please help me with terminology 
Author Message
 please help me with terminology

Hi, forgive me for my English.

We got a result of a heart examination at the hospital.
I'm not familiar with the words. Could someone try to explain what this
means?

Note: I tried to translate it from dutch:
---
The ECG shows a sine rhythm with a frequency of 80/minute,
an intermediate axis, an incomplete RBBB and aspecific STT-segments.

conclusion: aspecific ECG, category 1.
---
Thanks for the explanation!

Angelo



Wed, 16 Mar 2005 18:14:38 GMT
 please help me with terminology

Quote:

> The ECG

electrical examination of the heart

Quote:
> shows a sine rhythm

The electrical impulses in the heart are arising from the right place.

Quote:
> with a frequency of 80/minute,

Normal heart rate.

Quote:
> an intermediate axis

, an incomplete RBBB and aspecific STT-segments.

Quote:

> conclusion: aspecific ECG, category 1.

This implies that the ECG is abnormal in a way that doesn't point to a
specific diagnosis.  It's up to the patient's history and examination to
work out what the hell is wrong with them, if anything.


Wed, 16 Mar 2005 19:13:26 GMT
 please help me with terminology

Quote:

> Hi, forgive me for my English.

> We got a result of a heart examination at the hospital.
> I'm not familiar with the words. Could someone try to explain what this
> means?

> Note: I tried to translate it from dutch:
> ---
> The ECG shows a sine rhythm with a frequency of 80/minute,
> an intermediate axis, an incomplete RBBB and aspecific STT-segments.

ECG is an electrocardiogram.  This test is where wires are attached to the
chest to measure the electrical activity of the heart relative to time.
Sinus rhythm means that the initiation of the electrical signal is coming
from the sinus which is the natural pacemaker of the heart (normal).
80/minute is the heart rate (normal is 60-99).  Intermediate axis means the
direction of the electrical vector representing the ventricular contraction
(the squeezing by the lower heart chambers) is neither abnormally leftward
or rightward.  RBBB is Right Bundle Branch Block which describes the loss
of electrical signals coming down the Right Bundle.  Electrical signals are
transmitted from the atria (upper heart chambers) to the ventricles through
both Left and Right Bundles in a normal heart.  Non-specific ST and T wave
changes are sensitive for picking up recent or ongoing ischemia.  Though
sensitive, this is not a specific finding by itself but with RBBB, one has
to worry about occlusive coronary disease especially if the rest of the
history and physical exam suggests it.

--
Dr. Andrew B. Chung, MD/PhD
Atlanta Cardiologist
http://www.heartmdphd.com



Wed, 16 Mar 2005 20:24:45 GMT
 please help me with terminology
Quote:
> changes are sensitive for picking up recent or ongoing ischemia.  Though
> sensitive, this is not a specific finding by itself but with RBBB, one has
> to worry about occlusive coronary disease especially if the rest of the
> history and physical exam suggests it.

this is the first checkup, tomorrow we'll be going again to the cardiologist
for a more thorough examination.
so if I understand correctly, the RBBB result would be the main thing to
check. (for maybe coronary disease)

thanks everyone for your answer,
Angelo



Thu, 17 Mar 2005 19:22:03 GMT
 please help me with terminology
Quote:
> > an intermediate axis
> , an incomplete RBBB and aspecific STT-segments.

> > conclusion: aspecific ECG, category 1.
> This implies that the ECG is abnormal in a way that doesn't point to a
> specific diagnosis.  It's up to the patient's history and examination to
> work out what the hell is wrong with them, if anything.

She hasnt had any history (yet) but her family has, thats why we went for
a checkup.

thanks for your answers.
Angelo



Thu, 17 Mar 2005 19:23:28 GMT
 please help me with terminology

Quote:

> She hasnt had any history (yet) but her family has, thats why we went
for
> a checkup.

The word 'history' is medicalese for the patient's symptoms.  I usually use
the word 'interview' instead of 'history' when speaking to non-medical
types.


Thu, 17 Mar 2005 21:01:29 GMT
 
 [ 6 post ] 

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