Cardiac Chart Review Part 1: Key Diagnoses and Implications for Care

Presented by Kristen Keech and Jessica Asiello

Cardiac Chart Review Part 1: Key Diagnoses and Implications for Care

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Effective chart review is a foundational skill in acute care practice, especially for patients with cardiovascular disease—the leading cause of hospitalization and mortality in the United States. This course provides acute care clinicians with a structured approach to reviewing cardiac patient charts, with an emphasis on understanding key diagnoses, terminology, and their implications for clinical care. Covering chronic conditions, acute events, congenital disorders, and electrophysiological abnormalities, this course helps clinicians anticipate functional status, medical complexity, safety considerations, and likely discharge pathways. Designed for practitioners working in hospital-based settings, this course supports early evaluation, interdisciplinary care coordination, and informed intervention planning.

Learning Objectives
  • Deconstruct terminology commonly found in acute care medical documentation to identify common cardiac diagnoses and clinical conditions
  • Practice a structured approach to chart review that supports evaluation priorities, safety considerations, and early intervention planning
  • Analyze the implications of each diagnosis for patient safety, expected functional presentation, and typical prognoses in the acute care setting
  • Correlate diagnoses with their typical medical / surgical treatments to inform triaging and interdisciplinary care coordination
  • Relate specific cardiac diagnoses to likely interventions, discharge trajectories (e.g., home, SNF, inpatient rehab), and resource needs across the care continuum

Meet your instructors

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Kristen Keech

Dr. Kristen Keech is an occupational therapist passionate about advancing care and advocating for survivors of brain injury. She holds a Master of Science in Occupational Therapy from the University of New Hampshire and a Doctorate in Occupational Therapy from the MGH Institute of Health Professions. She is recognized as a…

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Jessica Asiello

Jessica Asiello is an assistant professor in the Department of Occupational Therapy in the School of Health and Rehabilitation Sciences at the MGH Institute for Health Professions in Boston, Massachusetts. She primarily teaches in the online postprofessional OTD program. Her clinical practice is in acute care at…

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Chapters & learning objectives

Introduction to Chart Reviewing Strategies for the Acute Cardiac Patient

1. Introduction to Chart Reviewing Strategies for the Acute Cardiac Patient

This chapter introduces the unique challenges of cardiac chart review in acute care, including complex documentation, multiple coexisting conditions, and rapidly evolving medical statuses. Participants will learn a structured framework to guide efficient, safety-focused chart review and clinical reasoning, forming a foundation for informed intervention planning and early discharge considerations.

Chronic Progressive Cardiovascular Diagnoses

2. Chronic Progressive Cardiovascular Diagnoses

This chapter explores commonly encountered chronic cardiovascular conditions, including heart failure, coronary artery disease, peripheral artery disease, and valvular disorders. Clinicians will learn to identify key diagnostic indicators, medical treatments, and functional implications to support safe and effective care for patients hospitalized with chronic yet progressive cardiac conditions.

Acute and Emergent Cardiovascular Events

3. Acute and Emergent Cardiovascular Events

This chapter focuses on high-risk diagnoses such as acute coronary syndrome, myocardial infarction, cardiogenic shock, cardiac arrest, and stroke. These conditions often require urgent intervention and critical care monitoring. Clinicians will gain insight into typical medical management and functional trajectories to inform triaging, safety precautions, and collaborative care planning.

Congenital Heart Disorders and Electrophysiological Abnormalities

4. Congenital Heart Disorders and Electrophysiological Abnormalities

In this final chapter, clinicians will review congenital heart conditions and arrhythmias, including their presentation in both pediatric and adult patients. The content highlights how these diagnoses influence functional performance and medical risk, emphasizing the importance of understanding past medical history, common procedures, and safety considerations for activity engagement.