99 extractive question-and-answer pairs built from P a R T N E R S, published by icmr.gov.in. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. 68 of the 99 pairs (68.7%) are explanatory questions and 31 restate a figure. 100.00% of rows pass the corpus quality gate.
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https://www.desidata.in/api/datasets/cardiology-clinical-decision-making-protocols-question-and-answer-dataset/downloadDataset downloads are free. For Python or API downloads, sign in once and create a free DD token; set it as DD_TOKEN or save it in your notebook's secrets. Requests are linked to your account so your download history and counts stay accurate.
# One-time install: pip install desidata
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import desidata
df = desidata.load("cardiology-clinical-decision-making-protocols-question-and-answer-dataset")
df.head()Sign in with Google to download.
Usable for analysis, but expect some cleaning before you rely on it.
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First 10 of 99 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What are the characteristics of an irregularly irregular pulse? | Irregularly irregular pulse - Variable heart sound | SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity | 376 | definition | 1.000 | SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity | 8 | page=8,block=14 | 0.700 | valid |
| What kind of pain is associated with effort and relieved by rest or nitroglycerin within a couple of minutes? | Any effort related pain fitting in previous category, relieved by rest or NTG in 1-2 min | • Variable location or characteristic • Long lasting (hours to days) or short lasting (less than a minute) • Restricted to areas above jaw or below epigastrium • Localized to a point • Pricking or piercing or stabbing type of pain • Precipitated by movement of neck or arms or respiration STABLE ANGINA Any effort related pain fitting in previous category, relieved by rest or NTG in 1-2 min ACUTE CORONARY SYNDROME • Angina at rest or lasting more than 20 minutes • Recent worsening of stable angina (crescendo) to CCS class III • New onset effort angina of less than 1 month in CCS class II/ III • Post infarction angina For management: refer to STEMI/ NSTEMI STW ESSENTIAL INVESTIGATIONS 1. Hemogram 2. Urea, Creatinine, Electrolytes 3. Sugar 4. Lipids 5. ECG OTHER INVESTIGATIONS 1. Echocardiography 2. Exercise Treadmill Test 3. Thyroid Function Test 4. Iron profile 5. Uric acid 6. | 303 | definition | 1.000 | • Variable location or characteristic • Long lasting (hours to days) or short lasting (less than a minute) • Restricted to areas above jaw or below epigastrium • Localized to a point • Pricking or piercing or stabbing type of pain • Precipitated by movement of neck or arms or respiration STABLE ANGINA Any effort related pain fitting in previous category, relieved by rest or NTG in 1-2 min ACUTE CORONARY SYNDROME • Angina at rest or lasting more than 20 minutes • Recent worsening of stable angina (crescendo) to CCS class III • New onset effort angina of less than 1 month in CCS class II/ III • | ||||
| What are the criteria for determining the success of thrombolysis? | >50% ST settlement with pain relief | POST THROMBOLYSIS 1. ECG to be done at 60-90 min after starting thrombolysis to assess whether thrombolysis is successful ( >50% ST settlement with pain relief) or not 2. If successful, transfer patient for PCI within 3-24 hours 3. If thrombolysis failed, transfer patient immediately for PCI capable hospital 4. Enoxaparin (preferred over unfractionated heparin) to be continued till PCI OR discharge THROMBOLYSE 1. Within 12 hours of symptom onset, if no contra-indication 2. Preferably with fibrin specific agent Tenecteplase/ TPA/ Reteplase or Streptokinase, if fibrin-specific are unavailable 3. Therapy to be started within 10 min preferably B. If Transfer to PCI incapable hospital not feasible | 124 | definition | 1.000 | ECG to be done at 60-90 min after starting thrombolysis to assess whether thrombolysis is successful ( >50% ST settlement with pain relief) or not 2. | 13 | page=13,block=116 | 0.700 | valid |
| What defines paroxysmal atrial fibrillation? | Episodes of AF for less than 7 days | • Paroxysmal AF: Episodes of AF for less than 7 days • Persistent AF: AF lasing from 7 days to 1 year • Long standing perssistent AF: AF lasting for > 1 year • Permanent AF: AF with heart rate control as only option LOOK FOR IMMEDIATE INTERVENTION INDICATORS • Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants CHOICE OF ANTI-COAGULATION • Direct oral anticoagulants (DOAC) • Aim for INR 2-3 • Assess risk of bleeding • Take measures to reduce/ modify risk of bleeding • VKA only if severe M.S or metallic valve | 17 | definition | 0.980 | • Paroxysmal AF: Episodes of AF for less than 7 days • Persistent AF: AF lasing from 7 days to 1 year • Long standing perssistent AF: AF lasting for > 1 year • Permanent AF: AF with heart rate control as only option LOOK FOR IMMEDIATE INTERVENTION INDICATORS • Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants CHOICE OF ANTI-COAGULATION • Direct oral anticoagulants (DOAC) • Aim for INR 2-3 • Assess risk of bleeding • Take measures to reduce/ modify risk of bleeding • VKA only if severe M.S or metallic valve | 8 | |||
| What is the full form of NOAC? | Non-Vitamin K antagonist Oral Anticoagulants | • Re-assess clinical status, need and adequacy of OAC • Start NOAC (Non-Vitamin K antagonist Oral Anticoagulants) • Optimise management of underlying cardiac disease • Stress life style and AF risk factor modification • Assess need for rhythm control and discuss pros & cons • Consider RFA in select patient | 68 | definition | 0.980 | • Re-assess clinical status, need and adequacy of OAC • Start NOAC (Non-Vitamin K antagonist Oral Anticoagulants) • Optimise management of underlying cardiac disease • Stress life style and AF risk factor modification • Assess need for rhythm control and discuss pros & cons • Consider RFA in select patient | 8 | page=8,block=97 | 0.700 | valid |
| What is the purpose of empowering physicians and surgeons in healthcare? | achieving the overall goal of Universal Health Coverage | To empower the primary, secondary and tertiary care physicians/ surgeons towards achieving the overall goal of Universal Health Coverage with disease management protocols and pre-defined referral mechanisms by decoding complex guidelines | 81 | summary | 0.970 | To empower the primary, secondary and tertiary care physicians/ surgeons towards achieving the overall goal of Universal Health Coverage with disease management protocols and pre-defined referral mechanisms by decoding complex guidelines | 6 | page=6,block=2 | 0.700 | valid |
| What is the main goal of creating clinical decision-making protocols? | equitable access and delivery of health services which are locally contextual | Primary Objective: To formulate clinical decision making protocols for common and serious medical/ surgical conditions for both OPD and IPD management at primary, secondary and tertiary levels of healthcare system for equitable access and delivery of health services which are locally contextual Secondary Objective: To facilitate PMJAY arm of Ayushman Bharat with secondary and tertiary level management of all surgical and medical conditions covered under the scheme. | 218 | summary | 0.970 | Primary Objective: To formulate clinical decision making protocols for common and serious medical/ surgical conditions for both OPD and IPD management at primary, secondary and tertiary levels of healthcare system for equitable access and delivery of health services which are locally contextual Secondary Objective: To facilitate PMJAY arm of Ayushman Bharat with secondary and tertiary level management of all surgical and medical conditions covered under the scheme. | 6 | page=6,block=41 | 0.700 | valid |
| What is the secondary goal related to the PMJAY component of Ayushman Bharat? | secondary and tertiary level management of all surgical and medical conditions covered under the scheme | Primary Objective: To formulate clinical decision making protocols for common and serious medical/ surgical conditions for both OPD and IPD management at primary, secondary and tertiary levels of healthcare system for equitable access and delivery of health services which are locally contextual Secondary Objective: To facilitate PMJAY arm of Ayushman Bharat with secondary and tertiary level management of all surgical and medical conditions covered under the scheme. | 365 | summary | 0.970 | Primary Objective: To formulate clinical decision making protocols for common and serious medical/ surgical conditions for both OPD and IPD management at primary, secondary and tertiary levels of healthcare system for equitable access and delivery of health services which are locally contextual Secondary Objective: To facilitate PMJAY arm of Ayushman Bharat with secondary and tertiary level management of all surgical and medical conditions covered under the scheme. | 6 | page=6,block=41 | 0.700 | valid |
| What changes should be emphasized for patients with AF to address risk factors? | life style and AF risk factor modification | • Re-assess clinical status, need and adequacy of OAC • Start NOAC (Non-Vitamin K antagonist Oral Anticoagulants) • Optimise management of underlying cardiac disease • Stress life style and AF risk factor modification • Assess need for rhythm control and discuss pros & cons • Consider RFA in select patient | 175 | summary | 0.970 | • Re-assess clinical status, need and adequacy of OAC • Start NOAC (Non-Vitamin K antagonist Oral Anticoagulants) • Optimise management of underlying cardiac disease • Stress life style and AF risk factor modification • Assess need for rhythm control and discuss pros & cons • Consider RFA in select patient | 8 | page=8,block=97 | 0.700 | valid |
| What factors should be evaluated when deciding on rhythm control for patients? | need for rhythm control and discuss pros & cons | • Re-assess clinical status, need and adequacy of OAC • Start NOAC (Non-Vitamin K antagonist Oral Anticoagulants) • Optimise management of underlying cardiac disease • Stress life style and AF risk factor modification • Assess need for rhythm control and discuss pros & cons • Consider RFA in select patient | 227 | summary | 0.970 | • Re-assess clinical status, need and adequacy of OAC • Start NOAC (Non-Vitamin K antagonist Oral Anticoagulants) • Optimise management of underlying cardiac disease • Stress life style and AF risk factor modification • Assess need for rhythm control and discuss pros & cons • Consider RFA in select patient | 8 | page=8,block=97 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
| 11 |
| page=11,block=7 |
| 0.700 |
| valid |
| page=8,block=4 |
| 0.700 |
| valid |