Table 4.
Condition | Key aspects | Questions for patients |
---|---|---|
Ischemic heart disease | Do they have angina? | Do they have chest pain? Have they needed sublingual nitroglycerin? How often? |
Do they have heart failure? | Do they feel more respiratory distress, breathless, or tired than usual? Are their ankles swollen? |
|
Are cardiovascular risk factors under control? | Do they smoke? Are they following a healthy diet? Do they exercise? What blood pressure medication are they taking? Have they gained or lost weight? |
|
Is their treatment adherence adequate? | Have they ever forgotten a dose of medication? How often? | |
Have they had any adverse effects from the medication? | Do they have muscle pain? Do they feel dizzy or more tired than usual? Do they have bruising? |
|
Heart failure | What is their functional class? | How far can they walk? Have they stopped doing any activity since the last revision? |
Do they have congestion? | Have they gained weight? Have they needed to begin or increase a diuretic (furosemide or equivalent)? Is there increased edema in the ankles or abdominal girth? |
|
Have they been hospitalized? | Have they been in hospital recently (since the last appointment) or visited the emergency department? | |
Have they new symptoms or have previous symptoms worsened? | Do they have chest pain? Have they lost consciousness at any time? Do they have palpitations? |
|
Are they tolerating the medicine? | In the case of a recent treatment change, have they noticed any changes in symptoms, such as blood pressure, pulse, or diuresis? | |
Atrial fibrillation | What type of AF do they have? | Is this the first episode of palpitations? If not, how many times have they occurred? With what frequency? |
Are they stable? | Are they similar to other episodes? Do the patients know their blood pressure and heart rate? What are their symptoms (eg, palpitations, dyspnea, syncope, chest pain)? |
|
Evaluation of treatment | Is there a known trigger? How long have previous episodes lasted? Can any tracings be sent electronically? |
|
Treatment of symptoms | What treatment are they currently receiving? Do they know their blood pressure and heart rate? Can any tracings be sent electronically? |
|
Do they require antithrombotic medication? Which one? | Ask about the criteria of the CHA2DS2-VASc scale Are they taking any antithrombotic medication? In the case of vitamin K antagonists, how is the INR control? In the case of direct anticoagulants, what dosage do they take? Have they ever forgotten to take them? |
AF, atrial fibrillation; INR, International Normalized Ratio.