Cordillera Hospital of the Divine Grace, Inc.

Catheterization Laboratory and Interventional Radiology

MB 73, Puguis, La Trinidad, Benguet | (074) 620-5692 Local 888

CORONARY ANGIOGRAPHY REPORT

Patient InformationRVS: {{RVS}}
Name: {{PATIENT_NAME}}
Age/Sex: {{AGE_SEX}}
Date: {{DATE}}
Address: {{ADDRESS}}
Contact No.: {{CONTACT_NO}}
Hosp. No.: {{HOSP_NO}}
Attending Physician: {{ATTENDING_PHYSICIAN}}
Angiographers: {{ANGIOGRAPHERS}}
Birthdate: {{BIRTHDATE}}
Preprocedural Diagnosis: {{PRE_DX}}
Angiographic Details
Medications: {{MEDICATIONS}}
Catheters Used: {{CATHETERS}}
Height: {{HEIGHT}} m
Weight: {{WEIGHT}} kgs
BSA: {{BSA}}
Rhythm: {{RHYTHM}}
Approach: {{APPROACH}}
Technique: {{TECHNIQUE}}
Rate: {{RATE}}
Dye Volume: {{DYE_VOL}}
Projections: {{PROJECTIONS}}
Time: {{TIME}}
Pressure Recordings
Aorta: {{R_AORTA}}
Pullback (AO): {{R_PULLBACK_AO}}
LV: {{R_LV}}
Pullback (LV): {{R_PULLBACK_LV}}
OR Technique
{{OR_TECHNIQUE}}
Fluoroscopy: {{FLUORO}}
Fluoroscopy Time: {{FLUORO_TIME}}
LV in RAO 30°: {{LV_RAO}}
Coronary Arteriography
Left Main Coronary Artery:
{{LMCA}}
Left Anterior Descending Artery:
{{LADA}}
Left Circumflex Artery:
{{LCX}}
Ramus Intermedius:
{{RAMUS}}
Right Coronary Artery:
{{RCA}}
CONCLUSION:
{{CONCLUSION}}

RECOMMENDATION:
{{RECOMMENDATION}}