HEART RESERVE
Your Midlife Heart Story
What to bring to your next visit
Fill in what you know. Leave what you do not. This page does not score risk, diagnose a condition, or recommend treatment. Its job is to help you and your clinician see the story more clearly.
NameDate
HISTORY
What should not disappear from the timeline?
- Pregnancy history and complications
- Menopause stage or last menstrual period
- Family cardiovascular history
- Major diagnoses, procedures, illness, or medication changes
FLOW
What do the arteries and delivery system need us to know?
- Blood-pressure pattern and home technique
- Lipid and blood-sugar trends
- Known plaque, vascular findings, or circulation concerns
- Smoking history and other relevant risk factors
BEAT
What rhythm story is actually happening?
- Palpitations, racing, skipped beats, or slow pulse
- Timing, duration, triggers, and associated symptoms
- Prior EKG or rhythm-monitor results
- Sleep, thyroid, anemia, hydration, and medication context
PUMP
What is known about structure and function?
- Prior echocardiogram, valve, chamber, or heart-muscle findings
- Blood-pressure load and relevant follow-up
- Swelling, breathing changes, or symptoms when lying down
- What prior imaging answered—and what it did not
POWER
What can the whole system deliver now?
- Changes in stairs, walking pace, exercise, or carrying
- Strength, grip, balance, and getting up from the floor
- Recovery after effort, illness, or poor sleep
- A safe familiar task you could repeat later
PRIORITY + PROOF
What deserves first place, and how will we know it helped?
- The one question I most want answered
- The first priority we choose together
- The action or treatment that fits
- The evidence, timeframe, and reason to return sooner