Welcome to the Impact Registry April 2024 case scenario. This is sequence number 3226 for ischemic heart disease. A 34-year-old female presents to the emergency department with complaints of chest pain and chest pressure for the past two days that's now increased in frequency severity 10 out of 10. It's associated with shortness of breath and near syncope. Her past medical history includes an atrial septal defect repair as a child. A STAT ECG is obtained which shows sinus rhythm, first degree AV block, and ST elevation in a single lead. ECHO demonstrates regional wall motion abnormalities and apical hypokinesis. Because of her abnormal ECG concerning ECHO and significantly elevated troponins, cardiology is consulted and the decision is made to take the patient to the cath lab. Diagnostic coronary angiography is performed identifying a 40% proximal LAD and the patient is diagnosed with takotsubo cardiomyopathy. Our first question for you is how is sequence number 3226 ischemic heart disease coded? Is that one, no, or two, yes? Please pause here for a few moments and read through the information. And the answer is no. The supporting definition and target value for ischemic heart disease is not met. Coronary artery disease is sometimes called coronary heart disease or ischemic heart disease and is caused by plaque buildup in the walls of the arteries that supply blood to the heart. Cardiomyopathy refers to conditions that affect the heart muscle. Thank you for viewing the Impact Registry Case Scenario for April 2024, sequence number 3226, ischemic heart disease.

chest pain

shortness of breath

atrial septal defect repair

takotsubo cardiomyopathy

coronary angiography