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Z45.01: Adjustment and management of an implanted cardiodefibrillator

The settings of your defibrillator were checked and possibly adjusted.

The heart pumps blood through the body. Inside the heart are 4 chambers. There are 2 heart atria and 2 ventricles. Both heart atria and both ventricles are separated from each other by a partition. The heart's electrical activity causes the heart muscle to contract. It begins at a site in your right atrium. Initially the electrical activity spreads to both atria. The electrical activity then flows on via a sort of cable to the ventricles.

A defibrillator is composed of a housing with a battery and one or more long cables. The housing is usually located on the left side of the ribcage under the skin. The ends of the cables are located at certain points in the heart. A defibrillator can give off very strong electric current to the heart in an emergency. If the heart is beating very fast for instance, it may not be able to pump blood properly anymore. Thanks to a current surge, the heart should beat regularly at a normal pace.

The defibrillator must be adjusted precisely to your heart. It is possible to adjust how much electric current the device releases to the heart, for example. It is also possible to check when the defibrillator recently had to release a current surge to the heart. Furthermore, the defibrillator should be checked to ensure that it is working properly. For example, the cable must be located at the right place in the heart.

Additional indicator

On medical documents, the ICD code is often appended by letters that indicate the diagnostic certainty or the affected side of the body.

  • G: Confirmed diagnosis
  • V: Tentative diagnosis
  • Z: Condition after
  • A: Excluded diagnosis
  • L: Left
  • R: Right
  • B: Both sides

Further information

Note

This information is not intended for self-diagnosis and does not replace professional medical advice from a doctor. If you find an ICD code on a personal medical document, please also note the additional indicator used for diagnostic confidence.
Your doctor will assist you with any health-related questions and explain the ICD diagnosis code to you in a direct consultation if necessary.

Source

Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).