Coronary angiogram - TM

**Clinical presentation: **[describe the patient's presentation, including the reason for the cardiac catheterisation, recent hospital admissions, associated medical conditions, and relevant laboratory or imaging findings such as troponin levels and echocardiogram results] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in paragraphs of full sentences.) **<u>CORONARY ANGIOGRAPHY FINDINGS</u>** **Left main coronary artery: **[describe the angiographic findings for the left main coronary artery, including any abnormalities or normal appearances] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in paragraphs of full sentences.) **Left anterior descending artery:** [describe the angiographic findings for the left anterior descending artery, including the presence of plaque, stenosis, and characteristics of any branches] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in paragraphs of full sentences.) **Left Circumflex artery:** [describe the angiographic findings for the left circumflex artery, including any abnormalities or normal appearances] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in paragraphs of full sentences.) **Right coronary artery:** [describe the angiographic findings for the right coronary artery, including its dominance and any abnormalities or normal appearances] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in paragraphs of full sentences.) **<u>Pressure Wire Study</u> ** [describe if a pressure wire study was undertaken, including the purpose, the method for inducing hyperaemia, and the symptoms or haemodynamic changes observed] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in paragraphs of full sentences.) **Result:** [document the results of the pressure wire study, including resting Pd/Pa, Peak FFR, and the conclusion regarding the haemodynamic significance of any lesions] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in paragraphs of full sentences.) **<u>PERCUTANEOUS INTERVENTION to the LAD / RCA / LCX</u>** [detail the percutaneous intervention performed, including the guide used, guidewire, predilation specifics (e.g., balloon size), and the type and dimensions of the stent or balloon angioplasty device used, along with any post-dilation specifics] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write in paragraphs of full sentences.) **<u>CONCLUSION and RECOMMENDATIONS</u>** 1. [summarize the procedure, specifying if it was uneventful, the type of intervention such as coronary angiogram, percutaneous coronary intervention, drug eluting stent, balloon angioplasty, or drug coated balloon therapy and the treated vessels] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a numbered list.) 2. [detail pharmacotherapy recommendations, including duration of DAPT Clopidogrel/Aspirin, lifelong single antiplatelet therapy, and discussion of medications for lowering vascular risk such as statin, ezetimibe, inclisiran, or evolocumub] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a numbered list.) 3. [recommend ongoing medical and foundational lifestyle modifications, explaining their role in reducing the risk of metabolic syndrome and vascular sequelae, with specific aims such as reducing insulin resistance, improving blood pressure, reducing visceral adiposity, maintaining ideal waist circumference, and reducing triglycerides and LDL cholesterol fraction] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a numbered list.) 4. [specify the follow-up plan, including the location and timeframe for the next clinic visit] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely. Write as a numbered list.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely. Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)