In simple words: This code describes a long-term heart condition where the heart doesn't pump blood well and doesn't fill with blood properly, leading to heart failure.

This code represents chronic combined systolic and diastolic heart failure.It signifies a condition where both the ability of the heart to pump blood effectively (systolic function) and the ability of the heart to relax and fill with blood (diastolic function) are impaired, resulting in chronic heart failure.This is a long-term condition, as opposed to an acute episode.

Example 1: A 70-year-old patient with a history of hypertension and coronary artery disease presents with progressive shortness of breath, lower extremity edema, and fatigue.Echocardiography reveals reduced ejection fraction and impaired diastolic function, consistent with chronic combined systolic and diastolic heart failure.The physician diagnoses I50.42 and initiates treatment with ACE inhibitors, beta-blockers, and diuretics., A 65-year-old patient with long-standing diabetes and hypertension is admitted to the hospital with worsening dyspnea and orthopnea.Physical examination reveals pulmonary edema and jugular venous distention.Echocardiography and cardiac catheterization confirm the diagnosis of chronic combined systolic and diastolic heart failure. The patient undergoes treatment with intravenous diuretics, inotropes, and oxygen therapy.I50.42 is coded., A 80-year-old patient with a history of heart failure is experiencing a recent exacerbation of their symptoms, including increased shortness of breath and edema.The physician orders labs and imaging to rule out other causes.Clinically, it is determined that this is a worsening of their chronic heart failure, so I50.42 is coded.

Detailed history and physical examination findings, echocardiogram report with ejection fraction and diastolic function assessment, cardiac biomarkers (BNP, NT-proBNP), chest X-ray findings, electrocardiogram findings, and the treatment plan.

** This code is used for chronic heart failure with both systolic and diastolic dysfunction.It's crucial to properly document the clinical findings to support the diagnosis.The severity of the heart failure should be documented, as well as any associated complications.