Post-Heart Attack Recovery Progress Tracker

Personal Information

Name: _________________ Emergency Contact: _________________ Cardiologist: _________________ Phone: _________________

Daily Vital Signs Monitor

Date: //___

Morning Measurements

• Blood Pressure: / mmHg
• Heart Rate: ___ bpm
• Weight: ___ lbs
• Temperature: ___ °F

Evening Measurements

• Blood Pressure: / mmHg
• Heart Rate: ___ bpm

Medication Log

Symptom Tracker

Check if experienced today:

□ Chest pain/pressure □ Shortness of breath □ Dizziness □ Fatigue □ Swelling in legs/feet □ Other: _________________

Physical Activity Log

Type of Activity: _________________ Duration: _____ minutes Exertion Level (1-10): _____ How did you feel?: _________________

Cardiac Rehabilitation Progress

Session #: _____ Exercises Completed: _________________ BP Before: / mmHg BP After: / mmHg

Diet Journal

• Sodium intake: _____ mg
• Fluid intake: _____ oz
• Meals eaten today:
  1. Breakfast: _________________
  2. Lunch: _________________
  3. Dinner: _________________
  4. Snacks: _________________

Notes for Doctor

Emergency Action Plan

Call 911 immediately if experiencing:

• Severe chest pain lasting > 5 minutes
• Difficulty breathing
• Loss of consciousness
• Severe weakness

Cardiologist office: _________________ Cardiac rehab center: _________________