| { | |
| "HFrEF$Intermedia_5": { | |
| "LVEF\u226440% is the critiera for HFrEF$Cause_1": { | |
| "LVEF= 30 %$Input6": {} | |
| }, | |
| "Heart Failure$Intermedia_4": { | |
| "Left ventricular ejection fractions (EF) is 35 to 40% suggests that the left ventricular systolic function is abnormal.$Cause_1": { | |
| "EF 35-40%$Input2": {} | |
| }, | |
| "Strongly Suspected heart failure$Intermedia_3": { | |
| "NT-proBNP or pro-BNP are common biomarkers of heart failure. Extreme elevation of BNP levels indicates strongly suspected heart failure.$Cause_1": { | |
| "proBNP-8317$Input6": {} | |
| }, | |
| "Suspected heart failure$Intermedia_2": { | |
| "Dyspnea is a common symptom of heart failure.$Cause_1": { | |
| "Dyspnea on exertion$Input1": {} | |
| }, | |
| "Atrial fibrillation (Afib) is a common cause of heart failure.$Cause_1": { | |
| "Afib$Input2": {} | |
| }, | |
| "Hypertension is known risk factor for heart failure.$Cause_1": { | |
| "Hypertension$Input3": {} | |
| }, | |
| "Chronic renal insufficiency can induce heart failure.$Cause_1": { | |
| "Chronic renal insufficiency$Input3": {} | |
| }, | |
| "Hyperlipidemia is a common risk factor for cardiovascular disease, which can lead to heart failure.$Cause_1": { | |
| "Hyperlipidemia$Input3": {} | |
| }, | |
| "Rales midway up lung fields bilaterally is a common sign of pulmonary edema associated with heart failure.$Cause_1": { | |
| "Lungs: Rales midway up lung fields bilaterally, R>L$Input5": {} | |
| }, | |
| "With the exception of myocardial infarction, elevated troponin is indicative of heart failure-related myocardial damage.$Cause_1": { | |
| "cTropnT-0.19*$Input6": {} | |
| } | |
| } | |
| } | |
| } | |
| }, | |
| "input1": "Dyspnea on exertion\n", | |
| "input2": "He yo M PMH dilated CM EF 35-40% s/p BiV pacing, Afib on coumadin presenting with worsening shortness of breath. He notes that over the past week he's had increasing difficulty climbing stairs (tires after climbing 1 flight which he could normally do in the past). He denies orthopnea or PND; denies any significant leg swelling. No chest pressure or discomfort. Does endorse some edema around the abdomen with sensation of bloating.\n", | |
| "input3": "+ Recently diagnoses Afib on coumadin \n+ clean coronaries on c.cath \n+ Hypertension \n+ Chronic renal insufficiency \n+ BPH \n+ Hyperlipidemia \n+ degenerative joint disease \n+ pacemaker implantation , with a BiV upgrade \n \n+ hx polypectomy clean colon\n", | |
| "input4": "Grandmother HTN, does not know anything about mother and father's health problems. Denies renal disease. \n\ufeff\n", | |
| "input5": "Physical Exam:\n98.2, 123/69, 77, 20, 95%RA\nGeneral: Alert, oriented, NAD \nHEENT: Sclera anicteric, MMM, oropharynx clear \nLungs: Rales midway up lung fields bilaterally, R>L\nCV: RRR, normal S1 + S2, no murmurs, rubs, gallops \nAbdomen: soft and nontender with normoactive bowel sounds \nExt: Warm and well perfused, no peripheral edema\n", | |
| "input6": "___ 07:05AM GLUCOSE-87 UREA N-58* CREAT-2.4* SODIUM-140 POTASSIUM-4.6 CHLORIDE-107 TOTAL CO2-23 ANION GAP-15\n___ 07:05AM CALCIUM-9.3 PHOSPHATE-3.4 MAGNESIUM-1.8\n___ 07:05AM WBC-4.0 RBC-2.54* HGB-8.0* HCT-25.9* MCV-102* MCH-31.6 MCHC-31.0 RDW-18.8*\n___ 07:05AM PLT COUNT-295\n___ 10:55PM GLUCOSE-116* UREA N-57* CREAT-2.4* SODIUM-137 POTASSIUM-5.5* CHLORIDE-105 TOTAL CO2-21* ANION GAP-17\n___ 10:55PM CK(CPK)-109\n___ 10:55PM CK-MB-7\n___ 10:15PM GLUCOSE-106* UREA N-56* CREAT-2.5* SODIUM-135 POTASSIUM-GREATER TH CHLORIDE-99 TOTAL CO2-12*\n___ 07:30PM GLUCOSE-120* UREA N-57* CREAT-2.5* SODIUM-135 POTASSIUM-6.7* CHLORIDE-102 TOTAL CO2-20* ANION GAP-20\n___ 07:30PM estGFR-Using this\n___ 07:30PM cTropnT-0.19* \n___ 07:30PM WBC-5.1 RBC-3.02* HGB-9.7* HCT-30.8*# MCV-102* MCH-32.2* MCHC-31.6 RDW-19.1*\n___ 07:30PM NEUTS-76* BANDS-2 LYMPHS-12* MONOS-10 EOS-0 BASOS-0 MYELOS-0 NUC RBCS-2*\n___ 07:30PM HYPOCHROM-1+ ANISOCYT-1+ POIKILOCY-1+ MACROCYT-3+ MICROCYT-NORMAL POLYCHROM-1+ OVALOCYT-OCCASIONAL proBNP-8317*\n\ufeff\nOverall left ventricular systolic function is probably moderately depressed (LVEF= 30 %)\n" | |
| } |