Demographic

Age:

Gender:

Female
Male

BMI: Kg/m²

Comorbidities

Atrial fibrilation
Coronary artery disease
Edema
Hypertension
Jugular venous distention
Rales

Clinical examination

Heart rate: Bpm

Systolic blood pressure: mmHg

Labs

eGFR: mL/min/1.73m²

Haemoglobin: g/dL

BNP: pg/mL
or
NTproBNP: ng/L

Echocardiography

Left ventricular ejection fraction: %

E/A ratio:

E/e' lateral:

Left ventricular mass indexed: g/m²

Left atrial volume indexed: mL/m²

Left ventricular end-diastolic volume indexed: mL/m²

Pulmonary Artery Systolic Pressure: mmHg

Tricuspid annular plane systolic excursion: mm