عيادات القلب

Routine

Urgent (<5 days)

Immediate (ER referral)

New asymptomatic murmur requiring echocardiography

Stable bradycardia (HR 40–59 bpm) with no symptoms or red flags

Stable angina symptoms with no ECG changes or high-risk features

Palpitations without syncope, abnormal ECG, or structural disease

Mild valvular heart disease requiring periodic follow-up

Chronic stable heart failure (e.g., NYHA I–II) for therapy optimization

Borderline or unclear ECG/echo findings requiring clarification

Non-ischemic cardiomyopathy (e.g., peripartum, viral) for ongoing care & follow-up

Persistent High LDL-C despite maximum tolerated dose statin.

Familial or congenital heart disease screening & ongoing care

New-onset heart failure symptoms (no hypoxia or hemodynamic instability)

Unexplained or recurrent syncope with normal ECG

Moderate valvular disease with new or worsening symptoms

Palpitations with ECG findings (e.g., SVT, WPW, frequent PVCs)

AF with poor rate control but stable hemodynamics

Post-MI follow-up with concern for LV dysfunction, arrhythmia, or ICD evaluation

Elevated troponin without acute coronary syndrome (e.g., CKD-related)

Frequent or symptomatic ectopic beats (PAC/PVC) requiring risk stratification

Uncontrolled angina despite therapy, low suspicion of acute ACS

Suspected STEMI/ACS or dynamic ECG changes suggestive of ischemia.

Symptomatic bradycardia (HR <40 bpm) with hypotension or syncope

Decompensated heart failure (e.g., pulmonary edema, low O2, orthopnea)

Unstable arrhythmia (e.g., AF with RVR + hypotension, VT)

Hypertensive emergency (BP ≥180/120 + signs of retinal, cardiac, renal, or CNS damage)

Syncope with abnormal ECG (e.g., AV block, Brugada, QTc >500 ms)

Suspected aortic dissection (severe tearing chest pain + unequal BP)

Cardiac tamponade features (e.g., Beck’s triad, effusion with shock)

Pacemaker or ICD malfunction with symptoms or inappropriate shocks