Disease and Remedies

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Friday, December 4, 2009

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Cardiology Terminology

Basic terminology/abbreviations

** indicates terms/phrases frequently missed on dr. lakkireddy reports

Heart sounds are written as S1, S2, S3, S4 DO NOT TYPE S1-S2 (THIS REFERS TO THE SACRUM)

edge dissection

IVUS intravascular ultrasound

cineangiography

AVNRT atrioventricular nodal reentrant tachycardia

wall motion abnormalities

epiaortic ultrasound

AS/AI aortic stenosis/aortic insufficiency

TNI troponin I

RSVG reversed saphenous vein graft

NMR LipoProfile clinical evaluation to aid in management of lipoprotein disorders associated with CV

diseases.

DFT defibrillation threshold testing

scintigraphy

scintigraphic findings

bpm beats per minute (not beats/minute and not beats/min.)

EP electrophysiology

EPS electrophysiology study

ERP effective refractory period

POBA plain old balloon angioplasty

His bundle

His-Purkinje

Epic system healthcare software (KUMC/MAC)

Logician healthcare software (MAC)

presyncope not pre syncope or pre-syncope

melenic not melanotic (when referring to stools)

CPVT catecholaminergic polymorphic ventricular tachycardia

VT ventricular tachycardia

SVT supraventricular tachycardia

PSVT paroxysmal supraventricular tachycardia

VF ventricular fibrillation

VT ventricular tachycardia

unfractionated heparin

PCI percutaneous coronary intervention

CK-MB not CKMB

RFA radiofrequency ablation

AFL atrial flutter

AFib or Afib atrial fibrillation

AF atrial fibrillation

Murmurs D: 1-2/6

T: 1/6 to 2/6

systolic

holosystolic

diastolic

murmur of prematurity

LAA left atrial appendage

LA appendage (see above)

ACT activated clotting time (patients are given heparin during cardiovascular procedures

which require frequent monitoring or serial monitoring of the ACT.

MADIT-2 (Multicenter Automatic Defibrillator Trial-2) Criteria used to determined eligibility for

Defibrillator implantation.

PVARP Post ventricular atrial refractory period

thyroid bruit

CardioScan non-invasive, high-resolution CT (Computed Tomography) scan that

takes cross-sectional images of the coronary arteries to detect and

measure the amount of plaque

Agatston score a measure of calcium generally included in the results from a CT test

for coronary calcification.

PAFib paroxysmal atrial fibrillation

antidromic tachycardia

orthodomic tachycardia

risk stratification—not restratification

nonsustained VT—not nonsustained CT

earliest activation**

PMI point of maximal impulse

Tako-Tsubo cardiomyopathy = stress cardiomyopathy

diagnostic studies/lab terms

hsCRP high-sensitive C-reactive protein

Familion HCM (hypertrophic cardiomyopathy) genetic testing

BNP indicator of CHF, brain-type naturetic peptide or B-type naturetic peptide, not to be

confused with BMP (basic metabolic panel: sodium, potassium, chloride, BUN, etc).

EBCT scan electron beam computed tomography (looks for coronary calcium)

CHADS score or CHADS 2 score is a clinical prediction rule for estimating the risk of stroke in patients with nonrheumatic or nonvalvular Afib. Used to determine degree of antithrombotic therapy required.

systemic vascular resistance

pulmonary vascular resistance unit of measure= Wood unit

total peripheral resistance

regadenoson stress test

Medications

· Flolan used to treat pulmonary hypertension (DO NOT CONFUSE THIS WITH FLOVENT)

·

· Isuprel (isoproterenol) given to induce tachycardia during EP study (DO NOT CONFUSE WITH ISORDIL.)

· DR. LAKKIREDDY FREQUENTLY USES ISOPROTERENOL….IT SOUNDS LIKE HE IS SAYING ISOPROPANOL—PLEASE BE VERY CAREFUL WITH THIS MED NAME.

· ezetimibe combined with simvastatin = Vytorin

· Exforge HCT – antihypertensive

· Cleviprex (clevidipine butyrate) – antihypertensive

· Trilipix (fenofibric acid) – hypertriglyceridemia, hyperlipidemia

· Vasovist (gadofosveset trisodium) – blood pool MRA agent

· Lexiscan – pharmacologic stress agent for radionuclide myocardial perfusion imaging

· Tekturna HCT (aliskiren and hydrochlorothiazide) – antihypertensive

· Tikosyn

· Tenex

· Nexterone (amiodarone HCl) – ventricular fibrillation, ventricular tachycardia

· Adcirca (tadalafil) --- treatment fo pulmonary arterial hypertension

· Samsca (tolvaptan) –treatment of hyponatremia

· aldosterone

· Ranexa --antianginal

· Plant sterols and stanols are phytosterols—essential components of plant membranes—that resemble the chemical structure of animal cholesterol and carry out similar cellular functions in plants. Sterols are present naturally in small quantities in many fruits, vegetables, nuts, seeds, cereals, legumes, vegetable oils, and other plant sources. Stanols occur in even smaller quantities in many of the same sources. Cholesterol can be obtained from non-dietary sources through processes in the human body such as liver synthesis and intestinal absorption. Plant sterols and stanols differ from cholesterol in that they can only be obtained through dietary sources. Including plant sterols/stanols in the diet may lower blood cholesterol levels: a health effect that has been studied for more than 50 years. (these terms are frequently used by the nurses dictating for the risk management clinic)

· Antara—control of high cholesterol and triglycerides

· cilostazol—treatment of claudication

· Adcirca--Adcirca (tadalafil) is a once-daily phosphodiesterase type 5 (PDE5) inhibitor for the treatment of pulmonary arterial hypertension (PAH).

· Effient--Effient (prasugrel) is an oral antiplatelet agent for the treatment of patients with acute coronary syndrome (ACS) who are managed with percutaneous coronary intervention including coronary stenting.

· Multaq--Multaq (dronedarone) is antiarrhythmic drug indicated to reduce the risk of cardiovascular hospitalization in patients with atrial fibrillation or atrial flutter.

· Samsca--Samsca (tolvaptan) is an oral selective vasopressin antagonist for the treatment of patients with clinically significant hypervolemic and euvolemic hyponatremia.

· bisoprolol beta blocker to treat hypertension

Pacemakers/generators/leads

Sprint Fidelis

Guidant Fineline

Medtronic Adapta

Medtronic Sensia SESRO1

CRT-D generator (cardiac resynchronization therapy defibrillator)

CRT-P device (The Medtronic InSync® III is designed specifically for patients who are candidates for cardiac resynchronization therapy, but who are not indicated for an implantable defibrillator.)

CareLink electronic monitoring system for pacemakers, etc.

Merlin@Home electronic monitoring system for pacemakers, etc.

Contak Renewal device (CRT-D device) by Guidant

Hemostatic devices

Terumo TR Band

Perclose

Angio-Seal

Star Close

Mynx or Mynx 55

Shunts

Javid

Ross

Blalock-Taussig shunt procedure

catheterization AND ct SURGICAL TERMINOLOGY/equipment

FlowCardia, Inc a medical device company developing endovascular devices for treatment of

coronary and peripheral chronic total occlusions (CTOs)

FACTOR Study FlowCardia’s Approach to Chronic Total Occlusion Recanalization Study

PATRIOT Study Peripheral Approach to Recanalization In Occluded Totals

Devices: CROSSER catheters

Confianza wire

MiracleBros 3 stiff wie

Storq wire

MIDCAB = minimally invasive direct coronary artery bypass

PACAB = port access coronary artery bypass (newest CABG, MVR, ASD, VSD, tricuspid repair procedures being done, currently investigative but soon anticipated to be performed in over 30% to 50% of all bypass procedures and nearly 100% of all valve procedures )

· EndoDirect and EndoCPB Systems

· EndoClamp-ST

· Heartport

· EndoCABG (Genzyme’s endoscopic CABG)

· Carpentier bi-caval femoral venous cannula

· St. Jude: Fast-Cath, Maximum, Maximum Xtra, Maximum ACT

da Vinci surgical system robot-assisted surgery

da Vinci Si

· Advanced 3D HD visualization

· EndoWrist instrumentation

· Intuitive motion technology

· footswitch controls

· TilePro multi-input display allows surgeon and OR team to view 3D video of the operative field

Heineke-Mikulicz pyloroplasty

drug-eluting stent

Cordis

S.M.A.R.T. Control stent

JL4 (note there is no hyphen) Judkins left 4

JR4 Judkins right 4

Asahi Prowater

Xience stent

Cypher stent

Taxus stent Taxus Liberte

Nitinol

Driver

Optitorque

Tiger

Jacky

in-stent restenosis

median sternotomy

CryoMaze procedure = surgical treatment of atrial fibrillation

LAA left atrial appendage

BMW wire

Endeavor stent

Amplatz catheter

Sprinter balloon

Maverick balloon

Voyager balloon

Reliant balloon

Multilink stent Multilink Vision stent

Cutting balloon

Meyer wire

Sims catheter

Luge wire (may s/l loose wire)

EverFlex self-expanding stent

EKG terminology

s/l qr restoration should be qrs duration—please listen carefully

Leads: I, II, III, V1, V2, V3, V4, V5, V6, aVL, aVR, aVF

Intervals: AH, HV, PR, QT and QTc (QT corrected), QRS, QRSD (QRS duration)

QRS axis frontal plane or QRS axis plane

rSR-prime or RSR-prime

repolarization

flipped T waves

inverted T waves

LQTS long QT syndrome

reperfusion abnormality

limb leads

preexcitation

wide complex QRS tachycardia

Ashman phenomenon

burst attenuation artifact

P wave morphology

bundle branch block pattern

bundle branch reentry

current of injury pattern

LVH by voltage criteria

LVH = left ventricular hypertrophy

EP TERMINOLOGY AND EQUIPMENT

subeustachian isthmus

Vaughan Williams classification of antiarrhythmic drugs

event looping monitor

event recorder

24-hour Holter monitor

Reveal monitor

Implantable looping recorder monitor

pulmonary vein antral isolation **

left atrial antral isolation **

TAG thoracic stent

A sensed Vpaced atrial sensed ventricular paced

Lunderquist Extra Stiff wire

Bentson wire

OptiVol fluid index (terminology in patients with CHF)

SilverHawk atherectomy

SilverHawk SX catheter

SilverHawk LS catheter

Radi wire

PressureWire Aeris Technology

aquapheresis **

appropriate ventricular rate**

inappropriate ventricular rate **

early persistent atrial fibrillation **

we obtained 2 separate left subclavian venous sticks using the first rib approach **

catheter entrapment **

atrial fibrillation with rate control **

CareLink transmissions

Nuss bar used in repair of pectus excavatum

Confirm implantable loop record **

Crista catheter **

Halo catheter

Stabl Mapper

Lasso catheter

Pentaray/Lasso catheter

Torqr catheter

MADIT-2 criteria

Tracker catheter

Terumo wire

Ironman wire

SafeSite sheath

Biosense Webster CARTO XP navigation system for 3D mapping (or just CARTO mapping)

Biosense Webster NaviStar Thermocool catheter

entrainment mapping

3D electroanatomic mapping

quadripolar catheter (4-pole catheter)

decapolar catheter (5-pole catheter)

octapolar catheter (8-pole catheter)

deflectable catheter

Edwards Magna tissue prosthesis

DuoDeca catheter

ligament of Marshall

Agilis deflectable sheath

Wenckebach cycle length

ICE catheter

On-Q ICE catheter

Ultra ICE catheter

ViewFlex Plus ICE catheter

Scisense octapolar catheter

Chilli II catheter

Blazer DX-20 catheter

Inquiry H-curve tip

Inquiry Luma-Cath

Inquiry His catheter

Inquiry Optima and Optima Plus diagnostic catheters

Ten-Ten DuoDeca-Polar catheter

Explorer XT and Explorer Junior

Convoy advanced delivery system

Polaris DX steerable diagnostic catheter

Perivac pericardiocentesis kit

Livewire Cannulator

Livewire Spiral HP catheter

Livewire steerable catheter

Livewire TC ablation cathether

Reflexion steerable catheter

Reflexion Spiral variable radius catheter

Reflexion Spiral X variable radius mapping catheter

Response CV cardioversion EP catheter

Therapy ablation catheter

Therapy Cool Path Duo Irrigated ablation catheter

Therapy Cool Path NS irrigated ablation catheter

Therapy Dual-8 ablation catheter

Therapy Plus ablation catheter

EnSite NavX system

EnSite Array Catheter

EnSite Connect remote support

EnSite Verismo segmentation tool

ACross transseptal access system

Agilis NxT steerable introducer

Fast-Cath hemostatis introducers

Peel-Away introducers

Swartz braided transseptal guiding catheters

Cool Point irrigation pump

EP-4 computerized stimulator

EP-Workmate EP Lab recording system

LinkMate image acquisition module

NurseMate integrated review and charting station

SpiderFx distal protection device

CardioSeal PFO closure device

DR. LAKKIREDDY PHRASES:

Risks and benefits of pulmonary venous antral isolation: swelling, bleeding, cardiac perforation, stroke, myocardial infarction, PV stenosis, atrioesophageal fistula and atriobronchial fistula.

For a CRT-D implantation: The risks of the procedure include, but are not limited to swelling, bleeding, cardiac perforation, stroke, myocardial infarction, hemopneumothorax, device malfunction, inability to place the coronary sinus lead in which case he may need a minimally invasive thoracic surgery for an epicardial lead placement.

Risks for for radiofrequency ablation: swelling, bleeding, cardiac perforation, stroke, myocardial infarction, PV stenosis, atrioesophageal fistula, atriobronchial fistula, diaphragmatic paralysis and catheter entrapment.

Venous stick using the first rib approach.

tachycardia-mediated cardiomyopathy

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