You are on page 1of 4

Cross sectional observational survey evaluating Hear failure profile, management and followup

risk

DEMOGRAPHY. Name Case no Hospital no Gender Ethnicity Hispanic male Asian black female Caucasian

PHYSICAL DATA

Height

Waist circumference

Weight BP

BMI Pulse

FAMILY AND PERSANAL RISK FACTORS

F/H Premature CAD F/H SCD

Yes

No

Smoking stasus current

never former

Physical activit y >30 mts mod intensity exercise for 5 days per week Yes RISK FACTORS HTN DM DYSLIPEDEMIA PVD no

SYMPTOMS. Palpitation Dyspnoea Exertional Fc Orthopnea PND Fatigue Dizziness Chest pain Typical Atypical

History of co morbidities CKD PVD Crebro vascular disease Carotid Thyroid status COPD/Asthma Others Cardiovascular interventions in the past Valvular heart disease Physical examination

INVESTIGATI ONS.

ECG

HR AXIS ST T RHYTHM

QT

PR

QRS

Interprtations

ECHO

TROP T

CKMB

Lipid profile

Serum creatinine FBS HBA1C CBC

GFR PPBS

CARONARY ANGIOGRAM LAD LCX RCA

Interprtation. Intervention report

Followup days SAT Readmision

7 days 6months 1 year

30

Bleeding TIMI score

ECHO TMT

Dr.Nagamalesh

You might also like