STEMI: Difference between revisions

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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.
STEMI "ST Elevation 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.
ICD10 does not have a diagnosis "STEMI". Instead, use the appropriate code(s) in
{{ListICD10Category | categoryName = Myocardial Infarction}}


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.


== [[Admit from]] ==
Code this specific situation by the admit-from code being ZZ (or another hospital if that is where they came from)


== [[Primary Admit Diagnosis]] ==
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 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.  
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".
 
== Related articles ==
{{Related Articles}}


[[Category:Data Collection Guide]]
[[Category:Data Collection Guide]]
[[Category:St Boniface Hospital Office (Critical Care)]]
[[Category:St Boniface Hospital Office (Critical Care)]]
[[Category:Admit/Discharge]]
[[Category:Cardiovascular]]

Latest revision as of 13:06, 2024 April 24

STEMI "ST Elevation Myocardial Infarction".

ICD10 does not have a diagnosis "STEMI". Instead, use the appropriate code(s) in

Myocardial Infarction codes:


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.

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".

Related articles

Related articles:
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