HEART RESERVE ยท Optional practice resource

A clear next step

Use these four checks during a future patient visit. No submission is needed for the activity.

Pregnancy history

Records the complication without turning it into an ASCVD diagnosis.

Current decision

Uses the current risk and applicable evidence to justify an action.

Medication safety

Addresses relevant therapy, actual use and reproductive status.

Follow-up

Names an owner, due date, result review and response to a missed step.

Examples to adapt

Maria

1. What matters today? Maria has prior severe preeclampsia and preterm delivery, treated hypertension, premature family MI, LDL-C 158 mg/dL and Lp(a) 165 nmol/L, without known ASCVD; complete the missing risk inputs.

2. What happens next? Complete the current assessment and discuss prevention; confirm actual medicines and reproductive plans before selecting treatment.

3. Who follows up, and when? The primary care PA owns a review in two weeks (illustrative), checks for missing results, contacts Maria with the plan and asks the team to call if she misses the visit.

4. What will you tell the patient? Your pregnancy history and inherited cholesterol-related risk help us plan your heart care today. We will complete the assessment and agree on a next step, with the primary care team checking your results.

Elena

1. What matters today? Elena has established ASCVD after MI and type 2 diabetes; LDL-C is 92 mg/dL while a high-intensity statin is prescribed, and actual use and tolerance need confirmation.

2. What happens next? Verify the regimen, access and response, apply the appropriate secondary-prevention goal, and discuss additional evidence-based LDL lowering when indicated.

3. Who follows up, and when? The cardiology PA owns a treatment review in two weeks (illustrative), agrees on laboratory timing, contacts Elena with results and assigns outreach if testing is missed.

4. What will you tell the patient? Your past heart attack means we should act on the risks we can treat now. We will check that the medicine plan works for you and tell you who will review the results.

Fictional educational examples. Dates are illustrative. Use current evidence and the individual clinical context.