Narrative Review: Myocardial Infarction: Difference between revisions
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|x | |x | ||
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| | |MM/DD/YYYY | ||
|xxx | |xxx | ||
|} | |} | ||
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o Other (explain)… | o Other (explain)… | ||
==== EKG1 finding ( | ==== EKG1 finding (MM/DD/YYYY at XX:XX): ==== | ||
o No change | o No change | ||
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o Other (explain)… | o Other (explain)… | ||
==== EKG2 finding ( | ==== EKG2 finding (MM/DD/YYYY at XX:XX): ==== | ||
o No change | o No change | ||
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|'''Troponin (NL ratio)''' | |'''Troponin (NL ratio)''' | ||
|- | |- | ||
| | |MM/DD/YYYY | ||
| | |XX:XX | ||
| | | | ||
| | | | ||
|- | |- | ||
| | |MM/DD/YYYY | ||
| | |XX:XX | ||
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|- | |- | ||
| | |MM/DD/YYYY | ||
| | |XX:XX | ||
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***Vital signs | ***Vital signs | ||
***Positive physical examinations or related negative examinations. | ***Positive physical examinations or related negative examinations. | ||
== Laboratory data and Imaging == | == Other Laboratory data and Imaging == | ||
* '''ECHO/ date:''' | * '''ECHO/ date:''' | ||
** Trans-thoracic: | ** Trans-thoracic: | ||
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== Clinical course == | == Clinical course == | ||
* Date and time of events | * Date and time of events | ||
* Patient condition got worse or better. | * Patient condition got worse or better. | ||
Revision as of 16:01, 19 June 2018
|
Narrative Review |
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.
Other Laboratory data and Imaging
- 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]