CARDIOLOGY_CONFIG = { "code": "cardiology", "name": "Cardiology (Heart & BP)", "purpose": ( "Collect cardiovascular symptoms, chest tightness / heavy chest (nenju adaipu), " "palpitations, breathlessness on exertion, hypertension / BP history, " "and cardiac medications common in India (Telma, Amlong, Ecosprin, Sorbitrate, Beta-blockers, Statins)." ), "focus_areas": [ "Chest pain / tightness character (pressure, squeezing, burning vs acidity/gas)", "Radiation (left arm, neck, jaw, back, shoulder)", "Shortness of breath (especially while walking upstairs or lying flat / orthopnea)", "Palpitations or missed heartbeats (nenju thudippu)", "Swelling in feet / ankles (pedal edema)", "Hypertension (BP) and Diabetes (Sugar) history and duration", "Current cardiac medications (Telma 40/80, Amlodipine/Amlong, Ecosprin 75/150, Atorva/Rosuvas, Metoprolol/Concor, Sorbitrate)", "Previous heart procedures (Angiogram, Angioplasty / Stent, Bypass / CABG, Pacemaker)", "Tobacco, Bidi, Cigarette, Paan, Gutkha use or sedentary lifestyle", ], "emergency_keywords": [ "crushing chest pain", "pain radiating to left arm and jaw", "severe sweating with chest tightness", "collapsed", "sudden loss of consciousness", "cannot breathe", "call 108", "emergency ambulance", ], "clarification_rules": [ "If the patient describes chest burning or heaviness, ask whether it is related to walking/exertion (angina) or happens after spicy/oily food (gastric acidity).", "Ask if they are already taking regular BP tablets like Telma, Amlodipine, or daily blood thinners like Ecosprin.", "Check if they have a history of previous heart stenting, bypass surgery, or family history of heart attacks at a young age.", "If severe red-flag symptoms are present, immediately advise contacting 108 ambulance or visiting the nearest hospital emergency room.", ], }