Name of the Procedure:

Anginal symptoms and level of activity assessed (NMA-No Measure Associated)

Summary

The assessment of anginal symptoms and level of activity involves evaluating the severity and frequency of chest pain caused by angina and understanding how it affects a patient's daily activities. This is typically done through interviews, questionnaires, or activity tracking.

Purpose

Medical Condition or Problem

• Angina (chest pain caused by reduced blood flow to the heart muscles).

Goals or Expected Outcomes

• To gauge the impact of angina on the patient's life.
• To inform treatment decisions and monitor the effectiveness of interventions.

Indications

Specific Symptoms or Conditions

• Recurring chest pain or discomfort.
• Shortness of breath during physical activity.
• Fatigue and general weakness.

Patient Criteria

• Patients with diagnosed or suspected coronary artery disease.
• Individuals with symptoms suggesting poor cardiac function.

Preparation

Pre-procedure Instructions

• No specific fasting or medication adjustments are typically necessary.
• Patients may be asked to keep a symptom diary or activity log for a specified period before the assessment.

Diagnostic Tests or Assessments Required

• Recent cardiac tests (e.g., ECG, stress test) may provide useful background information.

Procedure Description

Detailed Step-by-Step Explanation

1. Interview/Questionnaire: The healthcare provider asks the patient about their chest pain frequency, duration, triggers, and severity.
2. Activity Assessment: The patient may be asked to describe their daily routines and any limitations they experience.
3. Physical Examination: A brief examination may be performed to check for any physical signs related to angina.
4. Symptom and Activity Log Review: If applicable, the healthcare provider reviews any symptom diaries or activity logs kept by the patient.

Tools, Equipment, or Technology

• Questionnaires and interview forms.
• Symptom and activity log templates.

Anesthesia or Sedation Details

• Not applicable.

Duration

• The procedure typically takes about 20-30 minutes.

Setting

• Outpatient clinic or doctor's office.

Personnel

• Primary care physician or cardiologist.
• Nurse or medical assistant.

Risks and Complications

Common Risks

• Minimal risk since it is a non-invasive assessment.

Rare Risks

• Emotional distress discussing symptoms and limitations.

Possible Complications and Management

• Appropriate support and counseling can manage any distress.

Benefits

Expected Benefits

• Improved understanding of the patient's angina and its impact.

• Better-informed treatment planning.

  Realization of Benefits

• Benefits may be noticed immediately following the assessment and during subsequent consultations.

Recovery

Post-procedure Care and Instructions

• No specific care is required post-assessment.

Expected Recovery Time and Restrictions

• There is no recovery time needed since it is a non-invasive assessment.
• Follow-up appointments may be scheduled based on findings.

Alternatives

Other Treatment Options

• Direct diagnostic tests like stress tests, angiography.

Pros and Cons of Alternatives

• Diagnostic tests can provide more precise data but are more costly and invasive.

Patient Experience

During the Procedure

• The patient may feel comfortable sharing their symptoms and daily activity impacts with the healthcare provider.

After the Procedure

• Some patients might feel reassured having their symptoms acknowledged and discussed.
• Any necessary pain management and comfort measures will be addressed as part of ongoing care.