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. 2020 Feb 26;7(1):15–24. doi: 10.1002/ehf2.12558

Table 3.

Components of a heart failure patient booklet

• Personal data, family and social history, contact details
• Past medical history, co‐morbidities, surgeries and other procedures, allergies and adverse drug reactions, blood transfusions
• HF aetiology, disease course, phenotype, device therapy, hospitalizations for decompensation
• A review of medications and dosing, including possible side effects, need for changes and up‐titration goals
• A clinical assessment of vital signs, cardiac rhythm, functional capacity, 6 min walk test, fluid status, nutritional and cognitive status
• Reports of imaging (echocardiography, chest X‐ray, SPECT, coronary angiography, cardiac ΜRΙ), cardiorespiratory stress test with VO2 max, electrophysiology study and ablation, myocardial biopsy, genetic testing
• Laboratory test results (serum urea, creatinine, electrolytes, haemoglobin, ferritin, TSH, NT proBNP)
• Vaccinations
• Consultation of other specialists
• Free space for special notes