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Page 1: 中華民國心臟學會 · 2020. 8. 7. · 48 Coronary Aneurysm 49 Coronary Angiography & 50 Coronary Arteriosclerosis 51 Coronary Artery Aneurysm 52 Coronary Artery Bypass 53 Coronary

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7��� !"#$%&'(�DCA��� !"#$

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1 Acquired Arteriovenous �� !"#$%

Fistula

2 Acute and Subacute �� !��"#$%

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4 Acute Myocardial Infarction �� !"#

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6 Acute Pericarditis �� !"#

7 Acute Rheumatic Endocarditis�� !�"#$%

8 Acute Rheumatic Fever �� !"

9 Acute Rheumatic Myocarditis�� !�"#$

10 Acute Rheumatic Pericarditis�� !�"#$%

11 Acute Transmural Myocardial�� !"!�

Infarction of Anterior Wall �� !

12 Acute Transmural Myocardial�� !"!�

Infarction of Inferior Wall �� !

13 Alcoholic Cardiomyopathy �� !"#$

14 Angina Pectoris ��

15 Angina Pectoris, Variant �� !"#

16 Angioplasty �� !"

17 Anti-Arrhythmia Agents �� !"#$

18 Aortic Aneurysm and �� !"#$

Dissection

19 Aortic Insufficiency �� !"#$%

��Aortic Regurgitation�

20 Aortic Regurgitation �� !"#$%

��Aortic Insufficiency�

21 Aortic Valve �� !

22 Aortic Valve Disease �� !"#

23 Arrhythmia �� !

24 Arterial Embolism and �� !"# $%

Thrombosis

25 Artificial Heart �� !

26 Atherosclerosis �� !(�)��

27 Atrial Fibrillation and Flutter �� !"#!

28 Atrial Heart Septal Defects �� !"#

29 Atrioventricular and Left �� !"#$%&'

Bundle-branch Block

30 Balloon Angioplasty �� !"#$

31 Bicuspid Aortic Valve �� !"#

32 Budd-Chiari Syndrome Budd-Chiari�� !"

33 Carcinoid Heart Disease �� !"

34 Cardiac Arrest �� !

35 Cardiac Arrest with �� !"#$%&

Successful Resuscitation ��

36 Cardiomyopathy �� !

37 Cerebral Atherosclerosis (�)�� !"#$

(�)��

38 Cerebral Infarction ��

39 Cerebrovascular Diseases �� !"

40 Chagas Cardiomyopathy Chagas��

41 Chronic Adhesive Pericarditis�� !�"#$%

42 Chronic Constrictive �� !�"#$%

Pericarditis

43 Chronic Ischaemic Heart �� !�"#$

Disease

44 Circulatory and Respiratory �� !"#$

Physiology

45 Congenital Heart Defects �� !"#$

46 Congestive Cardiomyopathy�� !"#$

47 Congestive Heart Failure �� !"#

48 Coronary Aneurysm �� !"

49 Coronary Angiography �� !"#$%&

50 Coronary Arteriosclerosis �� !"#

51 Coronary Artery Aneurysm �� !"

52 Coronary Artery Bypass �� !"#

53 Coronary Atherectomy �� !"#$%

54 Coronary Care Units �� !"#

55 Coronary Circulation �� !

56 Coronary Disease �� !

57 Coronary Thrombosis �� !"#

58 Coronary Vasospasm �� !"#

59 Coronary Vessel Anomalies �� !"#

60 Coronary Vessels �� !

61 Crisscross Heart �� !

62 Diastolic Heart Failure �� !"#

63 Diastolic Murmur �� !"

64 Dilated Cardiomyopathy �� !"#$

65 Edema ��

66 Essential(primary) �� (�� )��

Hypertension

67 Fetal Heart Rate �� !"

68 Fetal Heart �� !

69 First Degree Atrioventricular �� !"#$%

Block

70 Heart ��

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Page 20: 中華民國心臟學會 · 2020. 8. 7. · 48 Coronary Aneurysm 49 Coronary Angiography & 50 Coronary Arteriosclerosis 51 Coronary Artery Aneurysm 52 Coronary Artery Bypass 53 Coronary

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71 Heart Aneurysm ��

72 Heart Arrest �� !

73 Heart Atrium ��

74 Heart Auscultation �� !

75 Heart Block �� !"#

76 Heart Catheterization �� !"

77 Heart Conduction System �� !"#

78 Heart Diseases ��

79 Heart Failure �� !

80 Heart Function Tests �� !"#

81 Heart Injuries �� !

82 Heart Massage �� !

83 Heart Murmurs ��

84 Heart Neoplasms �� !

85 Heart Rate ��

86 Heart Rupture �� !

87 Heart Septal Defects �� !"#

88 Heart Septum �� !

89 Heart Sounds ��

90 Heart Transplantation �� !

91 Heart Valve Diseases �� !"

92 Heart Valve Prolapse �� !"

93 Heart Valve Prosthesis �� !"

94 Heart Valves ��

95 Heart Ventricle ��

96 Heart-Assist Devices �� !"#

97 Heart-Lung Machine ��

98 Heart-Lung Transplantation �� !

99 Hereditary Haemorrhagic �� !" #$

Telangiectasia �� !"

100 Hypertensive Encephalopathy�� !"#$

101 Hypertensive Heart Disease�� !"#$

102 Hypertensive Renal Disease�� !"#$

103 Hypertrophic Cardiomyopathy�� !"#$

104 Hypoplastic Left Heart �� !"#$%&

Syndrome

105 Hypotension ��

106 Idiopathic Hypotension �� !(��)��

��

107 Implantable Defibrillators �� !"#

108 Induced Heart Arrest �� !"#$%

109 Infective Endocarditis �� !"#$

110 Infective Myocarditis �� !"#

111 Infective Pericarditis �� !"#$

112 Internal Mammary-Coronary �� ! - �� !

Artery Anastomosis ��

113 Intracerebral Haemorrhage �� !

114 Ischaemic Cardiomyopathy �� !"#$

115 Ischaemic Heart Disease �� !"#

116 Isolated Myocarditis �� !"#

117 Laser Angioplasty �� !"#$

118 Laser-Assisted Balloon �� !"#$%

Angioplasty ��

119 Left Ventricular Failure �� !"

120 Left Ventricular Systolic �� !"#$%&

Dysfunction

121 Mitochondria, Heart �� !"

122 Mitral Insufficiency �� !"#$%&

Mitral Regurgitation�

123 Mitral Regurgitation �� !"#$%&

Mitral Insufficiency�

124 Mitral Stenosis �� !"

125 Mitral Valve Prolapse �� !"

126 Multiple Valve Diseases �(�)�� !

127 Myocardial Ischemic �� !"#$

Preconditioning

128 Myocardial Contraction �� !

129 Myocardial Depressant Factor�� !"#

130 Myocardial Diseases �� !

131 Myocardial Infarction �� !

132 Myocardial Ischemia �� !

133 Myocardial Reperfusion �� !"

134 Myocardial Reperfusion Injury�� !"#$

135 Myocardial Revascularization�� !"#$

136 Myocardial Stunning �� !"#$

137 Nonrheumatic Aortic Valve �� !"#$%

Disorders ��

138 Nonrheumatic Mitral Valve �� !"#$%&

Disorders

139 Non-ST-Segment Elevation � ST�� !"#

Myocardial Infarction �� !

140 Not Specified as �� !"#$

Haemorrhage or Infarction ��(�)��

Stroke

141 Obstructive Hypertrophic �� !"(�� !

Cardiomyopathy �)�� !"

142 Old Myocardial Infarction �� !"#$

143 Paroxysmal Tachycardia �� !"#$

144 Percutaneous Coronary �� !" #$%

Transluminal Angioplasty

No. �� �� No. �� ��

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Page 21: 中華民國心臟學會 · 2020. 8. 7. · 48 Coronary Aneurysm 49 Coronary Angiography & 50 Coronary Arteriosclerosis 51 Coronary Artery Aneurysm 52 Coronary Artery Bypass 53 Coronary

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145 Pericardium ��

146 Phlebitis and �� !"#��

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147 Portal Vein Thrombosis �(�)��

148 Post-Infarction Heart Rupture�� !"�#$

149 Pre-excitation Syndrome �� !"#$%

150 Premature Cardiac Complexes�� !"#$

151 Primary Pulmonary �� !"#$

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152 Pulmonary Artery ��

153 Pulmonary Atresia �� !"

154 Pulmonary Circulation ��

155 Pulmonary Edema ��

156 Pulmonary Embolism ��

157 Pulmonary Heart Disease �� !

158 Pulmonary Hypertension �� !

159 Pulmonary Subvalvular �� !"#$

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160 Pulmonary Valve �� !

161 Pulmonary Valve Disorders �� !"#

162 Pulmonary Valve Insufficiency�� !"#$%

163 Pulmonary Valve Stenosis �� !"#

164 Pulmonary Veins ��

165 Pulmonary Veno-Occlusive �� !"#$%

Disease

166 Pulmonary Vlave Insufficiency�� !"(�)��

167 Pulmonary Wedge Pressure�� !"

168 Raynaud's Syndrome ��(Raynaud)(�)

��

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170 Restrictive Cardiomyopathy�� !"#$

171 Rheumatic Aortic Insufficiency�� !"#$%

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172 Rheumatic Aortic Stenosis �� !"#$%&

173 Rheumatic Aortic Valve �� !"#$%&

Diseases

174 Rheumatic Chorea �� !"#

175 Rheumatic Heart Disease �� !"#

176 Rheumatic Mitral Insufficiency�� !"#$%

��

177 Rheumatic Mitral Valve �� !"#$%

Diseases

178 Rheumatic Tricuspid Valve �� !"#$%

Diseases

179 Second Degree �� !"#$%

Atrioventricular Block

180 Secondary Hypertension �� !"#

181 Sick Sinus Syndrome �� !"

182 Silent Myocardial Ischaemia�� !"#$%

183 Sinus Arrhythmia �� !"#

184 ST-Elevation Myocardial ST�� !"#

Infarction �� !

185 Subarachnoid Haemorrhage �� !"#$

186 Subdural Haemorrhage �� !"

187 Supraventricular Tachycardia�� !�"#$

188 Systolic Murmur �� !"

189 Thromboangitis Obliterans �� !"!#$

�Buerger� �Buerger(�)��

190 Tricuspid Insufficiency �� !"#$%

191 Tricuspid Stenosis �� !"

192 Unstable Angina �� !"#$

193 Valve Unspecified �� !"#$%�

Endocarditis �

194 Varicose Veins �� !

195 Varicose Veins of Lower �� !"#

Extremities

196 Ventricular Arrhythmia ��� !"

197 Ventricular Fibrillation and �� !"#!

Flutter

198 Ventricular Heart Septal �� !"#

Defects

199 Ventricular Tachycardia ��� !"

No. �� �� No. �� ��

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Page 22: 中華民國心臟學會 · 2020. 8. 7. · 48 Coronary Aneurysm 49 Coronary Angiography & 50 Coronary Arteriosclerosis 51 Coronary Artery Aneurysm 52 Coronary Artery Bypass 53 Coronary

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AMI Registry

�A��� !

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�B�Risk factors

� Hypertension

� DM

� Dyslipidemia: � High TC, � High TG, � High LDL, � Low HDL-C

� Smoking

� Renal insufficiency

� High homocysteine

� High hsCRP

� Stroke

� PAD

� Family history of premature CAD

�C���

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Killip Class: � I; � II, � III, � IV

EKG : � STEMI; � ant; � inf; � lat, � post, � others

� NSTEMI

� Others,�Specify�____________________________________________

Enzyme max. � CPK___________; � CK-MB___________; � TroI_________

Thrombolytics �� ; ��

�� ___________; �Time from onset, Hr:Min�______________

Drug used, dose and dosing schedule:________________________

_______________________________________________________

Angiography �� ; ��

�� __________; �Time from onset, Hr:Min�_______________

Findings: _______________________________________________

PCI �� ; ��

Balloon�� _________ ; �Time from onset�______________ ;

Target vessel�Segment:1-15�:_____________________________

Stenting �� ; �� ; �Number of stents�_________________;

� Bare-metal stent or � Drug eluting stent or � Other_______

Results: � Successful; � Fail; � Complication

�Go to PCI Registration Form�

LV systolic dysfunction,�� ; �� ; LVEF __________; Study method: � Echo;

� Ventriculography; � RNA; � Other__________________________

LV diastolic dysfunction�� ; ��

Cardiogenic shock �� ; ��

Heart block �� ; �� ; Specify___________________________________

CABG �� ; �� ; �� __________ ;�Time from onset�________

Re-infarction: �� ; �� ; �� __________

Medication: � Aspirin; � Beta blocker; � iv nitroglycerin; � inotropic agent�� dopamine;

� dobutamine; � Other�; � ACE-I; � ARB; � Statin; � CCB

IABP use: �� ; ��

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ECMO use: �� ; ��

Other special procedure or treatment:_______________________________________

�D�Complications

Arrhythmia: �� ; �� ;

�VT: �� ; �� ; VF: �� ; �� ; Af: �� ; �� ; APC: �� ; �� ;

�VPC: �� ; �� ; PSVT: �� ; ��

Significant MR:�� ; �� ; Time_________________________________________

VSD: �� ; �� ; Time_________________________________________

Free wall cardiac rupture: �� ; �� ; Time ________________________________

LV aneurysm: �� ; �� ; Time _________________________________________

�E�Outcome � Stable discharge

� Transfer to other hospital; Time�D/M/Y�_________________

� Critical�AA�discharge; Time�D/M/Y�_________________

� Expired in the hospital; Time�D/M/Y�_________________

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PCI Registry

�A����____________________________

�� !"�_____________________

�� !"�_____________________

���____________________________

�� !"_______________________�� _______________

����__________________________

�� !"#�___________________

�� !"_______________________

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�B�Risk factors

� Hypertension

� DM

� Dyslipidemia: � High TC, � High TG, � High LDL, � Low HDL-C

� Smoking

� Renal insufficiency

� Homocysteine

� HsCRP

� Stroke

� PAD

� Family history of CAD

�C�PCI:

� IVD, � 2VD, � 3VD

�����Lesion 1�����

Special Lesions� LM, � CTO, � Long�diffuse�, � Bifurcation, � SVG, � LIMA,

� Ostium, � Thrombus, � Others__________________

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Page 28: 中華民國心臟學會 · 2020. 8. 7. · 48 Coronary Aneurysm 49 Coronary Angiography & 50 Coronary Arteriosclerosis 51 Coronary Artery Aneurysm 52 Coronary Artery Bypass 53 Coronary

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Lesion Type: � De Novo, � Restenosis�POBA�, � ISR�BMS�, � ISR�DES�

Anatomy:�1-15�� Type A, B1, B2, C�_____________________________________

Reference Diammeter�mm�______________________________________

MLD�mm�____________________________________________________

Lesion Length�mm�____________________________________________

Q/A Stenosis�%�_______________________________________________

TIMI flow �0-3�_______ , Thrombus�+or-�________ , collaterals from_________

POBA: _____________________________________________________

Rotablation: _________________________________________________

Stent:�BMS�: _________________________ , �mm�_____x_____

Stent�DES�: � CYPHER � TAXUS � ENDEAVOR � XIENCE, �mm�_____x _____

� Others________________________________________

Residual Stenosis�%�___________

�����Lesion 2�����

�D�Basic data:

Test: � TET, � RNA, � Stress echo, � MRA, � MDCT, � others__________

LV systolic dysfunction,�� ; �� ; LVEF______; Study method: � Echo;

� Ventriculography; � RNA; � Other___________

LV diastolic dysfunction�� ; ��

� Renal insufficiency

Medication:� Aspirin, � Clopidogrel, � Beta blocker, � ACEI, � ARB

� Statin, � CCB, � Coronary Dilators, � others______________

�E�Procedures:

� Elective; � Emergency; � Stable angina; � ACS excluding STEMI; � STEMI

� Radial a, � Femoral a, � Brachial a, � Ulnar a, � others________________

� IVUS, � Virtual Histology

� Other image____________

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73

� Dissection, � No Reflow, � Acute Closure, � Perforation, � New thrombus, � others

� IABP

� IIb/IIIa, � others______________

Fluoro time______________minutes

Contrast volume_______________cc

�F�Complications

Arrhythmia: � VT, � VF, � Af, � PSVT, � Heart block

� AMI

� Shock

� Acute lung edema

� Tamponade

� Stroke, � Distal embolization

� Emergency OP, � Emergency Re-PCI

� Mortality

� CIN�Contrast induced nephropathy�

� Hemorrhage, requiring blood transfusion

� Others______________

�G�Outcome: Procedure result:� Optimal; � Suboptimal; � Failure

Discharge: � Stable discharge

� Transfer to other hospital; Time�D/M/Y�________________

� Critical�AA�discharge; Time�D/M/Y�________________

� Expired in the hospital; Time�D/M/Y�________________

�� !�"#

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