Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Cardiovascular / Pulmonary
Sample Name: Heart Catheterization, Ventriculography, & Angiography - 3

Description: Left heart catheterization with ventriculography, selective coronary angiography. Standard Judkins, right groin. Catheters used were a 6 French pigtail, 6 French JL4, 6 French JR4.
(Medical Transcription Sample Report)

NAME OF PROCEDURE: Left heart catheterization with ventriculography, selective coronary angiography.

INDICATIONS: Acute coronary syndrome.

TECHNIQUE OF PROCEDURE: Standard Judkins, right groin. Catheters used were a 6 French pigtail, 6 French JL4, 6 French JR4.

ANTICOAGULATION: The patient was on heparin at the time.

COMPLICATIONS: None.

I reviewed with the patient the pros, cons, alternatives, risks of catheterization and sedation including myocardial infarction, stroke, death, damage to nerve, artery or vein in the leg, perforation of a cardiac chamber, dissection of an artery requiring countershock, infection, bleeding, ATN allergy, need for cardiac surgery. All questions were answered, and the patient desired to proceed.

HEMODYNAMIC DATA: Aortic pressure was in the physiologic range. No significant gradient across the aortic valve.

ANGIOGRAPHIC DATA
1. Ventriculogram: The left ventricle is of normal size and shape, normal wall motion, normal ejection fraction.
2. Right coronary artery: Dominant. There was insignificant disease in the system.
3. Left coronary: Left main, left anterior descending and circumflex systems showed no significant disease.

CONCLUSIONS
1. Normal left ventricular systolic function.
2. Insignificant coronary disease.

PLAN: Based upon this study, medical therapy is warranted. Six-French Angio-Seal was used in the groin.

Keywords: cardiovascular / pulmonary, standard judkins, french pigtail, selective coronary angiography, heart catheterization, ventriculography, catheterization, angiography,
NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples