History Taking, Assessment, and Diagnosis of Patients with Cardiovascular Diseases-Re-defining the Clinical Skills.

Shadab Kazi, Abdul Azeem Khan, A. Memon
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Abstract

Cardiovascular diseases are among the top leading causes of death worldwide. Most of the time, the patients present with no symptoms, or some symptoms resemble other diseases. This makes most cases challenging for physicians and healthcare workers to diagnose. Besides this, most of the time, not diagnosing the patient on time or delay in the start of intervention is the main cause of death in cardiovascular diseases. Proper history and examination can play a crucial role in this part. History taken in properly can help in reaching the diagnosis. Apart from this, it also helps in the start of empirical therapy. This is where most clinicians are lacking. Waiting for the labs is still time-wasting in other health issues, but it can be killing in cardiac patients. Thus the cardiologist needs to start with a good history and then go on with examinations. Then confirm their findings with the proper labs. This narrows down the diagnosis and saves a lot of time. History-taking is the most important clinical step in the management of patients. But most of the time, it is underrated, and most clinicians rely on labs rather than these basic skills. This article thus reviews the importance of history-taking in diagnosing patients with cardiovascular diseases. Besides this, it also addresses how a good history should be taken to narrow down the diagnosis and reach the proper diagnosis within time to save a patient's life.
心血管疾病患者的病史采集、评估和诊断——重新定义临床技能。
心血管疾病是全世界最主要的死亡原因之一。大多数时候,患者没有任何症状,或者有些症状类似于其他疾病。这使得大多数病例对医生和医护人员的诊断具有挑战性。除此之外,大多数情况下,未及时诊断患者或延迟开始干预是心血管疾病死亡的主要原因。适当的历史和考试可以在这一部分发挥至关重要的作用。正确记录病史有助于做出诊断。除此之外,它也有助于实证治疗的开始。这是大多数临床医生所缺乏的。在其他健康问题上等待实验室仍然是浪费时间,但对心脏病患者来说可能会致命。因此,心脏病专家需要从良好的病史开始,然后继续检查。然后在适当的实验室确认他们的发现。这样可以缩小诊断范围并节省大量时间。病史记录是患者管理中最重要的临床步骤。但大多数时候,它被低估了,大多数临床医生依赖实验室而不是这些基本技能。因此,本文综述了病史在心血管疾病诊断中的重要性。除此之外,它还阐述了如何利用良好的病史来缩小诊断范围,并在时间内达到正确的诊断,以挽救患者的生命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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47
审稿时长
12 weeks
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