Angina pectoris-ICD-10-CM-2017
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Transcript of Angina pectoris-ICD-10-CM-2017
ANGINA PECTORIS
INTRODUCTION
• It is commonly known as angina is the sensation of chest pain, pressure, or squeezing, often due to not enough blood flow to the heart muscle as a result of obstruction or spasm of the coronary arteries.
• The term derives from the Latin angere ("to strangle") and pectus ("chest"), and can therefore be translated as "a strangling feeling in the chest".• angina pectoris can occur due
to anemia, abnormal heart rhythms and heart failure, its main cause is coronary artery disease, an atherosclerotic process affecting the arteries feeding the heart
CLASSIFICATION
• Stable angina(effort angina)• Unstable angina(crescendo angina)• it occurs at rest (or with minimal exertion),
usually lasting more than 10 minutes• it is severe and of new onset (i.e., within the prior
4–6 weeks)• it occurs with a crescendo pattern (i.e., distinctly
more severe, prolonged, or frequent than before)• Cardiac syndrome X(microvascular angina)
SIGNS AND SYMPTOMS
• Chest discomfort• Pain in epigastrum• Nausea• Vomiting• Pallor(pale color of skin)
RISK FACTORS
• Age • Smoking• Diabetes mellitus• Dyslipidemia• hypertension• Medications
PATHOPHYSIOLOGY
DIAGNOSIS
• CBC• CARDIAC BIOMARKERS• ECG• CORONARY ANGIOGRAM
TREATMENT
• Nitroglycerin• Beta blockers• Calcium channel blockers• Using Stents to maintain the arterial widening• Coronary bypass surgery involves bypassing
constricted arteries with venous grafts. This is much more invasive than angioplasty.
ICD-10-CM GUIDELINES
• Unstable angina-i20.0• Angina pectoris with documented spasm-i20.1• Other forms of angina pectoris-i20.8• Angina pectoris,unspecified-i20.9• https://www.medesunglobal.com
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