Cardiology Clinical Decision Support (Demo)

Cardiovascular Risk Assessment

ASCVD Risk Calculator

Total Cholesterol (mg/dL)

HDL Cholesterol (mg/dL)

Diabetes

Smoking

Hypertension Treatment

BMI & BSA Calculator

Using patient height and weight from above

Framingham Risk Score

Family History of CHD

LDL Cholesterol (mg/dL)

Risk Stratification Guidelines

Low Risk (<5%): Lifestyle modifications, reassess in 4-6 years

Borderline Risk (5-7.5%): Consider risk enhancers, shared decision-making

Intermediate Risk (7.5-20%): Statin therapy recommended, consider risk enhancers

High Risk (≥20%): High-intensity statin therapy, consider additional agents

Diagnostic Support Tools

HEART Score for Chest Pain

History

ECG

Risk Factors

Troponin

QTc Calculator

QT Interval (ms)

Heart Rate (bpm)

Correction Formula

Wells Score for PE

Clinical signs of DVT

PE most likely diagnosis

Heart rate >100

Heart Failure Management

Heart Failure Classification

Ejection Fraction (%)

NYHA Class

ACE Inhibitor Dosing

Medication

Creatinine (mg/dL)

Device Therapy Assessment

QRS Duration (ms)

Optimal Medical Therapy

Heart Failure with Reduced Ejection Fraction (HFrEF) Treatment

First-line therapy: ACE inhibitor/ARB + Beta-blocker + Diuretic (if volume overload)

Second-line: Aldosterone antagonist, SGLT2 inhibitor

Advanced therapy: ARNI (sacubitril/valsartan), ivabradine, device therapy

Acute Coronary Syndrome Tools

TIMI Risk Score (STEMI)

Diabetes/HTN/Angina

Systolic BP <100

Heart Rate >100

Killip Class II-IV

GRACE Risk Score

Creatinine (mg/dL)

Cardiac Arrest at Admission

ST Segment Deviation

HAS-BLED Score

Hypertension

Abnormal liver/kidney function

Stroke history

Prior bleeding

Arrhythmia Management

CHA2DS2-VASc Score

Congestive Heart Failure

Hypertension

Diabetes

Stroke/TIA/Thromboembolism

Vascular Disease

Atrial Fibrillation Rate Control

Resting Heart Rate (bpm)

Symptoms

Cardioversion Decision Support

AF Duration

Anticoagulation Status

Atrial Fibrillation Management Guidelines

Rate Control Target: Resting HR <110 bpm (lenient) or <80 bpm (strict)

Anticoagulation: CHA2DS2-VASc ≥2 (men) or ≥3 (women) - consider anticoagulation

Rhythm Control: Consider for symptomatic patients, younger patients, or first episode

Emergency Cardiology Protocols

⚠️ EMERGENCY PROTOCOLS - For educational purposes only. Always follow institutional protocols.

STEMI Recognition

ST Elevation

Symptom Duration

Cardiogenic Shock Assessment

Systolic BP (mmHg)

Signs of Poor Perfusion

Pulmonary Edema

Hypertensive Emergency

Diastolic BP (mmHg)

End-organ Damage

ACLS Cardiac Arrest Algorithm

1. Check Rhythm

VF/pVT: Immediate defibrillation at 200J (biphasic)

Asystole/PEA: CPR, epinephrine 1mg IV/IO every 3-5 minutes

2. CPR Cycles

30:2 compression to ventilation ratio, 100-120 compressions/min

Minimize interruptions, rotate compressors every 2 minutes

3. Medications

Epinephrine 1mg IV/IO every 3-5 minutes

Amiodarone 300mg IV for refractory VF/pVT

4. Reversible Causes (H's and T's)

Hypovolemia, Hypoxia, Hydrogen ions, Hypo/hyperkalemia

Tension pneumothorax, Tamponade, Toxins, Thrombosis

🫀 Cardiology Clinical Decision Support

Patient Information