Demand ischemia vs nstemi

    • [PDF File]Unstable Angina and Non–ST-Segment Elevation Myocardial ...

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      ST-segment elevation myocardial infarction (STEMI). UA/NSTEMI is the combination of two closely related clinical entities (i.e., a syn- drome), whereas STEMI is a distinct clinical entity. UA ...

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    • [PDF File]The STEMI Myth: Coronary Occlusion and High-Risk EKGs that ...

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      NSTEMI = MI without occlusion/subendocardial ischemia Occlusion vs Obstruction Slide 6 70-75% Even worst after arrest How sensitive STE for occlusion Slide 7 25% with occluded infarct, worse outcomes Ruled in NSTEMI Slide 8 There is a spectrum from NSTEMI to …

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    • [PDF File]Table 1. Causes of type 2 2. NSTEMI, myocardial infarction

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      NSTEMI—even if characterized as mild or “early”—is classified as an acute MI, a more serious and complex diagnosis. Finally, where does demand ischemia fit into the picture? This term is often used indiscriminately to describe patients with evi-dence of myocardial ischemia associated with …

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    • [PDF File]To be or not to be a Type II NSTEMI

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      NSTEMI is defined as myocardial ischemia resulting from mismatched myocardial oxygen supply and demand that is not related to unstable coronary artery disease (CAD). Table 1: Etiologies of Type 2 NSTEMI • Type I NSTEMI is due to unstable CAD with atherosclerotic plaque disruption resulting in a coronary thrombus & subsequent ischemia.

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    • [PDF File]Deciphering Cardiovascular Disease in ICD-10

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      •NSTEMI • Subsequent • Postprocedural •Acute myocardial ischemia without infarction •Atherosclerosis of native vessel •Atherosclerosis of bypass graft •Atherosclerosis of coronary artery of transplant •Postinfarction • Unstable •Accelerated •Crescendo •Progressive • Spasmodic Type Etiology Demand Ischemia Myocardial

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    • [PDF File]CODING CORNER Therefore, “demand ischemia” associated with ...

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      imbalance between myocardial oxygen supply and/or demand.” Therefore, “demand ischemia” associated with release of car-diac biomarkers (to a level above the 99th percentile reference limit) actually represents progression to myocardial infarction (such as NSTEMI) as defined by this authoritative professional consensus. This is also ...

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    • [PDF File]Demand Ischemia v. Type 2 NSTEMI - Brundage Group

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      Demand Ischemia v. Type 2 NSTEMI Note: both are due to O 2 supply-demand mismatch between a patient’s myocardium and the coronary arteries which it supplies. However, Demand Ischemia is a term that codes to a comorbid condition (CC) while the terminology of Type 2 NSTEMI codes to major comorbid condition (MCC).

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    • Distinguishing myocardial infarction type 1 and type 2.

      Distinguishing myocardial infarction type 1 and type 2 from myocardial injury: Was the injury due to ischemia or another process? What was the underlying pathophysiologic mechanism leading to the MI: plaque rupture or a change in MVO2 demand or supply or a non-ischemic injury?

      criteria for demand ischemia


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