Current mitral valve regurgitation of at least grade 2 or greater, mitral valve area < 1.5 cm2, aortic valve regurgitation of at least grade 2 or greater, aortic valve area ≤1.0 cm2.
Any history of GI bleed including peptic ulcer disease that may influence clinical management during this hospitalization (recent=within 30 days).
Diagnosis made by physician. Patient on chronic pharmacologic therapy and/or have a FEVI less than 75 percent of predicted value.
Indicate if the patient has cerebrovascular disease, documented by any one of the following::
Prior to PCI or history of either paroxysmal atrial fibrillation or chronic atrial fibrillation.
Any history of either out of hospital or in-hospital cardiac arrest. Cardiac arrest as evidenced by potentially lethal arrhythmia requiring cardioversion, defibrillation or CPR.
Indicate if the patient has had at least one documented previous ST or non-ST MI eight or more days prior to this admission.
Indicate whether the patient has had a previous Percutaneous Coronary Intervention (PCI) of any type (balloon angioplasty, atherectomy, stent, thrombectomy or other), performed prior to the current admission.
This intervention is part of a staged procedure. Intervention (PCI) to intervention (PCI), not diagnostic cath only.
The patient is undergoing CPR en route to the lab and/or prior to the intervention, including hemodynamically unstable patients.
Was a cardiac arrest the primary indication for the current coronary intervention?
PCI performed in same setting as coronary angiography.
Angina without a change in frequency or pattern for the six weeks prior to this procedure. Angina is controlled by rest and/or oral or transcutaneous meds.
Pain, pressure or discomfort in the chest, neck or arms not clearly exertional or not otherwise consistent with pain or discomfort of myocardial ischemic origin. (Includes patients presenting with CHF symptoms only presumed to be ischemia).
Is the primary indication for coronary intervention a preoperative evaluation and subsequent intervention prior to major noncardiac surgery: e.g. major abdominal surgery, vascular surgery including fem-pop bypass, AAA repair, aortic root repair, ORIF, or knee replacements etc.
Was patient evaluated by thoracic surgery and felt not to be a surgical candidate (for whatever reason i.e. no conduits, severe COPD, small distal vessels, etc.) Must be refused by CV surgeon.
Cardiogenic shock is defined as a sustained (>30 minutes) episode of systolic blood pressure < 90mmHg, and/or cardiac index <2.2 L/min/m2 determined to be secondary to cardiac dysfunction, and/or the requirement for parenteral inotropic or vasopressor agents or mechanical support (e.g., IABP, extracorporeal circulation, ventricular assist devices) to maintain blood pressure and cardiac index above those specified levels. (Def #8005 in NCDR 4.3.1)
Recurrent ventricular tachycardia or ventricular fibrillation prior to PCI (occurred greater than one time).
Has the patient had a Myocardial Infarction (ST elevation or non-ST elevation) within the previous 7 days?
PCI performed as the primary intervention on the infarct artery i.e. no thrombolytics were administered and PCI was performed within 12 hours of symptom onset.
Mark this box if the time from symptom onset to balloon dilatation was 0 to 6 hours.
Between 6 to 12 hours elapsed from symptom onset to balloon dilatation.
Between 12 to 24 hours elapsed from symptom onset to balloon dilatation.
Greater than 24 hours elapsed from symptom onset to balloon inflation.
Percutaneous coronary intervention performed on the infarct related artery.
Continued symptoms of angina after thrombolytic therapy.
Indicate whether patient received lytic therapy as primary treatment of AMI. Include any combination ½ dose lytics given. (eg, TNK, TPA, and RPA).
Is/Was the patient on intravenous heparin prior to the procedure?
Do you have a question or bug report about this record? Click here to contact us.