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| {{DX tag | POST INFARCT ANGINA | Post Infarct Angina | 15500 | '''??? Critical Care and Medicine''' | Currently Collected }} | | {{DX tag | Cardiovascular Problems || [[Post Infarct Angina]] | Post Infarct Angina | 15500 | '''??? Critical Care and Medicine''' | Currently Collected }} |
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| '''Classification of Angina''' according to the Canadian Cardiovascular Society. | | '''Classification of Angina''' according to the Canadian Cardiovascular Society. |
| | *we don't collect these detail in our database. The article was only used as a reference for those that needed to know how angina was classified. [[Chronic Health APACHE]], uses class 4 angina.--[[User:TOstryzniuk|TOstryzniuk]] 19:50, 28 October 2010 (CDT) |
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| | | == Chronic Stable Angina == |
| == Stable Angina == | | {{DX tag | Cardiovascular Problems || [[Chronic Stable Angina]] | Chronic Stable Angina || 15800 | '''Critical Care and Medicine''' | }} |
| {{DX tag | CHRONIC STABLE ANGINA | Chronic Stable Angina | 15800 | '''??? Critical Care and Medicine''' | I don't think this is Currently Collected }} | | This is a comorbid code only. We only code whether it is present, the class descriptions below are for reference only. |
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| ===Class 1=== | | ===Class 1=== |
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| ===Class 4=== | | ===Class 4=== |
| Inability to carry on any physical activity without discomfort. Symptoms of angina are present even at rest. | | Inability to carry on any physical activity without discomfort. Symptoms of angina are present even at rest. |
| ===Discussion===
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| *I don't seem to have a listing for Chronic Stable Angina on my PDA. Is this still used? [[User:Ttenbergen|Ttenbergen]] 13:05, 17 October 2008 (CDT)
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| ** code 152[[User:JWinestock|JWinestock]] 17:18, 20 October 2008 (CDT)
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| *** Hmm, I had it as 158 in my original entry here, I think. Did it use to be 158, or was that just a typo? If 152 follows the definition given here, the reference in the tag at the beginning of the section should just be changed to 152, and then this discussion thread could be removed. [[User:Ttenbergen|Ttenbergen]] 10:09, 21 October 2008 (CDT)
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| == Unstable Angina == | | == Unstable Angina == |
| {{DX tag | UNSTABLE ANGINA | Unstable Angina | 15100 | '''??? Critical Care and Medicine''' | Currently Collected }} | | {{DX tag | Cardiovascular Problems || UNSTABLE ANGINA | Unstable Angina | 15100 | '''Critical Care and Medicine''' | Currently Collected }} |
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| | We only code whether it is present, the class descriptions below are for reference only. |
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| ===Class I=== | | ===Class I=== |
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| Angina at rest, acute. Subjects with one or more | | Angina at rest, acute. Subjects with one or more |
| episodes of angina at rest within the preceding 48 hrs. | | episodes of angina at rest within the preceding 48 hrs. |
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| == Clinical Circumstances ==
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| ===Class A===
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| secondary unstable angina. A clearly identified condition extrinsic to the coronary vascular bed that has intensified myocardial ischemia e.g. anemia, fever, infection, hypotension, tachyarrhythmia, thyrotoxicosis
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| ===Class B===
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| Primary unstable angina
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| ===Class C===
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| post infarction unstable angina (within 2 weeks of MI)
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| === Discussion ===
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| * What is the relevance of the "Clinical Circumstances"[[User:Ttenbergen|Ttenbergen]] 09:48, 16 May 2008 (CDT)
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| {{Discussion}}
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| (also see discussion sections above)
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| == Discussion ==
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| * What is the relevance of this? I took it from the paper manual, but it does not say there why included. Dx coding? APACHE II Chronic entry?
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| ** The relevance is for all of these things.--[[User:LKolesar|LKolesar]] 21:24, 15 May 2008 (CDT)
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| *** So does this affect how Chronic Health gets coded? Or how a particular Dx gets coded? Or what? [[User:Ttenbergen|Ttenbergen]] 12:48, 17 October 2008 (CDT)
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| *** If the relevance is for all diagnoses, then we should include the diagnosis codes (like in the other dxs) and add it to the diagnosis. If it's for APACHE II, it would be nice to explain the relevance a touch better. If I understand right, we pull the angina score for the APACHE II from the L_Dxs entries, right? If so, then really for APACHE II all we should say is that it's pulled from there, and then link to the Angina DX coding entry, as not to duplicate text in here which can then become inconsistent. [[User:Ttenbergen|Ttenbergen]] 09:43, 16 May 2008 (CDT)
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| * provide better reference - the Canadian Cardiovascular Society website only has some of this at best.
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| I will try to obtain a better reference for this material, I think there is likely a much simpler way of defining this. Then there should be a link to apache, diagnosis and chronic hx. --[[User:LKolesar|LKolesar]] 12:29, 16 May 2008 (CDT)
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| * Is there a reason the classes are numbered normal for one angina and Roman for the other? [[User:Ttenbergen|Ttenbergen]] 13:05, 17 October 2008 (CDT)
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| * This whole section needs a revamp. STABLE ANGINA does not have 4 categories , this should read ANGINA only. Class 3 and 4 in this written section is considered unstable angina. I would personally take out the clinical circumstances section as well. --[[User:LKolesar|LKolesar]] 13:20, 17 October 2008 (CDT)
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| [[Category:Diagnosis Coding]]
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| [[Category:APACHE II]]
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