79 lines
3.6 KiB
Mathematica
79 lines
3.6 KiB
Mathematica
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DVBCWAM1 ;ALB/JFP ARRHYTHMIAS WKS TEXT - 1 ; 11 FEB 1997
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;;2.7;AMIE;**16**;Apr 10, 1995
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;
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;
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TXT ;
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;;A. Review of Medical Records:
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;;
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;;B. Medical History (Subjective Complaints):
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;;
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;; 1. Type of arrhythmia, onset of disorder, frequency and
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;; duration of attacks. Attacks confirmed by EKG or Holter
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;; monitor?.
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;; 2. Pacemaker present? If so, when was it inserted,
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;; effectiveness, side effects?
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;; 3. Other treatment? If so, type, effectiveness, side effects?
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;; 4. For sustained ventricular arrhythmias, atrioventricular
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;; block, and implantable cardiac pacemakers (if ventricular
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;; arrhythmia or atrioventricular block was the reason for the
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;; pacemaker), the examiner must provide the METs level,
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;; determined by exercise testing, at which symptoms of dyspnea,
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;; fatigue, angina, dizziness, or syncope result.
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;; 5. Exercise testing is not required for the above listed
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;; conditions in the following circumstances:
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;; a. If exercise testing is medically contraindicated:
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;; 1) In that case, provide the medical reason exercise
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;; testing cannot be conducted, and
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;; 2) Provide an estimate of the level of activity
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;; (expressed in METs and supported by specific
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;; examples, such as slow stair climbing, or
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;; shoveling snow) that results in dyspnea, fatigue,
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;; angina, dizziness, or syncope.
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;; b. For sustained ventricular arrhythmia-from date of
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;; hospital admission for initial evaluation and medical
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;; therapy for a sustained ventricular arrhythmia or for
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;; ventricular aneurysmectomy, and for six months
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;; following discharge.
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;; c. With an automatic implantable Cardioverter-Defibrillator
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;; (AICD) in place.
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;; d. For two months following hospital admission for
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;; implantation or reimplantation of an implantable
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;; cardiac pacemaker.
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;; e. If an exercise test has been done within the past year,
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;; the results are of record, and there is no indication
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;; that there has been a change in the cardiac status of
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;; the veteran since.
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;; 6. For implantable cardiac pacemakers - if supraventricular
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;; arrhythmia was the reason for the pacemaker - describe any
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;; attacks of atrial fibrillation or other symptoms.
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;; 7. Describe the effects of the condition on the veteran's
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;; usual occupation and daily activities.
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;;
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;;C. Physical Examination (Objective Findings):
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;;
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;; Address each of the following and fully describe current findings:
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;; 1. Heart size and method of determination, heart rate and
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;; rhythm, blood pressure.
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;; 2. Status of cardiac function - evidence of congestive heart
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;; failure.
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;; 3. Cardiac arrhythmia - type. Confirmed by EKG or Holter
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;; monitor?
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;;
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;;D Diagnostic and Clinical Tests:
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;;
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;; 1. EKG.
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;; 2. Holter monitor, other tests as indicated.
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;; 3. Chest X-ray, exercise stress test, echocardiogram, Holter
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;; monitor, thallium study, angiography, etc., as appropriate,
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;; and as required or indicated.
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;; 4. Include results of all diagnostic and clinical tests
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;; conducted in the examination report, including status of
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;; left ventricular function, if measured.
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;;
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;;E. Diagnosis:
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;;
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;;
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;;
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;;Signature: Date:
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;;END
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