Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Routine: DVBCWAM1

DVBCWAM1.m

Go to the documentation of this file. 
DVBCWAM1 ;ALB/JFP ARRHYTHMIAS WKS TEXT - 1 ; 11 FEB 1997

 ;;2.7;AMIE;**16**;Apr 10, 1995

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    1.  Type of arrhythmia, onset of disorder, frequency and

 ;;        duration of attacks.  Attacks confirmed by EKG or Holter

 ;;        monitor?.

 ;;    2.  Pacemaker present?  If so, when was it inserted,

 ;;        effectiveness, side effects?

 ;;    3.  Other treatment?  If so, type, effectiveness, side effects?

 ;;    4.  For sustained ventricular arrhythmias, atrioventricular

 ;;        block, and implantable cardiac pacemakers (if ventricular

 ;;        arrhythmia or atrioventricular block was the reason for the

 ;;        pacemaker), the examiner must provide the METs level,

 ;;        determined by exercise testing, at which symptoms of dyspnea, 

 ;;        fatigue, angina, dizziness, or syncope result.

 ;;    5.  Exercise testing is not required for the above listed

 ;;        conditions in the following circumstances:

 ;;        a.  If exercise testing is medically contraindicated:

 ;;            1)  In that case, provide the medical reason exercise

 ;;                testing cannot be conducted, and

 ;;            2)  Provide an estimate of the level of activity

 ;;                (expressed in METs and supported by specific

 ;;                examples, such as slow stair climbing, or

 ;;                shoveling snow) that results in dyspnea, fatigue,

 ;;                angina, dizziness, or syncope.

 ;;        b.  For sustained ventricular arrhythmia-from date of

 ;;            hospital admission for initial evaluation and medical

 ;;            therapy for a sustained ventricular arrhythmia or for

 ;;            ventricular aneurysmectomy, and for six months

 ;;            following discharge.

 ;;        c.  With an automatic implantable Cardioverter-Defibrillator

 ;;            (AICD) in place.

 ;;        d.  For two months following hospital admission for

 ;;            implantation or reimplantation of an implantable

 ;;            cardiac pacemaker.

 ;;        e.  If an exercise test has been done within the past year,

 ;;            the results are of record, and there is no indication

 ;;            that there has been a change in the cardiac status of

 ;;            the veteran since.

 ;;    6.   For implantable cardiac pacemakers - if supraventricular

 ;;         arrhythmia was the reason for the pacemaker - describe any

 ;;         attacks of atrial fibrillation or other symptoms.

 ;;    7.   Describe the effects of the condition on the veteran's

 ;;         usual occupation and daily activities.

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

 ;;    Address each of the following and fully describe current findings:

 ;;    1.  Heart size and method of determination, heart rate and

 ;;        rhythm, blood pressure.

 ;;    2.  Status of cardiac function - evidence of congestive heart

 ;;        failure.

 ;;    3.  Cardiac arrhythmia - type.  Confirmed by EKG or Holter

 ;;        monitor?

 ;;

 ;;D  Diagnostic and Clinical Tests:

 ;;  

 ;;   1.  EKG.

 ;;   2.  Holter monitor, other tests as indicated.

 ;;   3.  Chest X-ray, exercise stress test, echocardiogram, Holter

 ;;       monitor, thallium study, angiography, etc., as appropriate,

 ;;       and as required or indicated.

 ;;   4.  Include results of all diagnostic and clinical tests

 ;;       conducted in the examination report, including status of

 ;;       left ventricular function, if measured.

 ;;

 ;;E.  Diagnosis:

 ;;  

 ;;

 ;;

 ;;Signature:                                        Date:

 ;;END