Heart Problems -v0.9- By Xenorav ((full)) Now

Heart Problems -v0.9- By Xenorav

5. Known Issues & Bugs in v0.9

• Save/Load glitch – Sometimes resets Heart Stress Meter to default.
• Elena route lock – If you choose the wrong dialogue in Chapter 7, Elena’s route becomes inaccessible without warning.
• CG gallery missing – Some CGs from v0.8 aren’t yet added to gallery.
• Mobile port crash – During the hospital scene in Chapter 10, Android version may crash on low-end devices.

# Perform t-SNE tsne = TSNE(n_components=2, random_state=42) df_tsne = tsne.fit_transform(df.drop('target', axis=1))

• Cardiac risk factors, onset/duration/quality of symptoms, exertional vs. rest triggers, orthopnea, paroxysmal nocturnal dyspnea, leg swelling.
• Auscultation for murmurs, gallops (S3/S4), rubs; jugular venous pressure; peripheral perfusion; lung crackles. Initial tests:
• Electrocardiogram (ECG) — ischemia, infarction, arrhythmia, conduction disease.
• Chest X-ray — heart size, pulmonary edema, alternative diagnoses.
• Cardiac biomarkers (troponin, CK-MB) — myocardial injury.
• Basic labs: CBC, electrolytes, renal function, liver function, glucose, lipid panel, thyroid tests. Cardiac imaging and functional testing:
• Transthoracic echocardiogram (TTE) — chamber size, wall motion, ejection fraction, valve structure/function, pericardial effusion.
• Stress testing (exercise ECG, stress echo, nuclear perfusion imaging) — inducible ischemia for CAD assessment.
• Coronary angiography (invasive) — gold standard for coronary anatomy, used in acute coronary syndromes and when revascularization is being considered.
• Cardiac CT (coronary CT angiography) — noninvasive coronary imaging in selected patients.
• Cardiac MRI — tissue characterization (myocarditis, cardiomyopathy), viability, scar assessment.
• Ambulatory rhythm monitoring (Holter, event monitor, implantable loop recorder) — for intermittent palpitations, syncope workup. Advanced tests when indicated:
• Right heart catheterization for hemodynamics (pulmonary hypertension, advanced heart failure).
• Endomyocardial biopsy (rare) for suspected myocarditis or infiltrative disease.
• Genetic testing for inherited cardiomyopathies/channelopathies and family screening.