Narrative Review: Myocardial Infarction: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 18: Line 18:
|xxx
|xxx
|}
|}
== Patients summary ==


==== Admission date: MM/DD/YYYY ====
==== Admission date: MM/DD/YYYY ====
'''Demographic:''' [age] year old [gender]


==== Symptoms: (Check below items) ====
==== Symptoms (Check from below items): ====
o  Stable  
o  Stable  


Line 28: Line 31:
o  New chest pain  
o  New chest pain  


o  Rest pain
o Pain at rest


o  Typical chest pain
o  Typical chest pain
Line 77: Line 80:
|MM/DD/YYYY
|MM/DD/YYYY
|XX:XX
|XX:XX
|
|
|
|}
|}
'''Past Medical History:''' [eg. CAD, severe mitral stenosis, former tobacco use, dyslipidemia, ...]
'''Past Surgical History:''' [including date]


== Demographic / Medical history  ==
'''Medications:''' [relevant to the event not all]
* '''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 ==
== Procedure ==
* '''Index Procedure Date/Time''': mm/dd/YYYY at xx:xx  [insert date and time]
* '''Index Procedure Date/Time''': MM/DD/YYYY at XX:XX [insert date and time]
* '''Index Procedure Detail''':   
* '''Index Procedure Detail''':   
** On [insert date and time] the subject underwent a [select surgical correction] for [select etiology].  
** On [insert date and time] the subject underwent a [select surgical correction] for [select etiology].  
Line 96: Line 97:
== Event(s)==
== Event(s)==
'''Event (1):'''
'''Event (1):'''
*'''Site Reported Event Onset Date:''' mm/dd/YYYY
*'''Site Reported Event Onset Date:''' MM/DD/YYYY  


*'''Event summary''':
*'''Event summary''':
Line 106: Line 107:
***Positive physical examinations or related negative examinations.
***Positive physical examinations or related negative examinations.
'''Event (2):'''
'''Event (2):'''
*'''Site Reported Event Onset Date:''' mm/dd/YYYY
*'''Site Reported Event Onset Date:''' MM/DD/YYYY  
*'''Event summary''':
*'''Event summary''':
**Symptoms and sign: Subject presented with [sign and symptom] on mm/dd/YYYY.
**Symptoms and sign: Subject presented with [sign and symptom] on mm/dd/YYYY.

Revision as of 20:50, 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

Patients summary

Admission date: MM/DD/YYYY

Demographic: [age] year old [gender]

Symptoms (Check from below items):

o  Stable

o  Accelerating

o  New chest pain

o Pain at rest

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

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]