EPDI-0620 - Sequence # 14731 | Reason Pacing Indicated v2.3-0620 - Sequence # 14731

0620 - Sequence # 14731 | Reason Pacing Indicated v2.3

Video Transcription

Video Summary

In this video, the ICD Registry presents a case scenario for June 2020. The patient is admitted for a dual-chamber ICD for primary prevention and has a medical history of ischemic cardiomyopathy and a prior myocardial infarction. The patient is in sinus rhythm but has experienced episodes of Tachybrady syndrome and syncope. The video asks how sequence 14731, Reason Pacing Indicated, should be coded. The options are sick sinus syndrome, complete heart block, chronotropic incompetence, Mobitz type 2, 2-to-1 AV block, anticipated requirement for greater than 40% RV pacing, AV node ablation, or heart failure unresponsive to guideline-directed medical therapy. The video also notes that sick sinus syndrome can be coded for symptomatic Tachybrady syndrome, symptomatic sinus node dysfunction, and symptomatic bradycardia.

Keywords

ICD Registry

case scenario

dual-chamber ICD

Tachybrady syndrome

sick sinus syndrome