Chapter 11

Question 1

atrium

Answer 1

a chamber that is located in the top half of the heart and receives blood

Question 2

ventricle

Answer 2

a chamber that is located in the bottom half of the heart and receives blood from the atrium

Question 3

secondary hypertension

Answer 3

the condition of hypertension caused by another condition or illness

Question 4

myocardial infarction (MI)

Answer 4

malfunction of the heart due to necrosis or deterioration of a portion of the heart muscle; also known as a heart attack

Question 5

STEMI

Answer 5

an ST elevation myocardial infarction - a heart event during which the coronary artery is completely blocked by a thrombus or embolus

in the documentation it will state-COMPLETELY BLOCKED

Question 6

Thrombus

Answer 6

a blood clot in a blood vessel; plural = thrombi

Question 7

embolus

Answer 7

a thrombus that has broken free from the vessel wall and is traveling freely within the vascular system

Question 8

NSTEMI

Answer 8

a nontrans mural elevation myocardial infarction - a hear even during which the coronary artery is partially occluded (blocked)

in the documentation it will state-PARTIALLY BLOCKED

Question 9

atherosclerosis

Answer 9

a condition resulting from plaque buildup on the interior walls of the arteries, causing reduced blood flow’ also known as arteriosclerosis

Question 10

Angina

Answer 10

Chest Pain

Question 11

Hypotension

Answer 11

low blood pressure; systolic blood pressure below 90 mmHg and or diastolic measurements of lower than 60mmHg

Question 12

Hypertension

Answer 12

high blood pressure, usually a chronic condition; often identified by a systolic blood pressure above 140 mmHg and/or a diastolic blood pressure above 90 mmHg

• systemic disease, meaning it can affect every part of the body, throughout the patient’s entire system
• hypertension will affect treatment of almost any other condition, disease, or injury
  • a code for the hypertension is almost always included, regardless of the reason for the encounter and even if treatment of the hypertension is not performed directly

Question 13

elevated blood pressure

Answer 13

an occurrence of high blood pressure; an isolated or infrequent reading of a systolic blood pressure above 140 mmHg and or a diastolic blood pressure above 90 mmHg

Question 14

vascular

Answer 14

referring to the vessels (arteries and veins)

Question 15

edema

Answer 15

an overaccumulation of fluid in the cells of the tissues

Question 16

secondary hypertension

Answer 16

the condition of hypertension caused by another condition or illness

Question 17

Gestational hypertension

Answer 17

hypertension that develops during pregnancy and typically goes away once the pregnancy has ended

Question 18

Cerebrovascular Accident

Answer 18

Rupture of a blood vessel causing hemorrhaging in the brain or an embolus in a blood vessel in the brain causing a loss of blood flow; aka stroke

Question 19

Cerebral Infarction

Answer 19

an area of dead tissue (necrosis) in the brain caused by a blocked or ruptured blood vessel

Question 20

infarction

Answer 20

tissue or muscle that has deteriorated or died (necrotic)

Question 21

atrial fibrillation

Answer 21

a condition in which atria shudder or tremble in the heart instead of contracting to push blood through to the ventricles. This result s in incomplete emptying of the atria, leaving blood to collect and sometimes clot.

Question 22

left heart failure or pulmonary edema or cardiac asthema

Answer 22

indicates an insufficiency of the heart’s left ventricle. This malfunction results in the accumulation of fluid in the lungs. When this happens patients may also develop respiratory problems.

Question 23

right heart failure (secondary to left heart failure)

Answer 23

diagnosed when the heart cannot pump and circulate the blood needed throughout the body. Patients with this diagnosis may develop hypertension, congestion, edema, and fluid collection in the lungs

Question 24

systolic heart failure

Answer 24

occurs when the contractions of the ventricles are too weak to push the blood through the heart. The documentation should include the specific detail that the condition is acute, chronic, or acute on chronic

Question 25

diastolic heart failure

Answer 25

is the result of a ventricle of the heart being unable to fill as it should. the documentation should include the specific detail that the condition is acute, chronic, or acute on chronic

Question 26

combined systolic and diastolic heart fauilure

Answer 26

means that the function of the heart is weak and unable to process blood properly. the documentation should include the specific detail that the condition is acute, chronic, or acute on chronic

Question 27

To determine the code for a diagnosis of MI, you need to know

Answer 27

• what specific part of the heart was affected by the infarction
• has this patient been treated for MI before? if so, how long?
• in this infarction a STEMI or and NSTEMI

Question 28

systolic pressure

Answer 28

the measure of the maximum push of blood being forced into an artery from the ventricle during a cardiac contraction. This is the top number of a reported blood pressure

Question 29

diastolic pressure

Answer 29

the measure of the pressure of blood left in the arteries in-between ventricular contractions. This is the bottom number of a reported blood pressure.

Question 30

arteries

Answer 30

blood vessels that carry oxygenated blood from the heart to the tissues and cells throughout the body

Question 31

veins

Answer 31

blood vessels that carry deoxygenated blood, along with carbon dioxide and cell waste, away from the tissues and cells throughout the body and back to the heart