Z95.812

Clinical Causes: End-stage heart failure unresponsive to medical therapy Severe cardiomyopathy resulting in inadequate cardiac output Coronary artery disease leading to extensive myocardial damage Congenital heart defects causing significant heart dysfunction Recurrent or refractory arrhythmias causing compromised cardiac function Previous heart transplant failure or rejection

Key Symptoms: Persistent fatigue and weakness Shortness of breath, especially during exertion or when lying down Swelling in the legs, ankles, or abdomen due to fluid buildup Dizziness or fainting episodes Rapid or irregular heartbeat Reduced exercise tolerance Signs of infection or device-related complications such as redness, swelling, or fever at the implant site

Diagnosis Path: Chest X-ray to visualize device placement Echocardiography to assess heart and device function Electrocardiogram (ECG) to monitor heart rhythms Blood tests to detect infection or organ function Device interrogation to check the artificial heart’s status and performance

Treatment Protocols: Regular follow-up appointments for device assessments and maintenance Management of anticoagulation therapy to prevent blood clots Infection prevention and control measures Monitoring for and managing device-related issues such as battery problems or mechanical failures Addressing psychosocial concerns and providing patient education Planning for potential heart transplant if suitable candidates are identified