1/22/2007 Fernald Medical Monitoring Program Sort Code EKG coding

Transcription

1 1/22/2007 Fernald Medical Monitoring Program Sort Code EKG coding PLEASE NOTE THAT ALL EKG CODES MUST RANGE FROM OR FROM PLEASE DO NOT ASSIGN NUMBERS OUTSIDE THAT RANGE FOR EKG CODES. Impression Code Description Normal electrocardiogram EKG within normal limits Clinical correlation suggessted No Changes since last EKG Question of reversed leads Baseline artifact Artifacts in leads Wandering baseline Marked baseline abnormality Abnormal electrocardiogram Repeat EKG Sinus bradycardia Sinus tachycardia Sinus arrhythmia Sinus rhythm Junctional Bradycardia Premature junctional contraction Premature venticular contractions Ventricular extrasystole(s) Ventricular bigeminy Ventricular trigeminy Ventricular tachycardia/ ventricular rhythm Ventricular pre-excitation syndrome Fusion of beats Supraventricular premature beats Premature atrial contractions Atrial bigeminy Atrial trigeminy Atrial extrasystole Retrograde conduction of atrail activity Junctional rhythm(with retrograde atrial activity) 40 41

2 529 Left atrial enlargement Right atrial enlargement Atrial enlargement Right atrial abnormality Left Atrial abnormality Possible atrial septal defect Atrial fibrillation Contolled ventricular response(to atrial fibrillation) Pacemaker in place Wandering atrial pacemaker Coronary sinus pacemaker Prominent voltage Low voltage limb leads Tendency toward low voltage Borderline voltage for left ventricular hypertrophy Delayed transition Early precordial transition Prominent precordial voltage Early R-S transition Intraventricular conduction delay Transition zone displaced to right Transition zone displaced to left Clockwise transition zone displacement WPW (Wolf-Parkinson-White) syndrome Left bundle branch block Right bundle branch block Incomplete left bundle branch block Incomplete right bundle branch block AV junctional escape rhythm Left posterior hemiblock Left anterior hemiblock Abnormal P wave Slightly prolonged PR interval PR interval at upper limits of normal First degree AV block Borderline first degree block Short P-R interval Ectopic atrial pacemaker Likely ectopic atrial rhythm Accelerated AV conduction/aberrant AV conduction Accelerated idioventricular rhythm Non-specific intraventricular conduction delay Poor R wave progression/delayed 91

3 551 Prolonged QRS duration Low QRS voltage Q waves Prominent Q Waves S1-S2-S3 pattern Digitalis effect Prominent R wave R on T phenomenon Loss of R wave in V1-V Repolarization variant Early repolarization Non-specific T-wave changes (ST&T) ST and/or T wave abnormalities S-T segment elevation S-T segment depression Prominent T-waves Peaked precordial T waves T wave inversion Anterolateral ST & T changes Anterolateral T-wave flattening (Diffuse) T wave flattening Minor nonspecific changes (in inferior leads) Prominent U wave Delta wave Hypokalemia Hyperkalemia Myopericarditis Possible pericarditis Left axis deviation Right axis deviation Indeterminate axis Counterclockwise rotation Counterclockwise precordial rotation Clockwise rotation Vertical heart axis Old infarction, Inferior (wall) myocardial infarction Posterior myocardial infarction Anteroseptal myocardial infarction Possible old infarction

4 909 Right ventricular hypertrophy Left ventricular hypertrophy Left atrial hypertrophy Right atrial hypertrophy Possible ischemia Subendocardial ischemia Anterioseptal ischemia Lateral ischemia Anterior ischemia Anterolateral wall myocardial ischemia Inferiolateral ischemia Findings suggest COPD, Lung Disease Persistant juvenile pattern Possible right heart strain Chest leads recorded at 1/2 standard voltage Clinical correlation suggested Bifascucular disease Likely ectopic atrial hrythm Atrial Flutter RR'(extra notch in R-wave-Abn. Electrical pattern) Myocardial Injury Sinus Bradyarrhythmia RSR in V1, V2, etc EKG referred to (Mercy) cardiologist for interpretation Non-Specific changes Intra-atrial conduction defect No EKG for comparison EKG Declined St. Segment Depression Low Voltage in Lead Rapid ventricular response(to atrial fib) Dextrocardia Cardic Enlargement Couplet Atrial Abnormality Late R Wave Transition degree AV Block Wenckbach Resolution of previous Abnormality Change Axis Shift 191

5 959 RV Conduction Delay Atrial Abnormality Complete Heart Block Heart is Rotated AV Malformation QS Complex in Lead II Inferior Q Wave Prolonged QT Interval Anterior (wall) Myocardial Infarction Possible Left Heart Strain Repeat EKG Retograde conduction of atrial activity Artifact in leads EKG Phyisician Initials BWG Byron W. Gustin 212 CXH Charles Hattemer 213 DGB Daud G. Babbitt 214 FTJ F. Thomas Jenike 215 JSH John S. Held 216 KXC Kevin Cochran 217 LES Lester Sunza 218 MXH Matthew Hutchins 219 MXK Mark Kirkham 220 PXR Paul Rogers 221 SEM Seymour Maze 222 SXM Steve Meyer 223 TXC T. Chou 224