心脏康复评定.ppt

CARDIOVASCULAR EVALUATION
DR. Liang Qi
A PATIENT CASE EXAMPLE
1. Why are you here today?
2. Have you been diagnosed with a cardiac disorder in the past?
3. Have you had any special tests to examine your heart like an electrocardiogram, stress test, echocardiogram, or cardiac catheterization?
4. Do you experience angina or shortness of breath at rest, only with activity/exercise, or both at rest and with activity/exercise?
5. If you experience angina or e short of breath during activity or exercise could you please describe the type of activity or exercise which produces your angina or shortness of breath?
6. Can you describe your angina or shortness of breath? Can you help me understand your angina or shortness of breath by pointing to the numbers 1 through 4 to describe the level of angina you experience at rest and exercise or by pointing to your level of shortness of breath using this 10-point scale or by marking this visual analog scale?
7. Could I feel your pulse to determine your heart rate and the strength of your pulse?
8. Could I place this finger probe on your index finger to obtain an oxygen saturation measurement?
9. Could I place these electrodes on your chest to obtain a simple single-lead electrocardiogram (ECG)?
10. Could I take your blood pressure while you are seated and pare it to the blood pressure while you are lying down and then standing? I would also like to observe your pulse, oxygen saturation, ECG, and symptoms when you are lying down and standing.
11. Could I listen to your heart and lungs with my stethoscope? While I do this I will concentrate on watching your ECG so that I can identify your heart sounds and any changes in the ECG while you are breathing deeply when listening to your lungs.