I25: Chronic ischemic heart disease

I25 refers to Chronic ischemic heart disease, a category of cardiovascular disorders resulting from impaired blood flow to the heart muscle, typically due to atherosclerosis. These conditions can present acutely or develop chronically, significantly increasing the risk of heart failure, arrhythmias, and mortality.

Symptoms

• Chest pain or pressure – Classic symptom of angina (I20) and myocardial infarction (I21, I22)
• Radiating pain – Often felt in arms, neck, jaw, or back
• Shortness of breath – Especially during exertion or rest in heart attacks
• Fatigue and nausea – Common during acute coronary syndromes
• Palpitations – Can occur in both acute and chronic ischemic disease
• Post-MI complications – Include arrhythmia, pericarditis, or cardiogenic shock (I23)
• Silent ischemia – Common in diabetics with I25 chronic ischemic disease

Diagnosis

Diagnosis of Chronic ischemic heart disease involves ECG, cardiac enzyme testing (e.g., troponins), stress tests, echocardiography, coronary angiography, and cardiac MRI. Accurate classification between STEMI, NSTEMI, or chronic ischemia is essential for treatment planning.

ICD10 Code Usage

ICD10 code I25 is used by cardiologists, emergency physicians, internists, and ICU teams. It supports timely diagnosis, risk stratification, hospital admission, medication authorization, procedures like angioplasty, and documentation for acute coronary syndrome follow-up.

Related Codes

• I20 – Angina pectoris
• I21 – Acute myocardial infarction
• I22 – Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction
• I23 – Certain current complications following ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction (within the 28 day period)
• I24 – Other acute ischemic heart diseases

FAQs

Q1: What is ICD10 code I25?
A: It identifies Chronic ischemic heart disease, ranging from angina and heart attacks to post-MI complications and chronic ischemic syndromes.

Q2: What is the difference between I21 and I22?
A: I21 refers to the first heart attack, while I22 denotes a subsequent MI within 28 days of a previous one.

Q3: Can ischemic heart disease be cured?
A: It can be managed effectively through medication, lifestyle changes, stenting, or bypass surgery, but not fully cured.

Q4: What is the purpose of I23?
A: To track current complications such as arrhythmias, aneurysms, or pericarditis occurring shortly after an MI.

Q5: Who manages these conditions?
A: Cardiologists, interventional cardiologists, emergency doctors, and rehabilitation specialists depending on disease stage and severity.

Conclusion

ICD10 code I25 ensures proper tracking, classification, and treatment of Chronic ischemic heart disease, helping reduce cardiovascular risk and improve long-term outcomes through structured care pathways and timely interventions.