Cardiovascular History |
Yes / No |
Do you ever have chest pain? |
|
Do you ever have shortness of breath? |
|
Do you get shortness of breath with stair climbing? |
|
Do you get chest pain with stair climbing? |
|
Do you ever experience ankle swelling? |
|
Do you get leg cramps when walking? |
|
Do you awaken at night with chest pain? |
|
Do you awaken at night with shortness of breath? |
|
Do you ever experience irregular or "funny feeling" heart beats? |
|
©1999, Herbert A. Yates, D.O. and Neal R. Chamberlain, Ph.D.. All rights reserved.