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Coronary Artery Disease Progress Monitoring Chart

Track Your Heart Health Journey

Cardiology

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Template Content

Last updated: Mar 24, 2025

Patient Information

  • Name: ________________
  • Date Started: ________________
  • Provider: ________________

Monthly Tracking Metrics

Vital Signs

Date Blood Pressure Heart Rate Weight

Medication Adherence

Mark with ✓ for taken as prescribed, X for missed doses

  • Medication 1: ________________
  • Medication 2: ________________
  • Medication 3: ________________

Lifestyle Modifications

Exercise Log

  • Minutes of activity per day: _______
  • Type of exercise: _______
  • Days per week: _______

Diet Progress

  • Daily sodium intake (target <2000mg): _______
  • Servings of fruits/vegetables: _______
  • Water intake (cups): _______

Symptoms Tracking

Rate 0-10 (0=none, 10=severe)

  • Chest pain/pressure: _______
  • Shortness of breath: _______
  • Fatigue: _______
  • Ankle swelling: _______

Laboratory Values

  • Cholesterol (Total): _______
  • LDL: _______
  • HDL: _______
  • Triglycerides: _______

Goals

  • Short-term: ________________
  • Long-term: ________________

Next Appointment

Date: ________________ Time: ________________

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