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CLINICAL EVALUATION OF THE DEGREE OF TOLERANCE TO THE PHYSICAL EFFORT (ERGOMETER×TREADMILL) If there is no doubt that you have a coronary artery disease or if there has already been diagnosed, with
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Start by carefully reading the form instructions, ensuring you understand the purpose and requirements of the evaluation.
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Begin by providing your personal information, such as your name, contact details, and any relevant identification numbers.
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Next, specify the patient's details accurately, including their name, age, gender, and any additional relevant information.
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Provide the medical history of the patient, detailing any pre-existing conditions, previous treatments, and medications they are currently taking.
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Proceed to assess the patient's current medical condition, documenting their symptoms, vital signs, and any observations made during the evaluation.
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If applicable, include the results of any laboratory tests, imaging scans, or other diagnostic procedures conducted during the evaluation.
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Describe the treatment plan or interventions implemented for the patient. Document any medications prescribed, therapies recommended, or procedures performed.
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Finally, include any additional notes or observations regarding the patient's response to treatment or any follow-up plans.

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Clinical evaluation of form is a documentation that assesses the safety and performance of a medical device.
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