CPCI-0921 - Sequence # 4001 | Heart Failure-0921 - Sequence # 4001

Video Transcription

Video Summary

In this video, the Cath PCI case scenario for September 2021 is reviewed, focusing on heart failure and how it is captured throughout the registry. The scenario involves a 64-year-old female with symptoms of shortness of breath and chest tightness. She undergoes a nuclear stress test that shows a positive result with high risk of ischemia. The patient is admitted and scheduled for a cath lab visit. Sequence number 4001, heart failure, is coded as "yes" based on the documentation of New York Heart Association class II in the patient's medical record. Sequence number 7410, cardiovascular instability, is coded as "no" because the patient was stable at the start of the cath lab visit. After the procedure, the patient experiences an increase in shortness of breath and receives new pharmacologic therapy. Sequence number 9002, intra post-procedure events for heart failure, is coded as "yes" because the patient experiences a new occurrence of heart failure requiring new pharmacologic therapy. Overall, heart failure is captured three times in the data collection tool: pre-procedure, on procedure, and intra post-procedure. Additional education on cardiovascular instability and applying the target value correctly is recommended. This video is the Cath PCI registry monthly case scenario for September 2021.

Keywords

Cath PCI case scenario

heart failure

registry

nuclear stress test

Cath lab visit