Cardiologist Template

New TAVI patient

A professional Cardiologist template for healthcare professionals.

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Specialty

Cardiologist

Used

15 times

Type

Note

Last edited

8/11/2025

Created by

Pierluigi Costanzo

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About this template

Looking for a streamlined way to document new TAVI (Transcatheter Aortic Valve Implantation) patient assessments? This template, designed for cardiologists, provides a structured framework for recording essential information. It covers key areas like past medical history, social and family history, medications, detailed history of present complaint, examination findings, ECG, echocardiogram, CT TAVI results, coronary angiogram, impression, and a clear plan. This template helps cardiologists efficiently capture all the necessary details for TAVI patients, ensuring comprehensive and accurate medical records. With Heidi, this template can be quickly populated from a patient visit transcript.

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Cardiologist Past Medical History * Hypertension, 2010 * Hypercholesterolemia, 2015 * Type 2 Diabetes Mellitus, 2018 Social History * Non-smoker * Drinks alcohol occasionally, 1-2 units per week * Lives with wife, independent in activities of daily living Family History * Father: History of coronary artery disease, died at age 72 * Mother: Alive, history of hypertension Drugs * Aspirin 75mg daily * Atorvastatin 20mg nocte * Lisinopril 10mg daily * Metformin 500mg twice daily Dear Dr. [GP's Name], It was a pleasure to review this 78-year-old patient. The patient presented with progressive shortness of breath on exertion and chest pain over the past 6 months. Symptoms have worsened recently, now experiencing shortness of breath at rest. The patient denies any recent fevers, cough, or other respiratory symptoms. The patient reports a history of intermittent claudication in the left leg, but this has not worsened recently. Examination * Blood pressure: 140/80 mmHg * Heart rate: 72 bpm, regular * Cardiac auscultation: Grade III/VI systolic ejection murmur heard best at the right upper sternal border, radiating to the carotids. * Peripheral pulses: 2+ and equal bilaterally. * No peripheral oedema. ECG: Sinus rhythm, left ventricular hypertrophy, no acute ST-T wave changes. Echo: Severe aortic stenosis (valve area 0.7 cm2, mean gradient 55 mmHg, peak gradient 75 mmHg), left ventricular hypertrophy, normal left ventricular systolic function (EF 60%). CT TAVI: Aortic valve is trileaflet, severe calcification, annulus diameter 23mm. MAC is present. Transfemoral approach is feasible. Coronary angiogram: Mild non-obstructive coronary artery disease. Impression * Severe symptomatic aortic stenosis. * The natural history of severe aortic stenosis was explained, including the risks and benefits of TAVI intervention. Plan * Discussed the case at the multidisciplinary team meeting. * Patient is suitable for TAVI. * Schedule patient for pre-TAVI assessment. * Inform the patient of the plan and obtain consent. * Follow up in 2 weeks.