Saturday, January 7, 2012

Translating doctor-speak

  Sorry the spacing of this is a bit off, the formatting was difficult to do. Hope it helps!




Term

Definition

Syncope

fainting

Hypotension

low blood pressure

Orthostatic

standing up or upright

Orthostatic Intolerance (OI)

the inability to tolerate the upright stance

 

Arrhythmia, arrhythmic

abnormal heart rhythm, irregular, too fast (tachycardia), too slow (bradycardia)

 

Ischemia, ischemic

too little blood

 

Long QT syndrome

an electrical heart abnormality that can produce dangerous arrhythmias

 

Cardiomyopathy

disease of the heart muscle

 

Myocardial infarction

heart attack

 

Cardiogenic

caused by the heart

Neurovascular, Neurally mediated, neurocardiogenic

caused by an interaction between the nervous system and the circulatory system

 

Vaso, Vascular, vasomotor

pertaining to blood vessels and their contraction

 

Vagus, vagal

a cranial nerve which when stimulated causes heart slowing (among other actions)

 

Autonomic nervous system

the part of the nervous system regulating many involuntary actions such as the heart rate and blood pressure

 

Venous

pertaining to veins

Right atrium

the part of the heart which receives blood returning from the body

 

Pooling

the collection of blood or body fluids in dependent portions of the body

 

Arterial resistance (vasoconstriction)

contraction of small arteries provides resistance against which our heart pumps blood. Different vessel resistances account for redistribution of blood throughout our body

 

Peripheral resistance

usually refers to arterial resistance in more peripheral parts of the body: e.g. limbs, skin

 

Vasodilation

arterial widening

Splanchnic vascular bed

liver, spleen and digestive tract: major venous reservoir

 

ARTERIAL BARORECEPTORS

 

pressure receptors intimately involved with the response to orthostasis

 

Cardiopulmonary reflexes

reflexes from the heart and lungs which affect vascular function; these are less involved with the normal response to orthostasis

 

renin-angiotensin-aldosterone, epinephrine, vasopressin

hormones involved with blood pressure regulation

 

cerebrovascular autoregulation

the ability of the brain to maintain its blood flow

Tilt Table test, head-up tilt, HUT

typically a motorized table with foot support which can take a patient from supine to upright or any angle in between. HUT is the de facto orthostatic stress test.

 

Hemodynamic

pertaining to the flow of blood

 

Asystole

heart stopping

 

Ventricle

pumping chamber of the heart

 

Contractile, contractility

pertaining to the intrinsic ability of the heart to contract

Hypovolemia

low blood volume

Dysautonomia, dysautonomic

malfunction of the autonomic nervous system

Familial dysautonomia

an inherited form of autonomic failure seen only in Ashkenazi Jews

 

Valsalva maneuver

a simple test of overall autonomic function

POTS

 

postural orthostatic tachycardia syndrome

Sympathetic, sympathetic nervous system

the part of the nervous system which when activated increases heart rate and blood pressure and causes vasoconstriction among other actions. 

Parasympathetic, parasympathetic nervous system

 

in some sense the obverse of the sympathetic system, it slows the heart rate and may have effects on blood pressure among other non-circulatory actions. The vagus nerve and the glossopharyngeal nerve are importantly involved with these actions.


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