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Cardiology documentation is numbers wrapped in drug names. A heart failure follow up needs the ejection fraction, NT-proBNP trend, weight and a medication list with doses of sacubitril and valsartan, a beta blocker, spironolactone and empagliflozin. An echo read is a list of measurements and grades. A cath report records vessels, percent stenosis and stents. A dictation tool that drops a digit or misspells a drug costs you more time than it saves.
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Cardiology words general dictation gets wrong
These are corrections from the Healthcare dictionary, written down from real mishearings:
- "apixiben" and "a pixaban" to apixaban
- "laflazen" to empagliflozin
- "ejection frakshun" to ejection fraction
- "cardiomiopathy" to cardiomyopathy
- "troponon" to troponin
- "atrial fibri lation" to atrial fibrillation
- "mitral regurgi tation" to mitral regurgitation and "aortic steno sis" to aortic stenosis
- "cardio vershun" to cardioversion and "pulmonary vien isolation" to pulmonary vein isolation
- "Holter moniter" to Holter monitor
Drug names get special care. A word that sounds like a drug in the dictionary is matched to it, but a real drug name is never changed into another drug. Metoprolol stays metoprolol and is not turned into a similar sounding agent.
What selecting Cardiology does
On Mac, open Settings and set the Medical specialty to Cardiology. Recognition is then primed with terms such as echocardiogram, ejection fraction, cardiomyopathy, atrial fibrillation, regurgitation, stenosis, troponin, BNP, apixaban, rivaroxaban, clopidogrel, ticagrelor, atorvastatin, carvedilol, metoprolol, sacubitril, valsartan, spironolactone, empagliflozin, amiodarone, ablation, defibrillator, catheterization, NSTEMI and angina. A long misheard word that is a near miss of one of those core terms is matched to it first. All 74,000+ medical terms remain available, and Windows, which has no picker, uses all of them for every note.
Cardiology notes by setting
General cardiology clinic
New consults for chest pain, palpitations or murmur; heart failure follow up with NYHA class, guideline directed therapy and diuretic dosing; atrial fibrillation with CHA2DS2-VASc and anticoagulation choice.
Echo and imaging
Left ventricular ejection fraction, wall motion, valve findings with grade of mitral regurgitation or aortic stenosis, right ventricular function and estimated pressures.
Cath lab
Access site, coronary anatomy, percent stenosis by vessel, drug-eluting stent size and length, right heart catheterization pressures, closure and post procedure plan.
Electrophysiology
Holter monitor and event monitor reads, cardioversion notes, pulmonary vein isolation procedure notes, device checks for a pacemaker or defibrillator.
Example: dictating a heart failure follow up
- Assessment. Press Command+Shift+Space: "Seventy one year old with ischemic cardiomyopathy, left ventricular ejection fraction 30 percent on echo in July, NYHA class II." Press the hotkey again.
- Data: press Command+Shift+Space and say: "Weight down 2 kilograms. NT-proBNP 1,450 from 2,900. Potassium 4.6, creatinine 1.3." Press the hotkey again.
- Rhythm: press Command+Shift+Space and say: "Paroxysmal atrial fibrillation, in sinus rhythm today, on apixaban 5 milligrams twice daily." Press the hotkey again.
- Plan: press Command+Shift+Space and say: "Continue sacubitril valsartan 49 51 twice daily, carvedilol 12.5 twice daily, spironolactone 25 daily and empagliflozin 10 daily. Repeat echocardiogram in 3 months." Press the hotkey again.
When you press the hotkey to stop, VoicePrivate transcribes on your computer and pastes the paragraph at the cursor. Text is not shown while you are still speaking. Read the doses once before you sign.
Into your EHR or reporting system
VoicePrivate pastes through the clipboard and then restores what you had copied, so there is no integration to set up. It works in the narrative fields of Epic (including Cupid), Oracle Health (Cerner), athenahealth, eClinicalWorks and cardiology reporting systems that accept a paste. When the EHR runs in Citrix or another remote desktop, that session must allow clipboard redirection from your computer. The EHR dictation guide walks through each system.
On-device facts
VoicePrivate transcribes on the Mac or Windows PC it is installed on. Audio never leaves that computer, and nothing is transmitted to a cloud service. With Auto-save transcriptions on, which is the default, each dictation is also kept in the app's Library on that computer. Turn it off in Settings if you want the EHR to hold the only copy.
Price
Healthcare Edition is $297 a year or $34.99 a month per clinician. There is no free trial. Individual monthly and annual plans have a 30-day money-back guarantee on the first payment. Cardiology groups of 2 to 20 clinicians can buy team seats.
Cardiology dictation FAQ
Does VoicePrivate get cardiac drug names right?
The Healthcare dictionary covers anticoagulants, antiplatelets, heart failure drugs, antiarrhythmics and statins, with corrections for common mishearings. It never changes one real drug name into another.
Can I dictate echo measurements?
Yes. Dictate numbers as you would say them, such as "ejection fraction 55 percent". Read the pasted text before signing, as you would with any dictation.
Does text appear while I talk?
No. Press the hotkey to start and again to stop. The finished text is pasted a moment later.
Will it work in Epic through Citrix?
Yes, when the Citrix session allows clipboard redirection from your computer. VoicePrivate runs locally and pastes into the remote window.
Is there a free trial?
No. Individual monthly and annual plans are charged at checkout with a 30-day money-back guarantee on the first payment. Team plans and renewals are not covered.
Cardiology work connects to radiology dictation for cardiac CT and MRI, surgical dictation for cardiac surgery and anesthesiology dictation for procedural sedation. Moving off Dragon? Read Dragon Medical One vs VoicePrivate.