Chest Pain-MI v3.1 Education-Patient Evaluation Prior Testing

Video Transcription

Video Summary

The video transcript discusses patient evaluation prior to testing, specifically focusing on different patient types and the results of functional stress tests and anatomical imaging. The evaluation is divided into different sequences, with sequence 12360 applying to NSTEMI, unstable angina, or low-risk chest pain patients, while sequence 15457 captures functional test results. Negative functional stress test results are defined based on normal ECGs, no changes in wall motion during exercise, and no myocardial perfusion defects revealed by imaging studies. Positive results are defined based on ECGs suggesting ischemia, abnormal wall motion during the procedure, or presence of stress-induced myocardial perfusion defects. Indeterminate, unavailable, and not performed categories are also mentioned. Anatomical imaging results, including CTA and diagnostic calf, are captured in sequence 15458. No CAD indicates clear arteries, while CAD indicates coronary atherosclerotic disease identified in at least one vessel. Unavailable and not performed categories are included. Sequence 15459 captures CAD types, including non-obstructive, moderate, obstructive, and known types. The differentiation between non-obstructive and moderate CAD types is based on the condition of the left main coronary artery and stenosis percentage in other vessels.

Keywords

patient evaluation

functional stress tests

anatomical imaging

NSTEMI

unstable angina