0421 - Sequence # 12360 | Patient Type-0421 - Sequence # 12360

Video Transcription

Thank you for viewing the Chest Pain MI Registry April case scenario regarding patient type sequence 12360.  In this scenario, a 68-year-old female was brought to the ED by her family at 1115 a.m. with complaints of chest pain radiating to the neck.  The ECG performed at 1120 a.m. revealed ST elevation indicative of stemming. The high-sensitivity troponin result was below the 99th percentile.  She was transferred emergently for primary PCI at 1135. She was a direct admit to Hospital B's cath lab at 1155 a.m. with a cath lab indication of STEMI.  The coronary angiogram revealed clean coronary arteries and her discharge diagnosis was pericarditis. How is patient type sequence 12360 coded for Hospital B?  Is it low-risk chest pain, NSTEMI, STEMI, or unstable angina? Please take a moment to review the documentation and the question.  The answer is number one, low-risk chest pain. When Hospital B abstracts an all-patient population, this patient will be included as patient type  sequence 12360, low-risk chest pain. Please note if Hospital B submits an NSTEMI, STEMI population only, this patient does not meet the criteria to be included as a STEMI.  The patient presented with chest pain did not meet the criteria for unstable angina, NSTEMI, or STEMI at Hospital B as the final diagnosis was pericarditis and the patient  had a cath, however, did not have a PCI. Please note this patient is included at Hospital A as a STEMI.  The patient had a final diagnosis of STEMI and was transferred for primary PCI for STEMI and met all applicable inclusion criteria.  Thank you for viewing the Chest Pain MI Registry's April case scenario.

Video Summary

The video discusses a case scenario involving a 68-year-old female who presented to the emergency department (ED) with chest pain radiating to the neck. An ECG revealed ST elevation, indicating a possible heart attack. However, the high-sensitivity troponin result was below the 99th percentile. The patient was transferred for primary percutaneous coronary intervention (PCI) and was admitted to Hospital B's cath lab with a diagnosis of STEMI (ST-Elevation Myocardial Infarction). However, the coronary angiogram showed no blockages, and the final diagnosis was pericarditis. The video states that this case, coded as patient type sequence 12360, should be classified as low-risk chest pain. Hospital B can include this patient in the all-patient population but not in the NSTEMI or STEMI-exclusive populations. The patient is considered a STEMI case at Hospital A. No credits are mentioned.

Keywords

case scenario

68-year-old female

chest pain

ST elevation

heart attack