I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
ICD10CM code
ICD10CM
Name of the Condition
Atherosclerotic Heart Disease of Native Coronary Artery with Other Forms of Angina Pectoris
Also known as Coronary Artery Disease (CAD) with Unstable Angina or Variant Angina.
Summary
Atherosclerotic Heart Disease affects the coronary arteries, reducing blood flow to the heart muscle, leading to angina pectoris, a condition characterized by chest pain due to reduced oxygen supply to the heart.
Causes
Primarily caused by the buildup of plaque in the coronary arteries.
Plaque consists of cholesterol, fatty deposits, cellular waste, and calcium.
Contributing factors include high blood pressure, high cholesterol, smoking, and a sedentary lifestyle.
Risk Factors
Age (risk increases for men over 45 and women over 55).
Family history of heart disease.
High blood pressure, diabetes, and high cholesterol.
Lifestyle factors such as smoking, poor diet, and physical inactivity.
Symptoms
Chest pain or discomfort, often described as pressure or squeezing.
Pain may radiate to neck, jaw, shoulders, arms, or back.
Shortness of breath, fatigue, dizziness, and sweating.
Diagnosis
Physical examination and medical history review.
Electrocardiogram (ECG) to detect heart electrical activity.
Stress tests to monitor heart function during activity.
Coronary angiography and imaging studies like CT scans to visualize blockages.
Treatment Options
Medications such as nitrates, beta-blockers, and statins to manage symptoms and reduce risk factors.
Lifestyle changes including diet and exercise to improve heart health.
Surgical procedures like angioplasty or coronary artery bypass grafting (CABG) for severe cases.
Prognosis and Follow-Up
Prognosis varies depending on the severity and how well the condition is managed.
Regular follow-ups to monitor heart health and adjust treatment plans as necessary.
Lifestyle modifications and adherence to treatment can significantly improve outcomes.
Complications
Myocardial infarction (heart attack) due to complete blockage of coronary artery.
Heart failure or arrhythmias.
Increased risk of sudden cardiac death.
Lifestyle & Prevention
Heart-healthy diet rich in fruits, vegetables, whole grains, and low in saturated fats.
Regular physical activity tailored to individual health status.
Smoking cessation and moderate alcohol consumption.
Regular health screenings to monitor and control blood pressure, cholesterol, and diabetes.
When to Seek Professional Help
Seek immediate medical attention if experiencing severe or persistent chest pain, shortness of breath, or signs of a heart attack.
Regular check-ups for ongoing assessment and management of known heart disease.