Invasive Cardiologist-Vorlage
Left Heart Catheterization Template
Eine professionelle Invasive Cardiologist-Vorlage für medizinisches Fachpersonal.
Über diese Vorlage
The Left Heart Catheterization Template is a comprehensive documentation tool designed for invasive cardiologists performing diagnostic coronary artery catheterizations. This template captures detailed procedural information, including lesion stenosis, catheter types, and interventions such as stent placements. It also includes sections for right heart catheterization data, if applicable, and provides a structured format for summarizing coronary anatomy and procedural recommendations. Ideal for cardiologists, this template ensures thorough and accurate recording of catheterization procedures, facilitating effective patient management and follow-up care.
Vorlagenvorschau
Patient is a 67-year-old male with a past medical history of hypertension and hyperlipidemia who presents for diagnostic coronary artery catheterization with possible intervention due to unstable angina.
Summary:
- In summary, a 90% stenosis was found in the proximal left anterior descending artery. A PTCA balloon was used, followed by the placement of a 3.0 x 18 mm DES stent. No balloon pump or impella placement was required.
- LVEDP: 18 mm Hg
- LV EF: 55%
Right Heart Catheterization:
- RA Pressure: 5 mm Hg
- RV Pressure: 25/5 mm Hg
- PA Pressure: 25/10 mm Hg
- PCWP: 12 mm Hg
- PA Saturation: 98%
- RA Saturation: 75%
- CO: 5.0 L/min
- CI: 2.5 L/min/m^2
Procedures Performed:
- Coronary Angiography (Judkins Left 4)
- PTCA (Emerge 2.5 x 15 mm balloon)
- DES Placement (Xience 3.0 x 18 mm)
Interventions:
- Lesion Location: Proximal left anterior descending artery, 90% stenosis
- Guide: EBU 3.5
- Wire: BMW Universal
- Imaging: IVUS used, MLA 4.5 mm², MSA 5.0 mm², fibrous plaque morphology
- PTCA Pre: Emerge 2.5 x 15 mm balloon
- DES: Xience 3.0 x 18 mm
- PTCA Post: NC Trek 3.5 x 15 mm balloon
- Stenosis: Pre: 90% Post: 0%
- TIMI grade: Pre: 1 Post: 3
Recommendations:
- ASA + Brilinta for 12 months; high-intensity statin, beta blocker
- IV fluids post-catheterization per Poseidon protocol
- Monitor access site above per protocol
- Monitor vitals, telemetry, labs with renal function & CBC
- Risk factor management with lifestyle modifications - diet, exercise, weight loss, medical compliance
- Follow-up in cardiology outpatient clinic in 1 week after discharge with primary cardiologist.
Coronary Anatomy:
Dominance: Right dominant
Left Main Coronary Artery: Normal
Left Anterior Descending Coronary Artery: Proximal 90% stenosis
Ramus Intermedius: Not present
Left Circumflex Coronary Artery: Minor irregularities
Right Coronary Artery: Normal
Dr. Thomas Kelly
MD, FACC
Wie Sie diese Vorlage verwenden
Schritt 1
Vorlage herunterladen
Laden Sie zunächst die Vorlage auf Ihr Gerät herunter
Schritt 2
An Ihre Bedürfnisse anpassen
Passen Sie die Vorlage an Ihre spezifischen Anforderungen an
Schritt 3
Bereitstellen und freigeben
Implementieren Sie Ihre angepasste Vorlage und teilen Sie sie mit Ihrem Team
Beginnen Sie die Zusammenarbeit mit Heidi
Loslegen mit Heidi