This is the IMPACT Registry December 2023 case scenario. Sequence 3170, cardiomyopathy, and sequence 3175, cardiomyopathy, history, will be the subject of this case scenario. A six-year-old male was diagnosed with Kawasaki disease and hospitalized in 2019. Echocardiogram, cardiac CTA, showed no cardiac involvement at the time. He's now experiencing prolonged chest pain, shortness of breath, with increasing fatigue per parent, and is admitted for cardiac monitoring. His ECG shows T-wave changes. Bedside echo, no evidence of an enlarged left ventricle. A cardiac CT revealed multiple areas of stenosis, and a myocardial perfusion stress test showed reversible ischemia in the left ventricle. The patient is diagnosed with ischemic cardiomyopathy and undergoes a diagnostic coronary angiography for further evaluation. Our question is, how is sequence number 3170, cardiomyopathy, coded? One, no. Or two, yes. Take a couple minutes to review the information. And the answer is, yes. Sequence number 3170, cardiomyopathy, seeks to capture if the patient has a history of cardiomyopathy between arrival and procedure. Another question, how is sequence number 3175, cardiomyopathy, history, coded in the given scenario? One, dilated cardiomyopathy. Two, hypertrophic cardiomyopathy. Three, restrictive cardiomyopathy. Or four, you just leave it blank. Again, take some time to review the details. And the answer is, number four, leave it blank. In the given scenario, this data field would be left blank for the patient with ischemic cardiomyopathy. Ischemic cardiomyopathy refers to the heart's decreased ability to pump blood properly due to myocardial damage brought on by ischemia. Coronary artery disease is the most common cause of ischemic cardiomyopathy. Dilated cardiomyopathy, the left ventricle becomes enlarged. Tissues thin. The heart pumps with less force. And not all forms of dilated cardiomyopathy are ischemic in origin. Hypertrophic cardiomyopathy is most often inherited. It affects the left ventricle. The walls of the left ventricle is thickened and stiff. And then restrictive cardiomyopathy usually results from increased myocardial stiffness that leads to impaired ventricular filling. It's characterized by a non-dilated left or right ventricle with diastolic dysfunction. Thank you for viewing the MPAC Registry Case Scenario for December 2023, sequence number 3170, cardiomyopathy, and sequence number 3175, cardiomyopathy history.

IMPACT Registry

June 2023

transposition of the great arteries

patent foramen ovale

bedside atrial septostomy

Kawasaki disease

ischemic cardiomyopathy

evaluation

history of cardiomyopathy

dilated cardiomyopathy