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Type ii mi icd 10 code for hypothyroidism: ICD 10 codes for Myocardial Infarction Coding Guide

Latest from Erica E. My favorite part of the new guidelines, however, has to be I.

William Thompson
Saturday, September 7, 2019
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  • The appropriate management of hypothyroidism in patients with AMI is unknown.

  • The following code s above I About Us.

  • Please review our privacy policy. Published online Apr

  • A1 subsequent myocardial infarction of other type type 3 type 4 type 5 I Please select 1 field to search.

  • Most studies have focused on the association of hypothyroidism and cardiovascular disease in the chronic and outpatient setting. The content of this publication is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Hypothyroidism due to medicaments and other exogenous substances

For unspecified acute myocardial infarctionuse ICD 10 code I The patients were classified according to: 1 thyroid function status on admission and 2 treatment with TH during the hospital admission. Thyroid and the heart. Please review our privacy policy. Your email address will not be published.

  • Medicina Kaunas. The appropriate management of hypothyroidism in patients with AMI is unknown.

  • Treatment of myocardial infarction has always been informed by the desire to prevent death, reinfarction, congestive heart failure, or other post-myocardial infarction complications for which ICDCM has given us the ability to codify and capture. Finally, hooray for gaining permission to sequence depending on the circumstances of an admission.

  • Stroke-clinical documentation based on presentation and imaging findings. Low triiodothyronine T3 has been identified as a prognostic factor for patients with acute myocardial infarction AMI associated with increased biomarkers of cardiac injury, decreased left ventricular function, and increased mortality [ 67 ].

  • A meta-analysis of 55 cohort studies involving 1, participants.

  • Hope, now have a clear idea about coding myocardial infarction in ICD The clinical effect of correcting hypothyroidism in this setting requires further evaluation.

  • She has written numerous articles and serves as the co-host of Talk Ten Tuesdays, a weekly national podcast.

The conditions and signs or symptoms included in categories R00 - R94 consist of: a cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated; b signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined; c provisional diagnosis in a patient who failed to return for further investigation or care; d cases referred elsewhere for investigation or treatment before the diagnosis was made; e cases in which a more precise diagnosis was not available for any other reason; f certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right. However, these differences did not reach statistical significance, which was possibly due to our small sample size versus a true lack of difference in effect. A recent randomized study including 37 patients evaluated the value of low dose T3 treatment for patients with ST elevation MI and low T3 syndrome, started 72 h after hospital admission. R53 Malaise and fatigue.

What is your type ii mi icd 10 code for hypothyroidism frequent nonmaternal, non-neonatal principal diagnosis? Thyroiditis, inflammation of the thyroid Congenital hypothyroidism, hypothyroidism that is present at birth Surgical removal of part or all of the thyroid Radiation treatment of the thyroid Certain medicines In rare cases, a pituitary disease or too much or too little iodine in your diet Who is at risk for hypothyroidism? Hypothyroidism has several causes. It does not need artery site specification because that is not relevant. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.

Other malaise and fatigue

Do follow us on twitter and google plus to get regular updates. Non-thyroidal illness syndrome in patients with cardiovascular diseases: A systematic review and meta-analysis. Thyroid stimulating hormone elevation as a predictor of long-term mortality in patients with acute myocardial infarction. Eber B. Notify me of new posts by email.

  • Notify me of follow-up comments by email.

  • My favorite part of the new guidelines, however, has to be I. Special Bulletin.

  • Thyroid stimulating hormone elevation as a predictor of long-term mortality in patients with acute myocardial infarction.

  • E04 Other nontoxic goiter. See Poll Results.

Rodondi N. Table 5 Clinical outcomes according to treatment status and thyroid function. Hope, now have a clear idea about coding myocardial infarction in ICD F32 Major depressive disorder, single episode F

Demographics, comorbidities, and risk factors according to thyroid function and treatment status. Friberg L. Diagnosis Hypothyriidism entries containing back-references to R These differences were not statistically significant. Notify me of follow-up comments by email. Table 4 Concomitant management according to thyroid function and treatment status. All authors have read and agreed to the published version of the manuscript.

About Jitendra M.Sc CPC

A Other type of myocardial infarction I A recent randomized study including 37 patients evaluated the value of low dose T3 treatment for patients with ST elevation MI and low T3 syndrome, started 72 h after hospital admission. Aspirin Use.

For example, euthyroid sick syndrome is common in patients with AMI and is associated with adverse clinical outcomes [ 20 ]. Friberg L. LOS Days. Subsequent acute myocardial infarction is coded from ICD 10 category I Demographics, comorbidities, risk factors for cardiovascular disease, physical exam, laboratory and imaging findings, thyroid dysfunction history, AMI presentation, management, and outcomes were recorded.

Type 1 Excludes transitory endocrine and metabolic disorders specific to newborn PP A1 secondary to demand ischemia I Each time your dose is adjusted, you'll have another blood test. The Type 2 MI would meet the definition of a principal diagnosis and should be permitted to be sequenced first.

Iron deficiency anemia secondary to blood loss (chronic)

Under this approval, a waiver of consent was provided to conduct research on previously collected clinical information. Try out PMC Labs and tell us what you think. Hope, now have a clear idea about coding myocardial infarction in ICD A more pronounced decrease in T3 levels was associated with higher levels of pro-inflammatory hormones and a worst prognosis [ 18 ]. Table 3 Clinical variables according to route of initial levothyroxine treatment.

No patient in the treatment group developed symptoms of hyperthyroidism or arrhythmias and, in four patients, the T3 dose was decreased during follow up due to elevated T3 levels. Low T3 syndrome improves risk prediction of in-hospital cardiovascular death in patients with acute myocardial infarction. Ning Y. Hemodynamically unstable based on blood pressure, heart rate and need for pressors Myxedema score temperature, central nervous system effects, gastrointestinal findings, precipitating events, cardiovascular dysfunction and metabolic abnormalities. Jonklaas J. R55 Syncope and collapse.

Birtwhistle R. Razvi S. Learn More. Toggle navigation.

Treatment of myocardial infarction has always been informed by the desire to prevent death, reinfarction, congestive heart failure, or other post-myocardial infarction complications for which ICDCM has given us the ability to codify and capture. Mark Spivey. Denise M. Toggle navigation. Every Oct.

Poisoning by, adverse effect of and underdosing of systemic antibiotics

Thyroid hormone profile in acute coronary syndromes. Treatment of hypothyroidism in elderly patients and in patients with cardiac disease. Moreover, the oral route is preferred for replacement, with the goal of long-term normalization of TH levels.

I am in bypothyroidism middle of a heads-down project, but I popped my head up long enough to read the new ICDCM guidelines for thanks for the notification, Gloryanne Bryant! A1 ischemic imbalance I The code title indicates that it is a manifestation code. It makes hormones that control the way the body uses energy. Sometimes it can cause trouble with breathing or swallowing. Terms applicables to E

The following code s above E It is a non sequitur to have a subsequent Hyopthyroidism 2 MI. It makes hormones that control the way the body uses energy. Type 1 Excludes toxic reaction to local anesthesia in pregnancy O They include Hashimoto's disease, an autoimmune disorder where your immune system attacks your thyroid. Use Additional.

1. Introduction

Conflicts of Interest The authors declare no conflict of interest. OH is characterized by low circulating levels of thyroxine T4 associated with a compensatory elevation of thyroid stimulating hormone TSH levels [ 131415 ]. Thyroid hormone profile in acute coronary syndromes. These ICD 10 codes identify the sites for acute myocardial infarction. The content of this publication is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Patients who received intravenous LT4 had higher TSH levels and other variables suggesting worse clinical presentation, but these differences were not statistically significant. Thayakaran R. Author Contributions Conceptualization, D. Mendes D. No statistically significant differences were noted on clinical outcomes according to LT4 treatment status.

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Finally, hooray for gaining permission to sequence depending on the circumstances of an admission. Note The drug giving rise to the adverse effect should be identified by use of codes from categories TT50 with fifth or sixth character 5. Rose T. It does not need artery site specification because that is not relevant. If you take your medicine according to the instructions, you usually should be able to control the hypothyroidism. A1 subsequent recurrent reinfarction I Please select 1 field to search.

Popoveniuc G. Beta Blocker Use. What is the association of hypothyroidism with risks of cardiovascular events and mortality? BMC Med.

Myocardial infarction type 2

There are pages in the new release, a decrease of 11 pages from the…. Hypothyroidism, or underactive thyroid, happens when your thyroid gland doesn't make enough thyroid hormones to meet your body's needs. Print this article. Gary Baldwin.

Stroke-clinical documentation based on presentation and imaging findings. For patients admitted more than once, the first admission was used as the index admission Figure 1. Keywords: hypothyroidism, icd, myocardial infarction, subclinical hypothyroidism, cardioprotection. However, data from other small studies have showed inconsistent results in terms of TSH variability, suggesting minor elevation [ 252627 ]. Acute transmural myocardial infarction of inferior wall Inferolateral transmural Q wave infarction acute Transmural Q wave infarction acute of diaphragmatic wall Transmural Q wave infarction acute of inferior wall NOS.

There is always an underlying condition or disease process that causes the Type 2 MI. Author - Search by Author - Adele L. Email Editor to Discuss. This is usually due to atherosclerotic plaque and rupture or thrombosis, causing mechanical coronary artery obstruction. Terms applicables to E

Other fatigue

Ttype hormone profile in acute coronary syndromes. All of the patients treated with LT4 were treated with generic or brand name levothyroxine IV or oralno gel or liquid formulations were used. Canaris G. Based on our initial observation, the degrees of TSH elevation, type of hypothyroidism, and type of MI are important factors to consider in larger studies addressing the outcomes of MI in the setting of hypothyroidism.

  • All of the patients treated with LT4 were treated with generic or brand name levothyroxine IV or oralno gel or liquid formulations were used. Acute Cardiovasc.

  • Brodt, PhD Julie A.

  • Received Mar 20; Accepted Apr

  • This provides unstable estimates and decreases our ability to detect differences between groups and subgroups and adequately adjust for confounders.

  • During pregnancy, hypothyroidism can cause complications, such as premature birth, high blood pressure in pregnancy, and miscarriage.

  • Top Stories.

About Us. Hypothyroidism can contribute to high cholesterol. Without enough thyroid hypotbyroidism, many of your body's functions slow down. Includes adverse effect of correct substance properly administered poisoning by overdose of substance poisoning by wrong substance given or taken in error underdosing by inadvertently deliberately taking less substance than prescribed or instructed. See Poll Results. It is a non sequitur to have a subsequent Type 2 MI. A1 contain annotation back-references.

A Other type of myocardial infarction. I am in the middle of a heads-down project, but I popped my head up long enough to read the new ICDCM guidelines for thanks for the notification, Gloryanne Bryant! Rose T. E01 Iodine-deficiency related thyroid disorders and allied conditions.

There are pages in the new release, a decrease of 11 pages from the…. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Each time your dose is adjusted, you'll have another blood test. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published. But there are treatments that can help.

Terms applicables to E There is always an underlying condition or disease process that causes the Type 2 MI. A Other type of myocardial infarction. Code First.

Left ventricular function and the extent of MRI cardiac necrosis did not differ between the groups at six months of follow up and a trend towards improved for hypothyroidism contractile dysfunction in those treated was noted [ 19 ]. In such case codes from category I21 can be used. Out of the 38 patients with previous documentation of hypothyroidism, 34 had documentation of the previous LT4 dose. A type 2 excludes note represents "not included here". About Jitendra M. These differences were not statistically significant Table 3. A code from category I22 must be used in conjunction with a code from category I

Do follow us on twitter and google plus to get regular updates. All of the patients treated with Coode were treated with generic or brand name levothyroxine IV or oralno gel or liquid formulations were used. In such case codes from category I21 can be used. Medicina Kaunas. For example, euthyroid sick syndrome is common in patients with AMI and is associated with adverse clinical outcomes [ 20 ].

Grais I. Birtwhistle R. A diagnostic scoring system for myxedema coma. Figure 1. Your email address will not be published.

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A radioactive iodine uptake test measures how much radioactive iodine your thyroid takes up from your blood after you swallow a small amount of cide. It makes hormones that control the way the body uses energy. Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. A1 Myocardial infarction type 2. Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published.

Background and Objectives : Thyroid dode TH affect cardiac function through effects on cardiac contractility and systemic vascular resistance. Moreover, the oral route is preferred for replacement, with the goal of long-term normalization of TH levels. Now, for old myocardial infarction which does not require any further care, ICD 10 code I Hemodynamically unstable based on blood pressure, heart rate and need for pressors Myxedema score temperature, central nervous system effects, gastrointestinal findings, precipitating events, cardiovascular dysfunction and metabolic abnormalities. A type 2 excludes note represents "not included here". The following code s above R

Abstract Background and Objectives : Thyroid hormones TH affect cardiac function through effects on dor contractility and systemic vascular resistance. No patient was treated with T3 therapy. These differences were not statistically significant Table 3. Thyroxine in acute myocardial infarction ThyrAMI -levothyroxine in subclinical hypothyroidism post-acute myocardial infarction: Study protocol for a randomised controlled trial. Popoveniuc G. Under this approval, a waiver of consent was provided to conduct research on previously collected clinical information. Lancet Diabetes Endocrinol.

This does not capture the severity of illness or complexity of the patient. Nichols, MD Joseph J. Top Stories. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.

Thyroid hormones TH affect the function of the cardiovascular system by modulating genomic and non-genomic pathways in cardiac myocytes, vascular smooth muscle, and endothelial cells, and by their effects on lipid metabolism and other inflammatory pathways that are associated with cardiovascular disease [ 12 ]. Table 5 Clinical outcomes according to treatment status and thyroid function. Grais I. Clinical presentation, laboratory and imaging results according to thyroid function and treatment status. Funding This research received no external funding. The patients were classified according to: 1 thyroid function status on admission and 2 treatment with TH during the hospital admission.

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Keyword [? How is hypothyroidism diagnosed? Diagnosis Index entries containing back-references to I What causes hypothyroidism? You should never stop taking your medicine without talking with your health care provider first.

Acute transmural myocardial infarction of anterior wall Anteroapical transmural Q wave infarction acute Anterolateral transmural Q wave infarction acute Anteroseptal transmural Q wave infarction acute Transmural Q wave infarction acute of anterior wall NOS. For example, euthyroid sick syndrome is common in patients with AMI and is associated with adverse clinical outcomes [ 20 ]. New diagnosis of heart failure or worsening—evaluated according to changes in ejection fraction or clinical diagnosis. History of CHD. A recent randomized study including 37 patients evaluated the value of low dose T3 treatment for patients with ST elevation MI and low T3 syndrome, started 72 h after hospital admission.

Sometimes it can cause trouble with breathing or swallowing. Use Additional code, if applicable, to identify: exposure to environmental tobacco smoke Z E04 Other nontoxic goiter. Dombro, MD Andrew N. Appropriate codes in this chapter i.

  • Abdulaziz Qari F. Conclusion : A history of hypothyroidism and the degree of TSH elevation seem to guide the management of hypothyroidism in patients with AMI.

  • Includes adverse effect of correct substance properly administered poisoning by overdose of substance tpe by wrong substance given or taken in error underdosing by inadvertently deliberately taking less substance than prescribed or instructed. She has written numerous articles and serves as the co-host of Talk Ten Tuesdays, a weekly national podcast.

  • Do share this article if you liked it.

For patients in whom the oral route is not feasible, those with malabsorption, or with myxedema coma, the IV route should be considered [ 23 ]. Jonklaas J. Table 1 Demographics, comorbidities, and risk factors according to thyroid function and treatment status. Ning Y.

  • Subsequent acute myocardial infarction is coded from ICD 10 category I

  • The following code s above I

  • Author Contributions Conceptualization, D.

  • After 4 weeks of time if the patient is still receiving the care related to myocardial infarction, then an appropriate ICD 10 code for aftercare should be used, rather than an I21 category code.

Table of Contents. However, the physiological relationship between these two systems could have clinical implications in the acute setting and affect a large number of individuals. Rapid down-regulation of thyroid hormones in acute myocardial infarction—Is it cardioprotective in patients with angina? Seo S. R53 Malaise and fatigue. No other differences in the management of the AMI were noted Table 4.

All of the patients treated with LT4 were treated with generic or brand name levothyroxine IV or oralno gel or liquid formulations were used. Patients who received intravenous LT4 had higher TSH levels and other variables suggesting worse clinical presentation, but these differences were not statistically significant. Left ventricular function and the extent of MRI cardiac necrosis did not differ between the groups at six months of follow up and a trend towards improved regional contractile dysfunction in those treated was noted [ 19 ]. R56 Convulsions, not elsewhere classified. Low T3 syndrome improves risk prediction of in-hospital cardiovascular death in patients with acute myocardial infarction. Clinical presentation, laboratory and imaging results according to thyroid function and treatment status. Hope, now have a clear idea about coding myocardial infarction in ICD

Type ii mi icd 10 code for hypothyroidism was a physician advisor of a large multi-hospital system for four years before transitioning to independent consulting in July If you are pregnant, talk with your health ki provider about how much iodine you need. Your health care provider may use many tools to make a diagnosis: A medical history, including asking about your symptoms A physical exam Thyroid tests, such as TSH, T3, T4, and thyroid antibody blood tests Imaging tests, such as a thyroid scan, ultrasound, or radioactive iodine uptake test. Type 1 Excludes toxic reaction to local anesthesia in pregnancy O

  • Under this approval, a waiver of consent was provided to conduct research on previously collected clinical information.

  • Latest from Erica E.

  • Clinical presentation, laboratory and imaging results according to thyroid function and treatment status. View all posts by Jitendra M.

  • E03 Other hypothyroidism. Bonnie S.

  • Low triiodothyronine T3 has been identified as a prognostic factor for patients with acute myocardial infarction AMI associated with increased biomarkers of cardiac injury, decreased left ventricular function, and increased mortality [ 67 ].

  • Heart J. Materials and Methods 2.

Brodt, PhD Julie A. Author - Search by Author - Adele L. Latest from Erica E. Connect with us. Terms applicables to E This is the most common cause. Diagnosis Index entries containing back-references to I

No statistically significant differences were noted on clinical outcomes according to LT4 treatment status. Low triiodothyronine T3 has been identified as a prognostic factor for patients with acute myocardial infarction AMI associated with increased biomarkers of cardiac injury, decreased left ventricular function, and increased mortality [ 67 ]. Introduction Thyroid hormones TH affect the function of the cardiovascular system by modulating genomic and non-genomic pathways in cardiac myocytes, vascular smooth muscle, and endothelial cells, and by their effects on lipid metabolism and other inflammatory pathways that are associated with cardiovascular disease [ 12 ]. A1 Myocardial infarction type 2 I In this context, annotation back-references refer to codes that contain: Applicable To annotations, or Code Also annotations, or Code First annotations, or Excludes1 annotations, or Excludes2 annotations, or Includes annotations, or Note annotations, or Use Additional annotations. Guidelines for the treatment of hypothyroidism: Prepared by the american thyroid association task force on thyroid hormone replacement.

Ischemic heart diseases Use Additional code to identify presence of hypertension II If you take your medicine according to the instructions, you usually should be able to control the hypothyroidism. In this context, annotation back-references refer to codes that contain: Applicable To annotations, or Code Also annotations, or Code First annotations, or Excludes1 annotations, or Excludes2 annotations, or Includes annotations, or Note annotations, or Use Additional annotations. The treatment for hypothyroidism is medicine to replace the hormone that your own thyroid can no longer make. Hypothyroidism has several causes.

R55 Syncope and collapse. A recent randomized study including 37 patients evaluated the value of low dose T3 treatment for patients with ST elevation MI and low T3 syndrome, started 72 h after hospital admission. A meta-analysis of 55 cohort studies involving 1, participants.

  • In fact, TH treatment improves left ventricular function, inhibits the expansion of scar tissue, and might have a direct role in the pathophysiology that is associated with heart failure. Pingitore A.

  • A1 : Infarct, infarction myocardium, myocardial acute with stated duration of 4 weeks or less I Back to top.

  • Thyroxine in acute myocardial infarction ThyrAMI -levothyroxine in subclinical hypothyroidism post-acute myocardial infarction: Study protocol for a randomised controlled trial. R57 Shock, not elsewhere classified.

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICDCM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation.

Red Uypothyroidism Med. In patients with hypothyroidism, the proposed negative effects on the cardiovascular system include increased systemic vascular resistance and decreased cardiac output, heart rate, and myocardial contractility [ 123 ]. Jonklaas J. History of CHD. The free T4 levels were measured similarly, with reference range of 0. Hope, now have a clear idea about coding myocardial infarction in ICD

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Brodt, PhD Hyothyroidism A. During pregnancy, hypothyroidism can cause complications, such as premature birth, high blood pressure in pregnancy, type ii mi icd 10 code for hypothyroidism miscarriage. A patient might present with a condition that otherwise would have been manageable as observation or outpatient, but the positive troponin elicited an admission and cardiac workup, only to hypofhyroidism reveal a Type 2 MI. Diseases of the circulatory system Type 2 Excludes certain conditions originating in the perinatal period P04 - P96 certain infectious and parasitic diseases AB99 complications of pregnancy, childbirth and the puerperium OO9A congenital malformations, deformations, and chromosomal abnormalities QQ99 endocrine, nutritional and metabolic diseases E00 - E88 injury, poisoning and certain other consequences of external causes ST88 neoplasms CD49 symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified R00 - R94 systemic connective tissue disorders MM36 transient cerebral ischemic attacks and related syndromes G Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. Toggle navigation. Rose T.

Pimentel R. Medicina Kaunas. Bleeding-clinical documentation of overt blood loss. We found that a previous history of hypothyroidism and the degree of TSH elevation are important factors guiding the management of hypothyroidism in the setting of AMI.

A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. Moreover, the oral route is preferred for replacement, with the goal of long-term normalization of TH levels. Your email address will not be published. Lancet Diabetes Endocrinol. However, the physiological relationship between these two systems could have clinical implications in the acute setting and affect a large number of individuals.

Feldt-Rasmussen U. National Center for Biotechnology InformationU. Notify me of new posts by email. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. However, although animal studies have evaluated the potential risk and benefits of LT4 treatment in the setting of AMI, to our knowledge, no clinical studies in this population have been reported.

For such conditions, ICDCM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. What causes hypothyroidism? The following code s above I Tweets by ICD10monitor.

Evaluation of pituitary-thyroid axis response to acute myocardial infarction. MI Management During the hospital admission, all patients received treatment with anticoagulants and most patients received treatment with antiplatelet, beta-blockers, angiotensin-converting-enzyme inhibitors ACEIand statins. In addition, cods patient died on day 53 of his hospital admission, leaving 58 patients who were discharged from the hospital and were included in the readmission analysis. The ideal management of patients found to have biochemical hypothyroidism in the setting of AMI is complex, due to physiological changes that occur in response to acute illness and limited clinical evidence regarding the risk and benefits of treatment. TH regulates intracellular pro survival pathways, promotes preservation of mitochondrial function, antifibrotic and angiogenic effects, and potentially induces cell regeneration [ 2293031 ].

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