Important Components of Presentation

• Cardiac history, including, stents/surgeries, past CADs, on any AC or antiplatelets at home
• Presented with typical, atypical, noncardiac symptoms
• Whether received AC/antiplatelets/heparin prior to arrival
• Have in print: EKG on arrival and any other EKG that shows any evolving changes
• Initial trop, trop peak value
• Did symptom ever go away
• Events overnight

Morning

• Rounds start at 7:30 am
• Huddle at 10:30 am
• Get EKG for new patients overnight
• Review telemetry for any patients with irregular rhythm

TAVR

• Once they are on the floor, see them and write quick H&P
• Restart home medications
• Make sure you look at their access site in the morning
• Look at tele every morning while they are here. Look for arrythmias and any new BBB or heart block
• EKG and TTE morning of POD1. This should be already scheduled by the fellow