Cardiovascular History Flashcards
what is the structure for a history and how does it relate to the CV Hx?
history of presenting complaint - key CV symptoms
past medical history - risk factors and CV disease
drug history - medications
family history - CV conditions in 1st degree relatives (minimum)
social history - risk factors really
HPC components
chest pain dyspnoea palpitations syncope/dizziness oedema intermittent claudication systemic symptoms
onset, duration, course, severity, intermittent/continuous, precipitating factors, relieving factors, previous episodes
what do you need to know about chest pain
socrates severity onset character radiation associations time course exacerbating/relieving factors severity
what do you need to know about dyspnoea
exercitional
orthopnoea
paroxysmal nocturnal
what do you need to know about palpitations
tap out rhythm
what do you need to know about syncope/dizziness
postural
exertional
random
what do you need to know about oedema
peripheral
sacral
what do you need to know about systemic symptoms
fatigue
fever
weight loss/gain
what are the risk factors involved in the PMH?
hypertension
smoking
hyperlipidaemia
diabetes
what are the CV disease you need to ask about in PMH?
angina MI - and treatment AF stroke peripheral vascular dsease stroke hypetension hyperlipidaemia rheumatic fever
what CV medications do you need to ask about in drug history?
beta blockers ACE inhibitors calcium channel blockers diuretics statins antiplatelets anticoagulants GTN spray
what are the inherited conditions to ask about tin family history?
hyperlipidaemia
cardiomyopathies
channelopathies
what are the acquired conditions to be concerned about tin relatives at a young age?
CVD
unexplained death
parents health
what are the key components of a social history that you are interested in for CV?
cocaine
overweight, fatty food, salt intake
sedentary job
