Cardiac- Key Elements Of Past Cardiac Hx

Question 1

Baseline Sx

Answer 1

• IHD: exertional angina if so functional limitations, response to GTN
• HF: dyspnoea, fatigue, ankle swelling, functional status
• Valvular disease: often asymptomatic, exertional dyspneoa, CP or syncope

Question 2

Major events

Answer 2

• IHD: prev MI, unstable angina
• HF: prev decompensated HF, ventricular arrhythmias
• valvular disease: IE, previous rheumatic fever

Question 3

Investigations

Answer 3

• IHD: cardiac angiography, extent of CAD, electrocardiogram (or stress test, exercise capacity
• HF: echo, LV size,
• valvular disease: echo, nature and size of valve lesion, ventricular size

Question 4

Procedures

Answer 4

• IHD: PCI, CABG
• HF: implantable cardioverter-defibrillator, cardiac desynchronisation
• Valvular disease: surgical valve repair or replacement, TAVI