Dal Alert!

Receive alerts from Dalhousie by text message.

X

Cardiology

Triage criteria and referral process for physicians
  • General Cardiology
  • Arrhythmia / Electrophysiology (EP)
  • Cardiac Rehab

General Cardiology

Triage category Examples
(not all inclusive)
Process
General Cardiology Emergent
(potentially immediately life threatening conditions)
  • Acute or suspected MI
  • Unstable angina with chest pain
  • Acute heart failure
  • SBE actual/suspected
  • Suspected aortic dissection
  • Suspected cardiac tamponade
PHONE 902-473-2220 "Triage Cardiologist"
General Cardiology Urgent
(significant potential for early intervention to save life/prevent hospitalization or functional impairment)
  • 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
PHONE 902-473-2220 "Triage Cardiologist" and

FAX referral
Attach if possible
  • EKG
  • Recent blood work or other relevant tests
General Cardiology Semi-Urgent
  • 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 GIM
Fax referral
Attach if possible
  • EKG
  • Recent blood work or other relevant tests
General Cardiology Non-Urgent
(Stable patients with known or suspected cardiac conditions where rapid deterioration is unlikely. Reassessment of stable patients requiring review of current treatment where appropriate.)
  • 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
  • Asymptomatic murmur (please use referral form for family physicians to order echo)
  • Palpitations without syncope – refer to GIM
  • Cardiac risk reduction – refer to GIM
Fax referral
Attach if possible
  • EKG
  • Recent blood work or other relevant tests

 

Arrhythmia / Electrophysiology (EP)

Triage category Examples
(not all inclusive)
Process
In most cases, these patients will be under specialist care.
Electrophysiology referrals should come from an internist or general cardiologist.
Arrhythmia / Electrophysiology
Emergent
  • Hemodynamically significant arrhythmias

PHONE 902-473-2220
"Triage Cardiologist"


Arrhythmia / Electrophysiology Urgent
  • Resuscitated cardiac arrest, arrhythmia with severe symptoms

PHONE 902-473-2220
"Triage Cardiologist"
OR call electrophysiologist of choice

Fax referral form with relevant clinical tests to specific physician and indicate willingness to redirect to first available if desired.


Arrhythmia / Electrophysiology Semi-Urgent
  • 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

Fax referral form to electrophysiologist of choice


Arrhythmia / Electrophysiology Non-Urgent
  • Patients electively referred for an electrophysiologist’s opinion (e.g. supraventricular tachycardia, syncope without structural heart disease or other medical conditions)

Fax referral form to electrophysiologist of choice

 

Cardiac Rehab Program

Triage category Examples
(not all inclusive)
Process
Cardiac Rehab
  • Meets high risk stratification criteria
  • Clinical depression
  • Non-revascularization cardiac disease
  • Significant anxiety
  • Financial hardship (e.g. return to work commitments)

Patients are automatically referred to Program upon discharge from Cardiology inpatient units or by referral from family physician/specialist or by referral from Health Professionals directly involved with patients.

  • Call 902-473-3846 to request referral form;
  • Fax referral form 902-473-7855 or mail to:
    Cardiovascular & Pulmonary Health in Motion
    Nova Scotia Rehab Centre, Room 623
    1341 Summer Street, Halifax, NS  B3H 4K4

 

Contact information and forms

  Cardiology
Fax 902-425-3768 (general fax number – see link below for cardiologist of choice)
   
Cardiologists View list of physicians
   
Forms

 

Learn more about our division
visit-division-card-277x153px

View the Division of Cardiology