Reference Guide
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Identifier: 01CN041
Center: 01CN04-Hospital Sainte-Justine

ECHO
LVEF:* %  
LVEDD:* cm  
MR:*
AR:*
Qualitative RV Function:*
Qualitative RV Size:*
cm  
cm  
m/s  
mmHg  
mmHg  
Ratio
ECG Rhythm (check all that apply):*
  Specify:*
QRS Duration:* ms  

EXERCISE FUNCTION
Exercise Test:*
Peak Oxygen Uptake V02:* ml/kg/min  
Resting HR:* bpm  
Peak HR:* bpm  
Peak Oxygen Uptake %pred:* %  
Peak RER (R value at peak):* Ratio  
Six Minute Walk:*
Six Minute Walk Distance:* meters  

HEART CATHETERIZATION
Did Patient Undergo A Heart Catheterization As A Part Of The Initial Workup and Investigations At Presentation?:*
Therapies at Cath (check all that apply):*
  MCS Other:*
PA (sys) Pressure:* mmHg  
Was the PA (sys) pressure impacted by the use of inotropes/vasodilators:*
PA (dia) Pressure:* mmHg  
Was the PA (dia) pressure impacted by the use of inotropes/vasodilators:*
PA (mean) Pressure:* mmHg  
Was the PA (mean) pressure impacted by the use of inotropes/vasodilators:*
PCW (mean) Pressure:* mmHg  
Was the PCW (mean) pressure impacted by the use of inotropes/vasodilators:*
CO:* L/min  
Was the CO impacted by the use of inotropes/vasodilators:*
Cardiac Index:* L/min/m2  

HEMODYNAMICS
Systolic BP:* mmHg  
Diastolic BP:* mmHg  
Heart Rate:* bpm  

LABORATORY
Report values closest to the time of presentation
Creatinine:* µmol/l  
µmol/l
g/l
mmol/L
mmol/L
mmol/L
U/I
IU/I
BNP:* pg/ml  
nt-pro BNP:* pg/ml  
*109/L
Hemoglobin:* g/l  
*109/L
Ratio
*109/L

TESTING
Did Patient Undergo A MRI As Part Of The Initial Workup and Investigation At Presentation?:*
%  
ml/m2  
%  
ml/m2  
g/m2  
%  
%  
%  
ms  
ms  
Genetic Testing (check all that apply):
  Known Pathogenic Sarcomeric/Nuclear Mutation Specify:
  Inborn Error of Metabolism Specify:
  Neuromuscular Disease Specify:
Endomyocardial Biopsy:
 
 
ISHLT PEDIATRIC HEART FAILURE REGISTRY
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