Oct 1, 2006 15:18
17 yrs ago
22 viewers *
Spanish term

insuficiencia I-II/IV

Spanish to English Medical Medical: Cardiology Medical report
Echocardiograph details

Comentario:


Válvula tricúspide con insuficiencia I-II/IV, gradiente VA derecho de 20 mmHg.

The copy of the text I have is not great but I think this reads I-II/IV. I recognise that it is "Tricuspid valve insufficiency" but what about "I-II/IV".

Any suggestions welcome.

Discussion

Bàrbara Planas, Ph.D. Oct 1, 2006:
Also, "válvula tricúspide con insuficiencia" can be translated as "tricuspid insufficiency" or "tricuspid regurgitation" in reference to the blood flowing back into the auricula.
Good luck!
Bàrbara Planas, Ph.D. Oct 1, 2006:
Hi Adam, I am not sure enough to give this as answer. I've been looking up cardiac terminology and this I-II/IV could (or couldn't :)) have to do with the NYHA classification of the stages of heart failure.
http://www.abouthf.org/questions_stages.htm
L

Proposed translations

+4
1 hr
Selected

I-II/IV insufficiency

"I-II/IV" means that the patient has grade I-II insufficiency in a scale with four possible degrees of insufficiency.

In English, such grades (e.g. valvular insufficiency, heart murmurs) are more commonly given with just a single Roman number (say, grade III systolic murmur), but the slash is also used.
Peer comment(s):

agree liz askew : yes, definitely. Will send references. Please note VA = ventrículo anatómicalmente derecho
27 mins
thanks
agree David Brown : exactly
4 hrs
thanks
agree Lydia De Jorge
4 hrs
thanks
agree Roxanna Delgado : De acuerdo, pero difiero de Scruff en cuanto a VA. Esto se refiere al gradiente o diferencia de presión Ventrículo-Auricular derecho debido a la regurgitación.
6 hrs
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4 KudoZ points awarded for this answer. Comment: "Selected automatically based on peer agreement."
15 mins

funcional classes

Search for "functional classes" in this doc:

[PDF] PII: S0003-4975(01)03128-9
File Format: PDF/Adobe Acrobat
heart, because the functional classes of these patients ... classes I, II, III, and IV, respectively. ... ure or tricuspid valve failure [5]. ...
ats.ctsnetjournals.org/cgi/reprint/73/2/467.pdf - Similar pages


Minneapolis, MN), 9 Sorin Monoleaflet (Sorin Biomedica,
Saluggia, Italy), 8 Bjork-Shiley (Sorin Biomedica, Saluggia,
Italy), 2 Hall-caster (Medical Inc, Minneapolis, MN),
and 1 Omniscience (Medical Inc, Minneapolis, MN) (Table
2). The following bioprostheses were used in 32 cases:
19 Biocor porcine (Biocor Industriae Pesquisahtda, Belo
Horizonte, MG, Brazil), 7 Wessex Medical (Holmbush
Estate, West Sussex, England) porcine bioprosthesis, 3
Early mortality was significantly related to extended
cardiopulmonary bypass duration, advanced deterioration
of functional capacity, presence of a previous
cardiac operation, and presence of a concomitant intervention
(p  0.05). Complete heart block developed in 6
patients (4.9%) and they had permanent pacemaker implantation.
Postoperatively 19%, 48%, 28%, and 5% of
cases were New York Heart Association functional
classes I, II, III, and IV, respectively.

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Note added at 16 mins (2006-10-01 15:35:41 GMT)
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Sorry about the typo: funcTional classes
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1 hr

I-II/IV failure

Insuficiencia cardiaca is heart failure (Oxford Spanish Dictionary).
Peer comment(s):

neutral David Brown : "insuficiencia" means "failure" when in the context of organs, but in this case, "insufficiency" is used
3 hrs
Thank you for the clarification.
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2 hrs

vea las referencias

See references, to agree with Dr. Paolo

http://66.102.9.104/search?q=cache:nsGTYK-i87cJ:www.patient....


tricuspid insufficiency
tricuspid insufficiency - also known as or related to tricuspid valve incompetence, tricuspid valve regurgitation (disorder), tr - tricuspid regurgitation, tricuspid regurgitation, ti - tricuspid incompetence, tricuspid valve insufficiency

Se practicó un ecocardiograma en el que se describe un “situs solitus”, levocardia, levoápex, discordancia aurículo-ventricular y ventrículo-arterial, con ventrículo anatómicamente derecho (trabeculado y con cámara de entrada y salida) situado a la izquierda, dilatado (61 mm DD) con disfunción sistólica severa (FE en torno al 35%) y ventrículo anatómicamente izquierdo situado a la derecha con disfunción sistólica moderada (FE en torno al 40-45%); válvula AV izquierda trivalva y con insuficiencia leve-moderada; válvula AV derecha bivalva y con insuficiencia mínima; gradiente VA derecho 35 mmHg. No se detectan cortocircuitos. PAP estimada de 45 mmHg.

Systemic right ventricular failure after atrial switch operation ...
The major disadvantage of an atrial switch procedure is that the anatomically right ventricle is left as systemic ventricle. Long-term follow-up shows ...
ats.ctsnetjournals.org/cgi/content/full/71/4/1255 - Similar pages
Did you mean to search for: anatomically right ventricular


Methods and Results— We reviewed the first 162 consecutive patients who underwent mitral valve repair between 1970 and 1984 for MVI due to nonrheumatic disease. The cause of MVI was degenerative in 146 patients (90%) and bacterial endocarditis in 16 patients (10%). MVI was isolated or, in 18 cases, associated with tricuspid insufficiency. The mean age of the 162 patients (104 men and 58 women) was 56±10 years (age range 22 to 77 years). New York Heart Association functional class was I, II, III, and IV in 2%, 39%, 52%, and 7% of patients, respectively. The mean cardiothoracic ratio was 0.58±0.07 (0.4 to 0.8), and 72 (45%) patients had atrial fibrillation. Valve analysis showed that the main mechanism of MVI was type II Carpentier’s functional classification in 152 patients. The leaflet prolapse involved the posterior leaflet in 93

Functional Capacity This may be assessed using a standardised exercise test or the six minute walk test (which strongly and independently predicts morbidity and mortality in patients with left ventricular dysfunction)10. Remember most patients do not show a linear deterioration, but may fluctuate even in the absence of treatment changes, and changes in treatment may make things better, or worse, in the absence of measurable changes in ventricular function. Some still use the New York Heart Association Classification of Heart Failure:
Class I: No symptoms on ordinary physical activity
Class II: Slight limitation of physical activity by symptoms
Class III: Less than ordinary activity leads to symptoms
Class IV: Inability to carry out any activity without symptoms

Note from asker:
Very useful refs. Thanks scruff!
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5 days

grade I-II/V tricuspid valve disease ...

insuficiencia is either disease, anomaly or disorder; insufficiency is too literal

insuficiencia cardíaca/renal/hepática is also heart/kidney/liver failure as ultimate cause of death, but refers to disease if it is a condition

website even refers to the gradient in mm Hg
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