Coronary Procedure Report

Procedure [The type of procedure performed, including whether coronary angiography, coronary imaging, or coronary intervention was carried out, whether a graft study was performed, and whether a right heart catheter or left ventriculogram was included] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, with each sentence as a separate paragraph.) Indication [The detailed indication for the procedure and relevant past medical history, including cholesterol, HbA1c, and blood pressure values where stated, degree of left ventricular impairment or ejection fraction where stated, type and site of any coronary artery bypass grafts where stated, type and size of any valve replacements where stated, and any further narrative detail of the clinical history where stated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Format each indication or relevant history item as a separate bullet point.) Pre-Procedure [Preprocedural antiplatelet therapy administered, whether the patient was anticoagulated, and any medications added or withheld prior to the procedure] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, with each sentence as a separate paragraph.) Procedure [The laterality and site of vascular access, and the French size of sheath used] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write as a full sentence, as its own paragraph.) [The catheters used during the procedure and specifically which catheters were successfully used for which coronary arteries] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, with each sentence as a separate paragraph.) [Whether the coronary anatomy is left dominant, right dominant, or co-dominant] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write as a full sentence, as its own paragraph.) [Findings for each coronary artery, described as smooth and normal or with the degree and location of any disease, stenosis, or occlusion, including TIMI flow for any occluded vessel and whether retrograde filling is present and from which vessel] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write each vessel as its own paragraph using the following structure: Left Main Stem: [findings] Left Anterior Descending: [findings] Circumflex: [findings] Right: [findings]) [Findings for each bypass graft including type, site, and degree of disease or patency] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write each graft as its own paragraph under the heading Grafts.) [Findings from the left ventriculogram including wall motion abnormalities and estimated ejection fraction] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences under the heading Left Ventriculogram, as its own paragraph.) [The left ventricular end diastolic pressure in mmHg] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write as a full sentence in the format "The LVEDP was [value] mmHg.", as its own paragraph.) Right Heart Catheter [The haemodynamic measurements obtained during right heart catheterisation, including RA mean pressure in mmHg, RV systolic pressure and end diastolic pressure in mmHg, PA systolic, diastolic and mean pressures in mmHg, PCW mean pressure and v wave in mmHg, all measured saturations with their sampling locations, a summary of any shunt identified, Fick cardiac output in L/min, transpulmonary gradient calculated as mean PA pressure minus mean PCW pressure in mmHg, and pulmonary vascular resistance calculated as transpulmonary gradient divided by cardiac output in Wood Units] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write each pressure measurement as its own line. Present saturations and sampling locations as a bullet point list. Write the shunt summary, cardiac output, transpulmonary gradient, and pulmonary vascular resistance each as their own paragraph.) Pressure Wire, IVUS, And OCT [The equipment used for coronary pressure wire assessment, intravascular ultrasound, or optical coherence tomography, the vessels assessed, and the results including iFR value for each vessel where stated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences, with each vessel assessed as a separate paragraph.) Coronary Intervention [The details of each coronary intervention performed, including the vessel intervened upon, the guide catheter used, any equipment mentioned, technical points of the procedure, the type and size of any stent, balloon, or other equipment used, the procedural outcome, and any periprocedural complications] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Write each intervened vessel as a separate paragraph with the vessel name as a bold heading. Write in full sentences.) Summary [A summary of the procedure results and any change in diagnosis or clinical impression resulting from the procedure findings] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Never invent or infer a diagnosis. Write in full sentences, with each sentence as a separate paragraph.) Plan [The management plan following the procedure, including medications, follow-up arrangements, and any further investigations or interventions planned] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Format each plan item as a separate bullet point.) [Driving advice based on the clinical context of the procedure] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Apply the following conditional logic: If the procedure was elective coronary intervention, include as a bullet point: "DVLA advice given: No driving of Class I vehicles for at least one week following elective coronary intervention. For Class II vehicles, the patient must not drive and must inform the DVLA, who will consider relicensing if a satisfactory exercise test is performed." If the procedure was performed in the context of an acute coronary syndrome, include as a bullet point: "DVLA advice given: Driving of Class I vehicles may resume after one week if there are no other significant coronary stenoses for which urgent revascularisation is planned within four weeks, ejection fraction is at least 40%, and there is no other disqualifying condition. For Class II vehicles, no driving is permitted following an acute coronary syndrome and the DVLA must be notified." If no intervention was performed and the procedure was diagnostic only, omit the driving advice bullet point entirely.)