Angina pectoris-ICD-10-CM-2017

Angina pectoris-ICD-10-CM-2017 GUIDELINES BY BHARATH KUMAR MEDESUN STUDENT

1. ANGINA PECTORIS

2. 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.

3. 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  

4. 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)

5. Signs and symptoms Chest discomfort Pain in epigastrum Nausea Vomiting Pallor(pale color of skin)

6. RISK FACTORS Age Smoking Diabetes mellitus Dyslipidemia hypertension Medications

7. PATHOPHYSIOLOGY

8. DIAGNOSIS CBC CARDIAC BIOMARKERS ECG CORONARY ANGIOGRAM

9. 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.

10. 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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