Cardiology Clinical Decision Support
Cardiology clinical decision support with risk scores and evidence-based pathways
What You Can Do
You can input complex cardiac patient presentations and receive structured clinical reasoning that applies validated risk stratification scores, generates prioritized differential diagnoses, and aligns recommendations with current cardiology guidelines. This skill contextualizes cardiology-specific data—troponin dynamics, ejection fraction trends, arrhythmia patterns, and imaging findings—within established decision frameworks to reduce diagnostic variability and guide next steps in evaluation and management.
Features
Example Output
Input: 58-year-old male, chest pressure 30 min, diaphoresis, troponin 0.8 ng/mL (elevated), EKG with 2mm ST elevation V2-V3
Output:
- Risk Stratification: GRACE score 156 (high risk), TIMI 4/7 (high risk)
- Primary Differential: STEMI (anterior wall) > Non-STEMI > unstable angina
- Recommendation: Activate STEMI protocol, immediate cardiology consultation, prepare for coronary angiography
- Parallel Workup: Baseline renal function, CBC, coagulation studies, echocardiogram
Input: 72-year-old female, dyspnea on exertion, orthopnea, EF 28%, BNP 450 pg/mL
Output:
- Classification: Acute decompensated heart failure, reduced ejection fraction (HFrEF)
- Etiology Assessment: Differential includes ischemic cardiomyopathy vs. dilated cardiomyopathy—CAD risk factors present
- Initial Management: Diuretics titration, ACE inhibitor/ARB initiation, beta-blocker optimization, iron studies, TSH
- Next Steps: Echocardiography confirmation, troponin to exclude ACS, consider cardiology referral if EF <30%
What's Included
- SKILL.md instruction file with detailed clinical decision frameworks:
- Risk score calculator templates (HEART, TIMI, GRACE, CHA2DS2-VASc, HAS-BLED):
- Differential diagnosis checklist organized by presentation (chest pain, syncope, dyspnea, palpitations):
- ACS triage pathway flowchart with guideline-based decision points:
- Heart failure management algorithm with medication optimization sequence:
Who It's For
- Cardiologists triaging complex cases and structuring diagnostic reasoning
- Emergency medicine physicians managing acute cardiac presentations
- Internists evaluating chest pain and cardiac risk in primary care or acute settings
- Hospitalists managing acute decompensated heart failure and arrhythmias
- Nurse practitioners in cardiology or emergency care settings requiring structured decision support
Best For
- Acute coronary syndrome (ACS) risk stratification and triage
- Syncope workup with cardiac etiology assessment
- Acute decompensated heart failure diagnosis and therapy optimization
- Arrhythmia classification and initial management selection
- Preoperative cardiac risk assessment for noncardiac surgery
- Chest pain phenotyping in ED or urgent care settings
- Cardiomyopathy differentiation (ischemic vs. nonischemic)
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