Narrative Review: Myocardial Infarction: Difference between revisions

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== Case summary ==
== Case summary ==
* '''Admission date:'''
 
* '''Chief compliant:'''
==== Admission date: MM/DD/YYYY ====
* '''EKG finding:'''
 
* '''Heart biomarkers:'''
==== Symptoms: ====
o  Stable
 
o  Accelerating
 
o  New chest pain
 
o  Rest pain
 
o  Typical chest pain
 
o  Atypical chest pain
 
o  Other (explain)…
 
==== EKG1 finding (mm/dd/YYYY at xx:xx): ====
o  No change
 
o  ST elevation
 
o  ST depression
 
o  T wave inversion
 
o  Other (explain)…
 
==== EKG2 finding (mm/dd/YYYY at xx:xx): ====
o No change
 
o ST elevation
 
o ST depression
 
o T wave inversion
 
o  Other (explain)…
 
==== Heart biomarkers: ====
{| class="wikitable"
|'''Date'''
|'''Time'''
|'''CKMB (NL ratio)'''
|'''Troponin (NL ratio)'''
|-
|mm/dd/YYYY
|xx:xx
|
|
|-
|mm/dd/YYYY
|xx:xx
|
|
|-
|mm/dd/YYYY
|xx:xx
|
|
|}


== Demographic / Medical history  ==
== Demographic / Medical history  ==
Line 61: Line 119:
* '''Lab studies:'''
* '''Lab studies:'''
** Troponin levels and timing:  
** Troponin levels and timing:  
{| class="wikitable"
 
|'''Date'''
|'''Time'''
|'''CKMB nl: (ratio)'''
|'''Troponin nl: (ratio)'''
|-
|mm/dd/YYYY
|xx:xx
|
|
|-
|mm/dd/YYYY
|xx:xx
|
|
|-
|mm/dd/YYYY
|xx:xx
|
|
|}
** Other laboratory:
** Other laboratory:
*** Date/ name/ value [ as a list ]
*** Date/ name/ value [ as a list ]

Revision as of 15:56, 19 June 2018

Narrative Review

Narrative Review: Death

Narrative Review: Stroke

Narrative Review: Myocardial Infarction

Narrative Review: Acute Kidney Injury

Narrative Review: Bleeding

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]

Site Patient AE Complication Event date AE code
xxx xxx x mm/dd/YYYY xxx

Case summary

Admission date: MM/DD/YYYY

Symptoms:

o  Stable

o  Accelerating

o  New chest pain

o  Rest pain

o  Typical chest pain

o  Atypical chest pain

o  Other (explain)…

EKG1 finding (mm/dd/YYYY at xx:xx):

o  No change

o  ST elevation

o  ST depression

o  T wave inversion

o  Other (explain)…

EKG2 finding (mm/dd/YYYY at xx:xx):

o No change

o ST elevation

o ST depression

o T wave inversion

o  Other (explain)…

Heart biomarkers:

Date Time CKMB (NL ratio) Troponin (NL ratio)
mm/dd/YYYY xx:xx
mm/dd/YYYY xx:xx
mm/dd/YYYY xx:xx

Demographic / Medical history

  • Demographic: [age] year old [gender]
  • Past Medical History: [eg. CAD, severe mitral stenosis, former tobacco use, dyslipidemia, ...]
  • Past Surgical History: [including date]
  • Medications: [relevant to the event not all]

Procedure

  • Index Procedure Date/Time: mm/dd/YYYY 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(s)

Event (1):

  • Site Reported Event Onset Date: mm/dd/YYYY
  • Event summary:
    • Symptoms and sign: Subject presented with [sign and symptom] on mm/dd/YYYY.
    • Important characteristics of the chief complaint such as severity, site, and duration.
    • Other important symptoms related to the chief complaint.
    • Physical assessment:
      • Vital signs
      • Positive physical examinations or related negative examinations.

Event (2):

  • Site Reported Event Onset Date: mm/dd/YYYY
  • Event summary:
    • Symptoms and sign: Subject presented with [sign and symptom] on mm/dd/YYYY.
    • Important characteristics of the chief complaint such as severity, site, and duration.
    • Other important symptoms related to the chief compliant.
    • Physical assessment:
      • Vital signs
      • Positive physical examinations or related negative examinations.

Laboratory data and Imaging

  • Lab studies:
    • Troponin levels and timing:
    • Other laboratory:
      • Date/ name/ value [ as a list ]
  • ECG’s:
Date Time Finding
mm/dd/YYYY xx:xx
mm/dd/YYYY xx:xx
mm/dd/YYYY xx:xx
  • ECHO/ date:
    • Trans-thoracic:
    • Trans-esophagus:
  • CXR / date:
  • Other relevant imaging and diagnostic tests / date:

Consults

  • Date and time of consult
  • Suggested treatments

Clinical course

  • Date and time of events,
  • Patient condition got worse or better.

Treatment and outcome

  • List of relevant medical treatments
  • Outcome [Discharge / Hospice / Death]