There are multiple calculators online to determine what your 5 and 10 year risk for coronary heart disease.
If you type in 'framingham risk calculator' in your yahoo search engine, you can find them and calculate your risk of having a myocardial infarction.
I can tell you that aside from your risk of a heart attack, you are at a very high risk for mutiple health related complications including stroke, lung cancer, chronic lung disease and frank diabetes.
There is no excuse for you to continue to smoke. It will raise your risk of a frank heart attack over 5-8 times your risk in the next 10 years.
You need close followup with an internist and I would also have you see a preventive cardiologist. Modifiable risk factors to continue to need improvent include weight, exercise, blood pressure and your lipids.
its time to start taking better care of yourself. smoking is the first step.
Hi im not a doctor, but he will post later.
I would say that your at pretty high risk because of you family history, high cholesterol, and diabetes.
You say that you smoke heavily so i suggest that you quit now and do aerobic exercises daily for about 45-60 minutes to bring your heart health up and lose the weight. You need to be more aware of your heart and health.
My opinion is that you are at very high risk for a Heart Attack. First, you need to quit smoking and get your weight under control and maybe consult with a dietician to make sure you are eating all healthy foods (fruits and vegetables). Your family history alone puts you at an increased risk of CAD. The Crestor has helped your cholesterol some but you need better lipid control. Your doctor may end up maximizing the crestor dose and add another drug to compliment the effects of the Crestor. I am not a doctor and this is just my opinion and it is not to be confused with medical advice that you should only get from your own doctor.
I completely agree with the first two comments here. I'm not a medical professional in any way, shape or form, but what you spelled out about your situation is alarming. Quit smoking, modify your diet, strong lipid control, etc...all vital.
Your family history alone should motivate you to get your act together and regain some level of decent health. Just my uniformed two cents, but your risk factors sound substantial.
Take care and Good Luck.
that should be "uninformed."