Heart Education Awareness Resource and Training through eLearning (HEARTe)



Cardiac rehabilitation (CR) referral

Michał is referred to the CR team at his local hospital to continue his CR.

Referral letter

Heart Hospital

Patient demographics: Michał Lubinzki, Flat 2/2, 3 High St. Lane. DOB: 30/05/1970

Admission date: 04/02/20
Date of Surgery: 05/02/20
Date of discharge: 11/02/20

Diagnosis: CABG / Valve *mechanical / Aneurysm / ASD / VSD / Other
Recovery complications: Y/N circle y Wound Infection: commenced antibiotics.
Post op AF: Y/N
Discharge info pack: Y/N
LV Function: good / mild / moderate / poor
Past Medical History: nil
Risk factors: Smoking Hypertension Diabetes Family history Hypercholesterolaemia BMI 20kg/m2
Secondary Prevention meds: N/a

Pulse point

This is a typical example of a cardiac rehabilitation referral letter. This is the initial referral to commence CR programme.

Page last reviewed: 27 Jul 2020