Clinical |
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Prior history of cardiovascular disease:
Myocardial infarction, cerebrovascular accident, percutaneous coronary intervention, coronary artery bypass graft, other arterial vascularization, deep vein thrombosis, pulmonary embolism, atrial fibrillation, heart failure, hypertension, peripheral arterial disease, carotid disease, aortic stenosis, aortic or mitral valve procedure, mitral regurgitation
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Co-morbid illness/Medical History
Hypertension, metabolic syndrome, diabetes mellitus (types 1 and 2), peripheral neuropathy, sleep apnea, asthma, hematologic disease (anemia, thrombocytopenia, neutropenia), non-alcoholic steatohepatitis, history of treated malignancy >5 years ago, macular degeneration, dialysis or offered kidney transplant, laser treatment or vitrectomy for diabetic eye disease, gestational diabetes
Medications
Physical exam: Heart rate, Blood pressure, Ankle-Brachial Index, recent Ejection Fraction
Symptoms (nausea, vomiting, diarrhea, mouth pains/sores, cough, shortness of breath, fever)
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Smoking:
Physical activity
Average alcohol consumption (number of drinks)
Caffeinated beverage consumption
Family history of myocardial infarction, cerebrovascular accident, diabetes mellitus
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Laboratory and Imaging Studies |
Hepatitis B and C
Safety panel: ALT, AST, Cr, Albumin, CBC, glucose
Lipids and hsCRP (fasting)
HbA1c
Urine testing
Chest x-ray (past 12 months)
Echocardiogram (past 3 years)
EKG
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