Table 2: Domains, Screening Tools, Personnel and Potential Onward Referrals That May Be Required in Follow-up.
| Domain | Areas to Cover | Screening Tool | Personnel | Onward Referral |
|---|---|---|---|---|
| Cardiovascular | Symptoms Medications Risk factor treatment Heart function ICD implantation |
Clinical history and examination NYHA/CCS class |
Physician/specialist cardiac nurse | Interventional cardiology Heart failure Electrophysiology |
| Physical | Fatigue Mobility |
None validated MFIS |
Nurse | Physiotherapy Occupational therapy |
| Cognitive | Memory Attention Distractibility Slowness in thinking, problems with planning, initiating activities and multi-tasking |
IQCODE-CA MoCA SDMT CLCE-24 |
Physician/specialist cardiac nurse/ Neuropsychologist |
Neuropsychologist (if not available in the MDT) Occupational therapy |
| Mental health | Anxiety, depression, post traumatic stress symptoms | HADS PCL-5 |
Nurse/Neuropsychologist | Psychology/psychiatry |
| Genetics | Family history, nature of arrest | Clinical history | Physician/specialist cardiac nurse | Clinical genetics Inherited cardiac conditions |
| Daily living/work | Daily activities Work Driving/flying Relationships/sexual health |
EQ-5D EuroQOL Community Integration Questionnaire |
Physician/nurse/psychologist | Neuropsychologist Occupational therapy |
CCS = Canadian Cardiovascular Society; CLCE-24 = Checklist Cognition and Emotion; EQ-5D = EuroQol-5 Dimension; EuroQOL = Euro Quality of Life Questionnaire; HADS = Hospital Anxiety and Depression Scale; IQCODE-CA = Informant Questionnaire of Cognitive decline in the Elderly; MDT = multi-disciplinary team; MFIS = Modified Fatigue Impact Scale – Cardiac arrest version; MoCA = Montreal Cognitive Assessment Test; NYHA = New York Heart Association; PCL-5 = Post-traumatic Stress Disorder Checklist; SDMT = Symbol Digit Modalities Test.