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