Narrative Review: Myocardial Infarction: Difference between revisions
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Site: | '''Site:''' | ||
'''AE:''' | |||
'''Complication:''' | |||
'''Event date:''' | |||
Past Medical History: [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...] | '''Adverse event code:''' | ||
* '''Demograghic''': [age] year old [gender] | |||
Index Procedure Date/Time: xx/xx/xxxx at xx:xx | * '''Past Medical History:''' [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...] | ||
* '''Index Procedure Date/Time''': xx/xx/xxxx at xx:xx [insert date and time] | |||
Index Procedure Detail: On | * '''Index Procedure Detail''': | ||
** On [insert date and time] the subject underwent a [select surgical correction] for [select etiology]. | |||
** Enter access site details | |||
** Baseline MR severity was classified as [select none, trace, mild, mild-moderate, moderate, moderate-severe-severe] and post-implant MR was classified as [select severity]. | |||
Event: MI | ** The site reported that there were/were not procedural complication(s). | ||
Site Reported Event Onset Date: xx/xx/xxxx | * '''Event''': MI | ||
Event summary: Subject presented with [sign and symptom] on xx/xx/xxxx. | * '''Site Reported Event Onset Date:''' xx/xx/xxxx | ||
* '''Event summary''': | |||
Physical assessment: | ** Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx. Important characteristics of the chief complaint such as severity, site, and duration. Important symptoms related to the chief compliant. | ||
** Physical assessment: Write positive physical examinations or related negative examinations | |||
Lab studies: | * '''Lab studies:''' | ||
Troponin levels and timing: | |||
{| class="wikitable" | |||
| colspan="2" |'''Date''' | |||
|'''Time''' | |||
xx/xx/xxx xx:xx | |'''CKMB nl: (ratio)''' | ||
xx/xx/xxx xx:xx | |'''Troponin nl: (ratio)''' | ||
xx/xx/xxx xx:xx | |- | ||
| colspan="2" |xx/xx/xxx | |||
ECG’s: | |xx:xx | ||
| | |||
CXR: | | | ||
|- | |||
Other imaging and diagnostic tests: | |xx/xx/xxx | ||
| colspan="2" |xx:xx | |||
Treatment: | | | ||
| | |||
Outcome: | |- | ||
|xx/xx/xxx | |||
| colspan="2" |xx:xx | |||
| | |||
| | |||
|} | |||
* '''ECG’s:''' | |||
* '''ECHO:''' | |||
** Trans thoracic: | |||
** Trans esophagus: | |||
* '''CXR:''' | |||
* '''Other imaging and diagnostic tests:''' | |||
* '''Treatment:''' | |||
* '''Outcome:''' |
Revision as of 19:32, 13 June 2018
Site:
AE:
Complication:
Event date:
Adverse event code:
- Demograghic: [age] year old [gender]
- Past Medical History: [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
- Index Procedure Date/Time: xx/xx/xxxx at xx:xx [insert date and time]
- Index Procedure Detail:
- On [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
- Enter access site details
- Baseline MR severity was classified as [select none, trace, mild, mild-moderate, moderate, moderate-severe-severe] and post-implant MR was classified as [select severity].
- The site reported that there were/were not procedural complication(s).
- Event: MI
- Site Reported Event Onset Date: xx/xx/xxxx
- Event summary:
- Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx. Important characteristics of the chief complaint such as severity, site, and duration. Important symptoms related to the chief compliant.
- Physical assessment: Write positive physical examinations or related negative examinations
- Lab studies:
Troponin levels and timing:
Date | Time | CKMB nl: (ratio) | Troponin nl: (ratio) | |
xx/xx/xxx | xx:xx | |||
xx/xx/xxx | xx:xx | |||
xx/xx/xxx | xx:xx |
- ECG’s:
- ECHO:
- Trans thoracic:
- Trans esophagus:
- CXR:
- Other imaging and diagnostic tests:
- Treatment:
- Outcome: