---
# System prepended metadata

title: CV note

---

# CV note 
## PCI
* percutaneous coronary intervention
* Coronary Artery Disease
* Coronary angiography
* 疑似心血管疾病。(以下空白)
* 冠狀動脈疾病。(以下空白)
* 冠狀動脈血管攝影
* 經皮冠狀動脈介入治療
* 冠狀動脈氣球擴張術
* 冠狀動脈血管支架置放術
* 病人因上述病症，於１１０年０４月２６日住入本院，接受冠狀動脈血管攝影，於１１０年０４月２８日出院，出院後宜長期追蹤複查。（以下空白）
* 病人因上述病症，於１１０年０４月２６日住入本院，接受冠狀動脈血管攝影及冠狀動脈血管支架置放術，於１１０年０４月２８日出院，出院後宜長期追蹤複查。（以下空白）


### Admission
#### HPI
This __-year-old man has past history of
1. Hypertension
2. 
3. 

According to the patient, he suffered from intermittent chest tightness for one month. Due to the aforementioned condition, she/he came to our CV OPD for help and further examination was suggested. There was no fever, URI symtoms, night sweating, orthopnea, dyspnea on exertion, dysuria, abdominal pain, or change of bowel habit. Physical examination showed regular heart beat, clear breathing sound, and no peripheral edema.

Under the impression of suspected coronary artery disease, he was admitted for cardiac catheterization exam and percutaneous coronary intervention if indicated.
#### A/P
[Diagnostic]
. pre-PCI survey including CBC/DC, SMAC, PT/aPTT
. check lipid profile, AST/ALT, urine routine, and FBS on PCI day
. EKG, CXR
. ABO screenin and matching
[Theraputic]
. Heparin 1 vial send to cath room
. keep OPD medication
[Education]
. send consent to patient and inform our plan


### AcceptNote
After admission, we explained the indication of coronary angiogram(CAG and the possible need of self-paid drug eluting stent(DES). We also explained the potential complications, including myocardial infarction, re-stenosis, pericardial effusion, arrhythmia, stroke, aortic dissection, allergy, contrast induced acute kidney injury(CIAKI), infection, death..etc. The patient and family understood and signed the consent forms. Blood tests showed no absolute contraindication to invasive procedure.


## EP/Ablation


## HF diagnoses 

1. Acute decompensated congestive heart failure EF __ %, complicated with pulmonary edema, ACC/AHA stage D, NYHA Fc IV, with suspected coronary artery disease

