|
|
| (8 intermediate revisions by 3 users not shown) |
| Line 1: |
Line 1: |
| {{Discuss | who = All | question =
| | STEMI "ST Elevation Myocardial Infarction". |
| * Will this still be relevant after ICD10? Will it still be relevant only to STB? }}
| |
|
| |
|
| A STEMI is a myocardial infarction with ST elevation on ECG [https://secure.wikimedia.org/wikipedia/en/wiki/STEMI], but this article has nothing to do with that. See [[Myocardial infarction]] for instructions on coding an MI.
| | ICD10 does not have a diagnosis "STEMI". Instead, use the appropriate code(s) in |
| | {{ListICD10Category | categoryName = Myocardial Infarction}} |
|
| |
|
| CODE STEMI is a city wide alert system (similiar to a CODE BLUE) that is called on the PA system in the hospital to alert specific personnel to assist with this patient. They will not go to ER first to facilitate a very rapid "primary" PTCA. These patients are then sent from the heart cath lab to CCU at STB or HSC.
| |
|
| |
|
| This is relevant for data collection purposes because it is one of the few scenarios in which a patient would be admitted from home to an ICU, and because unlike other procedures we don't collect this as admitted from OR.
| |
|
| |
|
| == [[Previous Location]] ==
| | You may need to wait in the evolution of an acute MI to see whether it becomes transmural or not. If not then it's subendocardial. If not clear then it's [[Myocardial infarction, acute (AMI), NOS]]. |
| Code this specific situation previous location home or another hospital if that is where they came from, i.e. previous location is not ER.
| |
|
| |
|
| == [[Primary Admit Diagnosis]] ==
| | This used to be called as a STEMI, but as of 2023-05-24 the overhead code is being changed to "ACS PROTOCOL-ADULT EMERGENCY". |
| Code the primary admit diagnosis as [[angiogram]] or [[angioplasty]].
| |
| If more "responsible for admission" diagnoses are present (such as a cardiac arrest or cardiogenic shock) of course code these as primary admit diagnosis, and then code angio after as appropriate.
| |
|
| |
|
| == Related articles == | | == Related articles == |