In simple words: This code means the patient has a serious heart problem where their heart isn't pumping blood well and isn't filling with blood properly. This is a sudden, severe condition requiring urgent medical care.

This code classifies acute combined systolic and diastolic congestive heart failure.It indicates a severe condition where both the heart's ability to pump blood effectively (systolic function) and its ability to relax and fill with blood (diastolic function) are acutely impaired, leading to fluid buildup and circulatory problems.This is a serious condition requiring immediate medical attention.

Example 1: A 70-year-old patient with a history of hypertension presents to the emergency department with shortness of breath, edema, and rapid heart rate.Echocardiography reveals reduced ejection fraction and impaired diastolic function. The diagnosis of acute combined systolic and diastolic heart failure is made, and the patient is admitted for treatment., A 65-year-old patient with known coronary artery disease experiences sudden onset of severe chest pain, shortness of breath, and lightheadedness.Emergency department evaluation reveals acute myocardial infarction and subsequent acute combined systolic and diastolic heart failure.The patient undergoes emergent cardiac catheterization and receives treatment for both conditions., A 55-year-old patient with valvular heart disease develops progressive symptoms of heart failure, including worsening shortness of breath, fatigue, and peripheral edema.Cardiac evaluation reveals acute decompensation of chronic combined systolic and diastolic heart failure.The patient is hospitalized for management and optimization of medication therapy.

Detailed history and physical examination documenting symptoms (e.g., dyspnea, orthopnea, paroxysmal nocturnal dyspnea, edema), findings on physical examination (e.g., elevated jugular venous pressure, crackles in the lungs, edema), results of diagnostic testing (e.g., echocardiogram showing reduced ejection fraction and diastolic dysfunction, chest X-ray showing pulmonary edema, electrocardiogram), and the patient's response to treatment.

** This code should be used when both systolic and diastolic dysfunction are acutely present.Accurate documentation is crucial for appropriate code assignment.