

227 / B

>222.5 / Pattern A

6542

>9386

122

<130

80

<75

No / Yes

5.1

<1

30

<25

7.1

≤5.6

8.4

Obesity: BMI / Waist circumference (in)

≥50

<11.4

24 / 36

≤26 ; ≤23*/<36

<10.4 <32

60

<75

70

≥150

1–2/1

≥4 / ≥2

6.5

7–8

Disorders of Lifestyle Sedentary Lifestyle Physical activity (min/week) Malnutrition Vegetable/fruit intake (servings) Stress Levels Rest while asleep (hrs/night)

Rest while awake (meditation, times/week) Smoking Status

Sample advanced screening profile of a 42 year old South Asian. ©2014 South Asian Heart Center F-0910_SAHC_IcebergChart Nov14

Optimal

0

20 minutes twice daily

Non-smoker

Non-smoker | Quit >2 yrs

Borderline

At Risk


www.southasianheartcenter.org 650-940-7242 admin@southasianheartcenter.org

Traditional guidelines underestimate the risk for coronary artery disease and diabetes in Indians and others of South Asian descent. You may see normal results in the upper exposed part of the iceberg E

The cholesterol and glucose tests performed at your annual physical may likely be within normal limits or slightly elevated. Unwary, you cruise along assuming your risk is low and there is not much to change or do.

Watch the unsuspecting ship approaching the iceberg E

However, much like an iceberg, the real danger lurks beneath the surface. The South Asian Heart Center’s advanced screening panel uncovers these hidden risks, such as particle size and number, reverse cholesterol transport, genetic markers, inflammation, dysmetabolism, and most importantly, disorders of lifestyle.

Get ahead. Sign up for South Asian Heart Center’s AIM to Prevent™ Program E

The Center's advanced screening process, AIM to Prevent (Assess, Intervene, & Manage), uses comprehensive Assessment technology, personalized and culturally tailored lifestyle Intervention including expert counseling, and ongoing Management by heart health coaches. AIM to Prevent is like the sophisticated radar/satellite tracking of icebergs vs. just relying on visual detection (traditional testing).

AIM to Prevent is a program for life — a gift from the community to the community E WHAT YOU PAY: $49 (One-time Processing Fee) • All assessment consultations, lifestyle counseling, lifelong coaching, and reports are provided at NO CHARGE to you • Your insurance covers the advanced lab tests. Your out-ofpocket costs depend on your deductible, copayment and co-insurance • If your insurance is not in network, or you choose to self-pay, the cost of the lab is $125 (the $49 processing fee is waived)

WHAT YOU GET • A comprehensive, evidence-based, state of the art evaluation of your true risk for developing heart disease and diabetes • A personalized report exposing the hidden risks not otherwise detected by traditional screening • Access to expert and culturally tailored counseling on lifestyle interventions — meditation, exercise, diet, and sleep • One full year with a personal heart health coach and annual follow ups thereafter

ADVANCED LABORATORY TEST COMPONENTS CPT CODE

DESCRIPTION

83704

CARDIO IQTM LIPO, ION MOBILITY

82172

CARDIO IQTM APO B

82947

GLUCOSE, SERUM

83525

CARDIO IQTM INSULIN

80061

CARDIO IQTM LIPID PANEL

83695

CARDIO IQTM LP (A)

86141

CARDIO IQTM HS-CRP

83090

CARDIO IQTM HOMOCYSTIENE

83036

CARDIO IQTM HGB A1C

The advanced laboratory test is performed at Quest Diagnostics. Cardio IQ is a trademark of Quest Diagnostics.


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