Week 1
Chapter 11
Cardiology
Instructor: Dr. Kathleen Bishop
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Question #2
• What is the vegetable you love to hate the most?
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Syllabus
• Your syllabus contains all the information you need to
know about the course
– Late work
– Grades
– Naming documents
– Etc.
– Please READ thoroughly so you know the rules and
we’ll all get along famously….thanks Dr. B
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How this class will work….
• This is an open book Seminar.
• Be prepared to respond to the questions on each slide.
• Be prepared to share your thoughts with the other class
participants.
• You will see an answer slide so you can check how you
did.
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Cardiology Abbreviations
Please State the Meaning
• ACE
• VSD
• MI
• HDL
• CABG
• RCA
• LDL
• CHF
• PND
• ASD
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Cardiology Abbreviations Answers
•
•
•
•
•
•
•
•
•
•
ACE
VSD
MI
HDL
CABG
RCA
LDL
CHF
PND
ASD
angiotensin-converting enzyme
ventricular septal defect
myocardial infarction
high-density lipoprotein
coronary bypass artery graft
right coronary artery
low-density lipoprotein
congestive heart failure
paroxysmal nocturnal dyspnea
atrial septal defect
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Transcription Tip
• It is helpful to remember location of the atria by
visualizing the architecture of a Roman house, from
where the term atrium derives. The atrium was an
entrance where a person was greeted before moving into
other rooms. The atria are the first chambers in the
heart to receive blood before it empties into the
ventricles to be pumped throughout the body (Gilmore
2009).
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What is the correct term?
1.
2.
3.
4.
Her laboratory data reflected a (BMP, BNP) of 47.5
(Cor, Cord): Regular rate and rhythm with no murmurs.
His next exam revealed faint (brutes, bruits) on the right.
Nitroglycerin is a kind of (nitrate, nitrite) medication.
5.
The patient was diagnosed a year ago with a non-Q-wave
myocardial (infraction, infarction).
6.
The echocardiogram was normal with an (ejection, infection) fraction
of 70%.
7.
Today the patient states he is doing quite well without any
complaints of dyspnea on exertion (PND, PMD) or orthopnea.
8.
Her lipid profile is satisfactory with normal total cholesterol,
triglycerides, (HGL, HDL) and LGL, LDL).
9.
The cardiologist performed an angioplasty with placement of a
(stent, stint) in the right coronary artery.
10. (Carbonate, Calcium) channel blockers decrease the heart’s pumping
strength to help lower blood pressure.
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answers
1.
2.
3.
4.
Her laboratory data reflected a (BMP, BNP) of 47.5
(Cor, Cord): Regular rate and rhythm with no murmurs.
His next exam revealed faint (brutes, bruits) on the right.
Nitroglycerin is a kind of (nitrate, nitrite) medication.
5.
The patient was diagnosed a year ago with a non-Q-wave
myocardial (infraction, infarction).
6.
The echocardiogram was normal with an (ejection, infection)
fraction of 70%.
7.
Today the patient states he is doing quite well without any
complaints of dyspnea on exertion (PND, PMD) or orthopnea.
8.
Her lipid profile is satisfactory with normal total cholesterol,
triglycerides, (HGL, HDL) and LGL, LDL).
9.
The cardiologist performed an angioplasty with placement of a
(stent, stint) in the right coronary artery.
10. (Carbonate, Calcium) channel blockers decrease the heart’s
pumping strength to help lower blood pressure.
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cardiology Abbreviations
Please State the Meaning
• TIMI
• ARB
• LAD
• METS
• MUGA
• SA
• CPK
• LCA
• PTCA
• EKG
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Cardiology Abbreviations Answers
•
•
•
•
•
•
•
•
•
•
TIMI
ARB
LAD
METS
MUGA
SA
CPK
LCA
PTCA
EKG
thrombolysis in myocardial infarction
angiotensin II receptor blocker
left anterior descending artery
metabolic equivalents
multiple gated acquisition scan
sinoatrial (node)
creatine phosphokinase
left coronary artery; left circumflex artery
percutaneous transluminal coronary angioplasty
electrocardiogram
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Transcription Tip
• The term aorta means that first to apply the name to this
artery because the arching curve of the aorta as it exits
the heart and descends into the body looks something
like a modern-day clothes hanger (Gilmore, 2009).
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Define the following terms:
1. heart failure
2. transposition of the great vessels
3. hypertension
4. patent ductus arteriosis (PDA)
5. pulmonary stenosis
6. tetralogy of Fallot
7. cardiac arrest
8. congestive heart failure
9. fluoroscopy
10.Dressler syndrome
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Answers to Define the following terms
1. A condition in which the heart muscle does not pump
the way it should.
2. A condition in which the location of the aorta and
pulmonary artery is switched.
3. A condition in which the pressure of the blood in the
arteries is too high; also called high blood pressure.
4. A condition in which there is abnormal circulation of
blood between the aorta and pulmonary artery.
5. A condition of obstructed outflow of blood from the right
ventricle to the lungs
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Answers to Define the following terms
(cont.)
6. A condition that causes too little oxygen levels in the
blood.
7. A condition that occurs when the heart suddenly stops
pumping effectively and begins to flutter wildly, failing
to pump blood to the vital organs of the body.
8. A condition that occurs when the heart's weak pumping
action causes a buildup of fluid in the lungs and other
body tissues.
9. A continuous x-ray beam that is passed through a body
part being examined then transmitted to a TV-like
monitor so that the body part and its motion can be
seen in detail.
10.A delayed form of pericarditis may occur weeks after a
heart attack or heart surgery because of antibody
formation.
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Transcription Tip
• Listen for the abbreviation TIMI (pronounced like timmy),
when transcribing reports that describe the treatment of
a patient with myocardial infarction. TIMI stands for
thrombolysis in myocardial infarction and is a grading
system (using grades 0 – 3) that refers to the
reperfusion of blood flow achieved after the application of
the thrombolyic therapy. It is transcribed with lowercase
grade, followed by an Arabic numberal. Example: “The
patient achieved a TIMI grade 3 flow at 60 minutes
following thrombolytic therapy.” (Gilmore, 2009).
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Cardiology Abbreviations
Please State the Meaning
• PDA
• CAD
• BNP
• CK
• LP(a)
• mmHg
• CRP
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Cardiology Abbreviations Answers
• PDA
posterior descending artery OR patent ductus arteriosus
• CAD
coronary artery disease
• BNP
B-type natriuretic peptide
• CK
creatine kinase
• LP(a)
lipoprotein (a)
• mmHg
the measurement of blood pressure values
• CRP
C-reactive protein
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Transcription Tip
• A bruit is an abnormal heart sound or murmur heard on
auscultation. The plural form of this term is bruits, but
because of the term’s French origin, the s is not
pronounced, although often heard in dictation. Therefore,
both the singular and plural forms of the term is correctly
pronounced as broo-ee. Sometimes dictators will
mispronounce the term as broot. Do not transcribe the
term as brute (Gilmore, 2009.
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Define the following terms:
1. restrictive cardiomyopathy
2. pericardium
3. secondary hypertension
4. primary hypertension
5. thrombolysis in myocardial infarction (TIMI)
6. electrocardiogram (EKG, also called ECG)
7. atrial septal defect (ASD)
8. ventricular septal defect (VSD)
9. B-type natriuretic peptide (BNP)
10.greater saphenous vein
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Answers to Define the following terms
1. A disorder in which the ventricles become stiff but not
necessarily thickened, and do not fill with blood
normally between heartbeats.
2. A double-layered membrane that surrounds the heart
like a sac.
3. A form of hypertension in which another disease or
medication is the cause.
4. A form of hypertension in which there is no identifiable
cause.
5. A grading system (grade 0 to 3) that evaluates
reperfusion of blood flow achieved by thrombolytic
therapy in a patient with myocardial infarction.
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Answers to Define the following terms
(cont.)
6. A graphic record of the electrical activity of the heart.
7. A hole in the atrium septum that separates the atria of
the heart.
8. A hole in the wall that separates the ventricles of the
heart.
9. A hormone in the blood made by the heart.
10.A large subcutaneous vein located in the leg and thigh.
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Transcription Tip
• When transcribing objective findings of the heart, listen
for the terms S1 and s2. The letter S refers to sounds of
the heart. S1 an S2 refer to the first and second heart
sounds, which generally are always heard. When
mention is made of an S3 or S4, the physician is
referring to a murmur or some other type of abnormality
of the heart (Gilmore, 2009).
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Define the following terms:
1.
2.
3.
4.
5.
lipoprotein (a)
ductus arteriosus
cyanosis
atherosclerosis
myocardial band enzymes of creatine phosphokinase (CK-MB)
6. myocardial band enzymes of creatine phosphokinase (CPKMB)
7. troponin
8. creatine kinase (CK)
9. creatine phosphokinase (CPK)
10. pericardial effusion
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Answers to Define the following terms
1. A biochemical in the body measured in cardiac risk
factor testing.
2. A blood vessel that connects the aorta and pulmonary
artery.
3. A bluish coloration to the skin.
4. A buildup of plaques in the coronary arteries, causing
the arteries to become hardened and narrowed.
5. A cardiac enzyme found in the cells of the heart.
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Answers to Define the following terms
(cont.)
6. A cardiac enzyme found in the cells of the heart.
7. A cardiac enzyme found in the cells of the heart.
8. A cardiac enzyme.
9. A cardiac enzyme.
10.A condition in which fluid accumulates in the pericardial
sac.
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Transcription Tip
• The classification of cardiac failure widely used by
physicians was developed by the New York Heart
Association. This system ascribed the severity of a
patient’s cardiac failure using Roman numerals I through
IV, with I being asymptomatic and IV denoting sever
cardiac failure, symptomatic at rest. Transcribe this
value using lowercase class, followed by a roman
numeral (I through IV) (Gilmore, 2009).
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Fill in the Blanks
1. What is the abbreviation for myocardial infarction?
2. Name the medical specialty dealing with the heart.
3. Which atrium receives blood from the body?
4. What is the adjectival form of the word ventricle?
5. What is the abbreviation for electrocardiogram?
6. Which chamber contains the tricuspid valve?
7. What is a normal heart rate called?
8. Which test uses exercise to evaluate the heart?
9. What is a leakage of blood back through a valve called?
10.What condition is referred to as a hole in the heart?
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Fill in the Blanks Answers
1. MI
2. Cardiology
3. The left atrium
4. Ventricular
5. EKG
6. The right atrium (or right ventricle)
7. Sinus rhythm
8. Cardiac stress test
9. Regurgitation
10.Atrial septal defect
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Transcription Tip
• Form terms such a T wave, in which there is no hyphen,
insert a hyphen when the term is used as an adjective,
such as T-wave abnormality (Gilmore, 2009).
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Define the following terms:
1. heart-lung machine
2. left coronary artery (LCA)
3. right coronary artery (RCA)
4. stent
5. blood vessels
6. sinus rhythm
7. pallor
8. atherectomy
9. angioplasty
10.percutaneous transluminal coronary angioplasty (PTCA)
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Answers to Define the following terms
1. A machine that provides circulation and oxygenates the
blood while the heart is stopped during a coronary
bypass procedure.
2. A major coronary artery in the heart.
3. A major coronary artery in the heart.
4. A mesh-like metal tube placed in an artery to keep it
open.
5. A network of interconnecting arterial, arterioles,
capillaries, venules, and veins which provide the
pathway in which blood is transported between the
heart and body cells.
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Answers to Define the following terms
(cont.)
6. A normal cardiac rhythm.
7. A paleness or decrease or absence of color in the skin.
8. A procedure in which a high-speed drill on the tip of a
catheter is used to shave plaque from blocked arterial
walls.
9. A procedure that opens narrowed arteries by using a
catheter with a balloon on its tip; also referred to as
percutaneous transluminal coronary angioplasty (PTCA).
10.A procedure that opens narrowed arteries by using a
catheter with a balloon on its tip; also referred to as
angioplasty.
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The End
• Well that’s all for tonight!
• Thanks for joining us. I hope you learned something to
help you in your transcription career.
• Don’t forget to complete all of your assignments each
week and get them in on time!
• See you next week! Same time—same place!
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