C.M.I. DR.

EPICRIZ DE ETAP
IC cls. a III / IV a NYHA
Nume .................................... ..............................Prenume .........................................................
Diagnostic : ...................................................................................................................................
.........................................................................................................................................................
Control Luna
G=
TA =
AV =
Semne i Simptome
o Dispnee de efort /
decubit / ortopnee /
paroxistic
o Fatigabilitate
o Edeme mb.
Inferioare / revrsat
pleural / anasarc
o Cardiomegalie : oc
apexian sp. ......... ,
zg. de galop, HVD
o Hepatomegalie
o Distensie jugulare
o Raluri pulmonare
bazale
Activitate cotidian
EKG
Ex. de laborator :
creatinin
potas
emie
Parcticulariti
agravante : cianoz,
sincope, semne
ischemie miocardic,
afeciuni intercurente,
anemie, necomplian la
tratament, suport
familial insufcient

Recomandri :
Msuri generale :
diet hiposodat,
repaus, interzis
fumatul i
consumul de
alcool, suport
familial, scdere n
greutate

Tratament