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| {{DX tag | Cardiovascular | Medical Problem | TACHYARRYTHMIAS | *1 Ventricular tachycardia | | {{PreICD10 dx| NewDxArticle = Supraventricular tachycardia, paroxysmal}} |
| *2 Supraventricular Tach
| | {{PreICD10 dx| NewDxArticle = Atrial fibrillation and/or atrial flutter}} |
| *3 Atrial Fibrillation/Flutter
| | {{PreICD10 dx| NewDxArticle = Ventricular fibrillation }} |
| *4 Ventricular Fibrillation
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| *90 Other| 131-00 | No | 0 | '''Critical Care and Medicine'''| Currently Collected | |}}
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| | {{DX tag | Cardiovascular Problems | Medical Problem | Tachyarrythmias | | |
| | *13100 - Tachyarrythmias |
| | *13101 - V-tach |
| | *13102 - Supra Ventricular Tach. |
| | *13103 - Atrial Fib/Flutter |
| | *13104 - Vent. Fib. |
| | *13190 - Other |
| | *13004 - Torsades De Pointes |
| | | No | 0 | CC & Med | Currently Collected | |}} |
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| ==Definition== | | == Guidelines == |
| * If requires defibrillation/cardioversion or Tx with | | === For ICU === |
| * continuous antiarrythmics infusion | | * Receiving Tx with at least one of |
| * bolus Tx does not qualify | | ** defibrillation/cardioversion |
| | ** continuous antiarrhythmics infusion |
| | * bolus Tx does not qualify in Critical Care |
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| {{discussion}}
| | === For Medicine === |
| ==Discussion== | | (changed 1 Jun 09) |
| * On Medicine wards we get many patients in rapid atrial fibrillation that require bolus treatments. By the code book definition they do not qualify for coding as atrial fibrillation because they are not getting continuous infusions. I think this definition is outdated. Are other data collectors coding unstable atrial fibrillation on Medical wards?[[User:GHall|GHall]] 15:55, 16 April 2009 (CDT)
| | * '''new onset''' with: |
| **We are not trying to capture every patient who has had a rhythm disturbance and was given a few bolus's to rectify the problem. The population that we are tracking in this group is small because we only want to capture rhythm disturbances that require this more severe level of TX. --[[User:TOstryzniuk|TOstryzniuk]] 17:20, 16 April 2009 (CDT) | | ** EKG/Rhythm strip showing tachyarrythmia |
| ***We have patients who are admitted to the high observation unit for EKG monitoring and treatment of rapid atrial fibrillation which traditionally in the past would be admitted to an intensive care unit.This is uncontrolled atrial fibrillation.[[User:GHall|GHall]] 18:43, 16 April 2009 (CDT) | | **and receiving drug or electronic treatment for the new onset |
| ****At the Vic we have patients who are admitted to the ward with EKG telemetry for uncontrolled symptomatic atrial fib treated with boluses this is their admitting diagnosis per physician. Should we not be coding this?[[User:SKiesman|SKiesman]] 09:15, 17 April 2009 (CDT) | | |
| | == Legacy == |
| | *13197 - this hosp adm but prior to ward adm |