Beruflich Dokumente
Kultur Dokumente
CVS
Anatomy department
Faculty of Medicine & Dentistry
October 2014
For me, the only things of
interest are those linked to the
heart (Audrey Hepburn)
Presenting Complaint
Chest pain
Shortness of breath
Ankle swelling
Palpitations
Syncope
Intermittent claudication
QUESTIONS OF THE
CARDIOVASCULAR SYSTEM
Cardiac symptoms
Breathlessness
Cardiac pain
Palpitations
Cough and sputum
Dizziness and headaches
Peripheral vascular symptoms
BREATHLESSNESS
Usually retrosternal
Episodes of tachycardia
Dizziness- hypotension
Headache- hypertension
PERIPHERAL VASCULAR
SYMPTOMS
Do you get pain in the leg muscles on
exercise? - intermittent claudication
How far can you walk?
How long does the pain take to
disappear ?
Is there any pain in the limb at rest ?
PERIPHERAL VASCULAR
SYMPTOMS
Does the pain interfere with sleep ?
1. Hyperlipidaemia
2. Diabetes mellitus
3. Smoking
4. Hypertension
5. Obesity
6. Family history
Past Medical History
Rheumatic fever
Previous cardiac investigations
Previous myocardial infarction
Coronary angioplasty + stent insertion
Coronary artery bypass grafting
Pacemaker insertion
Medications
Anti-anginal agents
Use of sublingual nitrate spray
Antihypertensive agents
Anti-arrhythmics
Statins
Platelet inhibitors, e.g., Aspirin
Anticoagulants, e.g., Warfarin
Allergies
NB Document in front of chart and inform nurses
Social History
Occupation
e.g., train driver, long distance truck driver
Smoking
Number of pack years
Alcohol intake
Stairs at home
Family History