EPDIR-1222 - Sequence # 4280 | Syncope-1222 - Sequence # 4280

Video Transcription

Video Summary

In this video, the EP Device Implant Registry case scenario for December 2022 discusses sequence number 4280 syncope. A 35-year-old male is admitted for a generator change after experiencing a loss of consciousness and spontaneous recovery. His history includes a single chamber ICD implanted at age 18 for long QT syndrome. After reviewing the device event log, it is discovered that the loss of consciousness was due to a ventricular fibrillation episode, which was successfully treated with shock therapy. No reversible cause is found. The question is whether sequence number 4280 syncope should be coded as yes or no. According to the EPDI steering committee and FAQ number 25448, if there is a documented loss of consciousness with appropriate ICD shock therapy resulting in recovery, syncope sequence 4280 is coded as yes. Credits to the EP Device Implant Registries.

Keywords

EP Device Implant Registry

case scenario

sequence number 4280

syncope

ventricular fibrillation episode