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. 2020 Aug 29;73(11):910–918. doi: 10.1016/j.rec.2020.06.032

Table 6.

Cardiology discharge and primary care follow-up criteria for patients with ischemic heart disease, heart failure, or arrhythmias.

Ischemic heart disease Asymptomatic patient with normal LVEF at 12 months after an ACS or revascularization
Asymptomatic with incomplete revascularization and a negative test for ischemia or good prognosis at 12 months of follow-up
Stable angina with normal LVEF and a negative test for ischemia or good prognosis at 12 months of follow-up
Heart failure Patients preferably in primary care follow-up
Nonadvanced HF patients:
• NYHA I-II
• Without decompensations in the last 12 months (have not needed to visit hospital or emergency department)
• Optimized pharmacological and device management. Diuretics according to congestion
Patients in cardiology follow-up with coordinated support from primary care
• Patients in the pharmacological titration phase
• Mild HF decompensations
Arrhythmias Patients with persistent or permanent atrial fibrillation that are stable or have few symptoms under treatment
Patients with supraventricular tachycardias, isolated supraventricular extrasystoles, sinus tachycardia, and nonsustained tachycardias (< 30 seconds) without known heart disease and with normal electrocardiogram
Patients with isolated ventricular extrasystoles but without other symptoms of heart disease (especially young patients)
Secondary arrhythmias with vagal stimulation, well-tolerated
Conduction disorders, such as second-grade Wenckebach-type atrioventricular type block or bifascicular block, especially if they are asymptomatic

ACS, acute coronary syndrome; HF, heart failure; LVEF, left ventricular ejection fraction; NYHA, New York Heart Association.