2022 Type 1 MI Type 2 MI, and Non-MI Troponin Elevation [IEM]

Patient’s with a Type 2 MI have a prognosis just as bad, if not worse, than patients who have a STEMI or NSTEMI
Accurate clinical documentation of myocardial infarctions influences:

  • Accountability for high-quality MI care
  • Hospital claims
  • Penalties, such as those associated with CMS’ Hospital Readmission Reduction Program
  • Mortality statistics

For further study:
•ESC/ACC/AHA/WHF Expert Consenus Document Fourth Universal Definition of Myocardial Infarction (2018) (source document)

•Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, White HD: the Executive Group on behalf of the Joint European Society of Cardiology (ESC)/American College of Cardiology (ACC)/American Heart Association (AHA)/World Heart Federation (WHF) Task Force for the Universal Definition of Myocardial Infarction. Fourth universal definition of myocardial infarction (2018).
 
•Circulation. 2018;138:e618–e651. DOI: 10.1161/CIR.0000000000000617.
 
•Goyal A et al. What’s in a name?  Then new ICD-10 codes and Type 2 MI. Circulation 2017; 136: 1180-2 Chart version: September 28, 2017.
 
•Pinson, Richard D. MD, FACP, CCS, Tang, Cynthia L., RHIS, CCS: CDI Pocket Guide, 2018



Commercial Support:
No commercial support was received for this activity.​​​​​​

Target Audience

Physicians, Fellows, Residents,  Physician Assistants, Nurse Practitioners, Pharmacists across the system.

Learning Objectives

After participating in this activity, the learner should be able to:

  1. Identify criteria for acute myocardial injury
  2. Identify criteria for acute myocardial infarction
  3. Differentiate between Type 1 MI, Type 2 MI, and non-MI elevations in troponin
  4. Document and link the cause of Type 2 MI
  5. Document and link the cause of non-Mi troponin elevations
 

 

Course summary
Available credit: 
  • 0.50 American Board of Internal Medicine (ABIM) MOC Part 2
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.50 MOC points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
  • 0.50 AMA PRA Category 1 Credit™
    The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 0.50 Attendance
Course opens: 
01/01/2022
Course expires: 
03/30/2023

Planners/Authors: 

This activity was planned, reviewed, edited, and approved for use as the curriculum for the Baylor Scott & White Health organization by:

Author:
Dr. Yoon Skin Kim
Physician, Outpatient CDAP • Temple IP Gen Med

Planner:
Dr. Sunita Varghees
VP System Clinical Documentation Improvement
Baylor Scott & White Health

Disclosure of Relevant Financial Relationships:

Planners/Authors for this enduring material, Dr. Kim and Dr. Varghees, have no relevant financial relationship(s) to disclose with companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Accreditation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health, designates this enduring material activity for a maximum of 0.50 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC:  Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.50 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program.  It is the CME activity provider's responsibility to submit participant information to the ACCME for the purpose of granting ABIM MOC credit.

Available Credit

  • 0.50 American Board of Internal Medicine (ABIM) MOC Part 2
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.50 MOC points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
  • 0.50 AMA PRA Category 1 Credit™
    The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 0.50 Attendance
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