CPCI-0922 - Sequence # 5032 | Electrocardiac Assessment Results-0922 - Sequence # 5032

0922 - Sequence # 5032 | Electrocardiac Assessment Results

Video Transcription

Video Summary

In this video, the case scenario for September 2022 discusses a patient with cardiac arrest who undergoes CPR and ACLS protocol, resulting in return of spontaneous circulation. The patient is diagnosed with anterior STEMI and undergoes an emergency coronary angiogram. The angiogram reveals a 100% proximal LAD stenosis and a 90% calcified lesion in the proximal and mid-RCA. A successful PCI is performed with a drug-eluting stent deployed in the proximal LAD. The patient recovers and is discharged from the hospital. Two weeks later, the patient undergoes a staged PCI and receives an atherectomy for the calcified RCA lesion. The electrocardiac assessment results, sequence number 5032, are coded as abnormal due to the STEMI observed on the ECG. Sequence number 5037, the assessment method, is coded as ECG since it was used to identify the abnormal value. Sequence number 5034, the abnormality type, is coded as both sustained VT and ST deviation greater than or equal to 0.5 millimeters based on the patient's CPR requirement and STEMI diagnosis.

Keywords

cardiac arrest

CPR

ACLS protocol

STEMI

PCI