CPMI-0826 - Seq. 16332 Hemodynamic Instability v3.2-CPMI-0826 - Seq. 16332 Hemodynamic Instability v3.2

CPMI-0826 - Seq. 16332 Hemodynamic Instability v3.2

Video Transcription

Video Summary

A CHESSPAN-MI Registry case reviews a 78-year-old woman with CHF, CKD, hypertension, and atrial fibrillation. Sequence 16332 hemodynamic instability is coded <strong>Yes</strong> because she has tachycardia and a greater than 30 mmHg systolic blood pressure drop from baseline. On hospital day two, she worsens with hypotension, tachycardia, low urine output, cool pale skin, elevated lactate, and lethargy. These findings meet <strong>SCAI cardiogenic shock Stage C</strong> because there is clear hypoperfusion. Norepinephrine and dobutamine are started.

Keywords

Chest Pain MI Registry

Public Reporting Dashboard

Overall Defect-Free Care Composite

P-score

Star Ratings

cardiogenic shock

hemodynamic instability

SCAI stage C

heart failure

atrial fibrillation

CHESSPAN-MI Registry

SCAI cardiogenic shock Stage C

hypoperfusion

norepinephrine and dobutamine