تجمع حفر الباطن الصحي
Cardiology
Routine — روتيني
- New asymptomatic murmur requiring echocardiography.
- Stable bradycardia (HR 40–59) with no symptoms / red flags.
- Stable angina without ECG changes or high-risk features.
- Palpitations without syncope, abnormal ECG, or structural disease.
- Mild valvular disease requiring periodic follow-up.
- Chronic stable heart failure (NYHA I–II) for therapy optimization.
- Borderline / unclear ECG / echo findings.
- Non-ischemic cardiomyopathy (peripartum, viral).
- Persistent high LDL-C despite maximum-tolerated statin.
- Familial / congenital heart disease screening and care.
Urgent (<5 days) — عاجل (< 5 أيام)
- New-onset HF symptoms without hypoxia or instability.
- Unexplained or recurrent syncope with normal ECG.
- Moderate valvular disease with new/worsening symptoms.
- Palpitations with ECG findings (SVT, WPW, frequent PVCs).
- AF with poor rate control but stable hemodynamics.
- Post-MI follow-up with concern for LV dysfunction or arrhythmia.
- Elevated troponin without ACS (e.g., CKD).
- Frequent/symptomatic ectopic beats for risk stratification.
- Uncontrolled angina, low suspicion of acute ACS.
Immediate (ER referral) — فوري (طوارئ)
- Suspected STEMI/ACS or dynamic ischemic ECG changes.
- Symptomatic bradycardia (HR <40) with hypotension/syncope.
- Decompensated HF (pulmonary edema, low O₂, orthopnea).
- Unstable arrhythmia (AF with RVR + hypotension, VT).
- Hypertensive emergency (BP ≥180/120 + organ damage).
- Syncope with abnormal ECG (AV block, Brugada, QTc >500).
- Suspected aortic dissection.
- Cardiac tamponade features.
- Pacemaker / ICD malfunction with symptoms.