Cardiology

Hemodynamically significant arrhythmias

Resuscitated cardiac arrest, arrhythmia with severe symptoms

1. Phone 902-473-2220 "Triage Cardiologist" OR electrophysiologist of choice
2. Fax referral form with relevant clinical tests to specific physician and indicate willingness to redirect to first available if desired.

• Patients with syncope and structural heart disease
  (e.g. Ejection fracture less than 40%, bundle branch block, hypertrophic cardiomyopathy, congenital heart disease, family history of sudden cardiac death or inherited heart disease) or primary arrhythmic conditions that could be associated with a risk of significant morbidity or mortality
• Patients referred for consideration of implantable cardioverter defibrillator (primary prevention) and/or a cardiac resynchronization therapy device

Patients electively referred for an electrophysiologist’s opinion (e.g. supraventricular tachycardia, syncope without structural heart disease or other medical conditions)

• Acute or suspected MI
• Unstable angina with chest pain
• Acute heart failure
• SBE actual/suspected
• Suspected aortic dissection
• Suspected cardiac tamponade

• Crescendo angina
• Symptomatic aortic stenosis
• Multiple syncopal episodes
• Syncopal episodes with known structural heart disease or abnormal ECG
• Symptomatic valvular disease other than aortic stenosis (> FC II)
• Newly diagnosed heart failure or known heart failure with deterioration
• Cardiac disease in pregnancy

1. Phone 902-473-2220 "Triage Cardiologist"
2. Fax referral - attach EKG and recent blood work or other relevant tests

• Recent onset but stable angina
• Recent onset atrial fibrillation
• Suspected cardiac source of an embolus
• Patients needing cardiac assessment for semi-urgent non cardiac surgery – refer to General Internal Medicine (GIM)

• Stable angina
• Chest pain for diagnosis - low probability of IHD
• Shortness of breath / Cardiac basis
• Chronic atrial fibrillation
• A person whose employment status is threatened
• Asymptomatic patients with ECG changes
• Asymptomatic valvular disease
• Hyperlipidemia
• Reassessment of stable patients requiring review of current treatment where appropriate
• Asymptomatic murmur (please use referral form for family physicians to order echo)
• Palpitations without syncope – refer to GIM
• Cardiac risk reduction – refer to GIM

• Cardiology Consult Request Referral Form [PDF-200KB]
• Cardiac Cath Lab Procedures or Inpatient Transfer Referral Form [PDF fillable*-500KB]
• Cardiac Diagnostic Requistion [PDF-125KB]
• Echocardiogram Request [PDF-60KB]
• Family Physician Referral For Echocardiography or Stress Testing [PDF-200KB]
• Nova Scotia Inherited Heart Disease Program Referral [PDF fillable*-1.5MB]