1. For how long have you been diagnosed with heart failure? |
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2. Etiology of heart failure Hypertension: 1 Congenital heart disease: 2 Valve disease:3 Ischemic heart disease:4 Cardiomyopathy:6 other: specify |
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3. What is the current clinical stage according to the NYHA? |
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4. Type of heart failure depending on the cavity Left heart failure: 1 Right heart failure: 2 Global heart failure :3 |
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5. Number of hospitalization for heart failure during the last 12 months |
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6. What medications are you currently taking? |
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