CPCI-0221 - Sequence # 7410 & 7415 | Cardiovascular Instability/Instability Type-0221 - Sequence # 7410 & 7415 | Cardiovascular Instability/Instability Type

0221 - Sequence # 7410 & 7415 | Cardiovascular Instability/Instability Type

Video Transcription

Video Summary

In this video, the case scenario for February 2021 is reviewed. It involves a 57-year-old male who presents with hypertensive emergency and NSTEMI. The patient's blood pressure is high upon arrival, so medications are administered to reduce it. The patient then undergoes a diagnostic coronary angiography, which reveals an 80% stenosis in the proximal LAD. During the procedure, the patient experiences SVT and later goes into pulseless ventricular tachycardia and cardiac arrest but is successfully resuscitated. The proximal LAD is stented, and the patient is moved to the ICU. The sequence 7410 is coded as yes for cardiovascular instability. Sequence 7415 is coded as hemodynamic instability, not cardiogenic shock, and ventricular arrhythmias. Cardiac arrest is captured by coding yes in sequence 9002 intraposte procedure cardiac arrest. No credits mentioned.

Keywords

hypertensive emergency

NSTEMI

proximal LAD stenosis

cardiac arrest

ventricular arrhythmias