Heart review
We are using this secure online system to help assess your heart, complete a medication review if required, and gather some relevant lifestyle information. Your answers will always be seen by the practice team, and you can indicate at the end if you feel further discussion is needed.

This is aimed at those who have known problems with the arteries of the heart (coronary arteries), which can cause a heart attack and angina (chest pain).

OPTIONAL: You can submit a recent weight, height and blood pressure readings

If you want to submit blood pressure readings, it works best to gather these before you continue this review. Measure your blood pressure in the morning and in the evening, while sitting down. Each time take two readings, 1 minute apart. Continue measurements twice daily for at least 4 days and ideally for 7 days. Submitting all your readings here will allow calculation of your average blood pressure.

SAFETY: Your answers will be attached to your medical record but may not be seen immediately. This system should never be used if you are in need of urgent medical attention. In this event, please contact the appropriate services (999 or 111) or the practice as normal.

CHEST PAIN SAFETY NOTICE:
Chest pain can require urgent medical attention. It is very important that with any attack of angina (chest pain) you:

- Stop what you're doing and rest
- Use your GTN (glyceryl trinitrate) medicine
- Take another dose after 5 minutes if the first one doesn't help
- Call 999 for an ambulance if you still have symptoms 5 minutes after taking the second dose
Please confirm the statement below before continuing
If you cannot confirm this statement this online system is not for you. Please contact the practice directly
If text is too small on your device, turn it sideways. You can also type the link you received into a tablet or computer browser to view on a larger screen
Practice Name - OFFICE USE ONLY *
This review is only for patients registered at the practice below. Please do not alter
Data Processing Notice
Participation
To participate in this online review you must confirm the following by ticking each box. If you are unable to do so please contact the practice
First name *
Surname *
Month of birth *
Day of birth *
Year of birth *
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