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Abdominal
aorta - The portion of the aorta in the abdomen.
Ablation
- Elimination or removal.
ACE (angiotensin-converting enzyme) Inhibitor
- A drug that lowers blood pressure by interfering with the breakdown
of a protein-like substance involved in blood pressure regulation.
Acetylcholine - A type of chemical (called a neurotransmitter)
that transmits messages among nerve cells and muscle cells.
Alveoli - Air sacs in the lungs where oxygen and carbon dioxide
are exchanged.
Ambulatory ECG Monitor - A device worn for an extended period
(usually 24 hours) to record heart rhythms for future study. Patients
record their daily activity and symptoms while the device records
the ECG.
Aneurysm
- A balloon-like sac in the wall of an artery, vein, or heart caused
by a weakening of the wall by injury, disease, or abnormality present
at birth. If left untreated, the bulge may burst or tear causing
loss of blood.
Angina or Angina Pectoris - Chest pain that occurs when diseased
blood vessels restrict blood flow to the heart. May manifest as
pain or discomfort, heaviness, tightness, pressure or burning, numbness
aching, tingling in the chest, back, neck, throat, jaw or arms.
Angiography - An x-ray technique that using contrast media or
dye injected into the coronary arteries to study blood circulation
through the vessels. The test measures the degrees of obstruction
to blood flow. Circulation through an artery is not seriously reduced
until the inside diameter of the vessel is more than 75% obstructed.
Angiogram - An x-ray of blood vessels or chambers of the heart
that shows the course contrast media or dye injected into the bloodstream.
Angioplasty - A non-surgical procedure in which a balloon at
the end of a catheter is used to dilate or widen diseased arteries
by temporarily inflating the balloon inside the artery. When the
obstruction is opened enough to allow sufficient blood to pass through,
the catheter is removed.
Annulus - The ring around a heart valve where the valve leaflet
merges with the heart muscle. Antiarrhythmics - Any drug used to
control or treat irregular heart beats and slow an overactive heart.
Anticoagulant - Any drug that keeps blood from clotting; a blood
thinner.
Antihypertensive - Any drug or other therapy that lowers blood
pressure.
Aorta - The largest artery in the body and the initial blood-supply
vessel from the heart.
Aortic Valve - The valve that regulates blood flow from the
heart into the aorta.
Aphasia - The inability to speak, write or understand spoken
or written language because of brain injury or disease.
Arrhythmia (or dysrhythmia) - An abnormal rhythm of the
heart.
Arterioles - Small, muscular branches of arteries. When contracted,
they increase resistance to blood flow and blood pressure in the
arteries.
Artery - A blood vessel conveying oxygenated rich blood in a
direction away from the heart.
Arteritis - Inflammation of the arteries.
Arteriosclerosis - A disease process, commonly called hardening
of the arteries, which includes a variety of conditions that cause
artery walls to thicken and lose elasticity.
Ascending Aorta - The first portion of the aorta, emerging from
the heart's left ventricle.
Atherectomy - A non-surgical technique for treating diseased
arteries using a catheter and rotating device that cuts or shaves
away plaque from artery walls.
Atherosclerosis - A disease process that leads to the accumulation
of a waxy substance, called plaque, inside blood vessels. As the
interior walls of arteries become lined with plaque, the arteries
become narrowed, and the flow of blood through them is reduced.
Atria - The two upper or holding chambers of the heart.
Atrial Flutter - A type of arrhythmia where the upper chambers
of the heart (the atria) beat very fast, causing the walls of the
lower chambers (the ventricles) to beat inefficiently as well.
Atrial Septum - The wall dividing the right and left atria.
Atrioventricular Block - An interruption or disturbance of the
electrical signal between the heart's atria (upper two chambers)
and the ventricles (lower two chambers).
Atrioventricular (AV) Node - A group of cells located between
the atria (upper two chambers) and the ventricles (lower two chambers)
that regulate the electrical current (heart rhythm) that passes
through it to the ventricles.
Atrium - Either one of the heart's two upper chambers in which
blood collects before being passed to the ventricles.
Autoregulation - When blood flow to an organ remains constant
while pressure changes in the artery that delivers blood to that
organ may have changed.
Bacterial Endocarditis - A bacterial infection
of the heart lining or valves. Individuals with abnormal heart valves
or congenital heart defects are at increased risk of developing
bacterial endocarditis.
Balloon Catheter - A long tube-like device with a small balloon
on the end that can be threaded through an artery.
Balloon Valvuloplasty - A procedure to repair a heart valve
using a balloon-tipped catheter threaded through an artery and into
the heart. The balloon is inflated to open and separate any narrowed
or stiffened flaps (called leaflets) of a valve. The catheter and
deflated balloon are removed after the procedure.
Beta Blocker - An antihypertensive drug that limits the activity
of epinephrine, a hormone that increases blood pressure.
Biopsy - The process by which a small sample of tissue is taken
for examination.
Blood Clot - A mass of blood tissue formed by clotting factors
in the blood. Clots stop the flow of blood from an injury, can form
inside an artery whose walls are damaged by atherosclerotic build-up,
and can cause a heart attack or stroke.
Blood Pressure - The force or pressure exerted by the heart
in pumping blood.
Bradycardia - Abnormally slow heartbeat, usually under 50 beats
per minute.
Bundle-branch Block - A condition in which portions of the heart's
conduction system are defective and unable to conduct the electrical
signal normally, causing arrhythmias.
Bypass - Surgery that can improve blood flow to the heart (or
other organs and tissues) by providing a new route, or "bypass,"
around a section of clogged or diseased artery.
Calcium Channel Blocker (or calcium blocker)
- A drug that lowers blood pressure by regulating calcium-related
electrical activity in the heart.
Capillaries - Microscopically small blood vessels between arteries
and veins that distribute oxygenated blood to the body's tissues.
Cardiac Arrest - The stopping of the heartbeat, usually because
of interference with the electrical signal (often associated with
coronary heart disease).
Cardiac Catheterization - A procedure that involves inserting
a fine, hollow tube (catheter) into an artery, usually in the groin
area, and passing the tube into the heart. Often used in conjunction
with angiography and other procedures, cardiac catheterization has
become a common procedure for visualizing the heart and blood vessels
and diagnosing and treating heart disease.
Cardiac Enzymes - Complex substances capable of speeding up
certain biochemical processes in the cardiac muscle. Abnormal levels
of these enzymes signal heart attack.
Cardiac Output - The amount of blood the heart pumps through
the circulatory system in one minute.
Cardiopulmonary Bypass - The process by which a machine is used
to do the work of the heart and lungs so the heart can be stopped
during surgery.
Cardiopulmonary Resuscitation (CPR) - A technique involving
a combination of chest compressions and mouth-to-mouth breathing
used during cardiac arrest to keep oxygenated blood flowing to the
heart muscle and brain until advanced cardiac life support can be
initiated or an adequate heartbeat resumes.
Cardioversion - A technique of applying an electrical shock
to the chest in order to convert an abnormal heartbeat to a normal
rhythm.
Cardiomyopathy - A disease of the heart muscle that leads to
generalized deterioration of the muscle and its pumping ability.
Cardiomyoplasty - A procedure that takes muscles from the back
or abdomen and wraps them around the heart. The muscle is stimulated
by a device similar to a pacemaker and may boost the heart's pumping
action.
Carotid Artery - A major artery (right and left) in the neck
supplying blood to the brain.
Carotid Duplex Doppler - An ultrasound test done over the neck
and the carotid arteries to look for blockages in blood flow to
the brain.
Catheter - A thin, flexible tube.
Catheterization - A procedure that involves inserting a fine,
hollow tube (catheter) into an artery, usually in the groin area,
and passing the tube into the heart. Often used in conjunction with
angiography and other procedures, cardiac catheterization has become
a prime tool for visualizing the heart and blood vessels and diagnosing
and treating heart disease.
Cerebral Embolism - A blood clot formed in one part of the body
and then carried by the bloodstream to the brain, where it blocks
an artery.
Cerebral Hemorrhage - Bleeding within the brain resulting from
a ruptured blood vessel, aneurysm, or a head injury.
Cerebral Thrombosis
- Formation of a blood clot in an artery that supplies part of the
brain.
Cerebrovascular - Pertaining to the blood vessels of the brain.
Cerebrovascular Accident - Also called cerebral vascular accident,
apoplexy or stroke. An impeded blood supply to some part of the
brain, resulting in injury to brain tissue.
Cerebrovascular Occlusion
- The obstruction or closing of a blood vessel in the brain.
Cholesterol - The most abundant fatty substance in animal tissues.
Limited quantities are essential to the normal development of cell
membranes. High levels in the diet contribute to the development
of atherosclerosis.
Cineangiography - The technique of taking moving pictures to
show the passage of an opaque dye through blood vessels, which allows
physicians to diagnose diseases of the heart and blood vessels.
Circumflex Artery - The blood vessel that wraps around the left
side of the heart.
Claudication - A tiredness or pain in the arms and legs caused
by an inadequate supply of oxygen to the muscles, usually due to
narrowed arteries.
Collateral Circulation - Blood flow through small, nearby vessels
in response to blockage of a main blood vessel.
Commissurotomy - A procedure used to widen the opening of a
heart valve that has been narrowed by scar tissue. First developed
to correct rheumatic heart disease.
Computed Tomography (CT or CAT scan) - An x-ray technique
that uses a computer to create cross-sectional images of the body.
Conduction System
- Special muscle fibers that conduct electrical impulses throughout
the muscle of the heart.
Congenital - Refers to conditions existing at birth.
Congenital Heart Defects - Malformation of the heart or of its
major blood vessels present at birth.
Congestive Heart Failure - The inability of the heart to pump
all the blood returning to it, leading to a back up of blood in
vessels and accumulation of fluid in body tissues, including the
lungs.
Coronary Arteries - Two arteries arising from the aorta that
arch down over the top of the heart and divide into branches. They
provide blood to the heart muscle.
Coronary Artery Bypass Graft (CABG) - Surgical rerouting
of blood around a diseased vessel that supplies the heart by grafting
either a piece of vein from the leg or the artery from under the
breastbone.
Coronary Artery Disease (CAD) - A narrowing of the inside
diameter of arteries that supply the heart with blood. The condition
arises from accumulation of plaque and greatly increases a person's
risk of having a heart attack.
Coronary Care Unit (CCU) - A specialized facility in
a hospital or emergency mobile unit equipped with monitoring devices
and staffed with trained personnel design specifically to treat
coronary patients.
Coronary Heart Disease - Disease of the heart caused by atherosclerotic
narrowing of the coronary arteries likely to produce angina pectoris
or heart attack.
Coronary Occlusion - An obstruction of one of the coronary arteries
that hinders blood flow to some part of the heart muscle.
Coronary Thrombosis - Formation of a clot in one of the arteries
that carry blood to the heart muscle. Also called coronary occlusion.
Cyanosis - Blueness of skin caused by insufficient oxygen in
the blood.
Cyanotic Heart Disease - A birth defect of the heart that causes
oxygen-depleted (blue) blood to circulate to the body without first
passing through the lungs Deep vein thrombosis - A blood clot in
the deep vein in the calf.
Defibrillator - An electronic device that
helps reestablish normal contraction rhythms in a malfunctioning
heart.
Diabetes (Diabetes Mellitus)
- A disease in which the body doesn't produce or properly use insulin.
Insulin is needed to convert sugar and starch into the energy needed
in daily life.
Diastolic Blood Pressure - The lowest blood pressure measured
in the arteries, it occurs when the heart muscle is relaxed between
beats.
Digitalis (Digoxin, Digitoxin) - A drug that strengthens the
contraction of the heart muscle, slows the rate of contraction of
the heart and promotes the elimination of fluid from the body tissues
when heart failure is present. In addition, the drug is used in
treating certain heart rhythm abnormalities.
Dissecting aneurysm - A condition in which the layers of an
artery separate or are torn, causing blood to flow between the layers.
Dissecting aneurysms usually happen in the aorta, which is the large
vessel that carries blood from the heart to other parts of the body.
Diuretic - A drug that lowers blood pressure by stimulating
fluid loss; promotes urine production.
Doppler Ultrasound - A test that uses sound waves to assess
blood flow within the heart and blood vessels and to identify leaking
valves.
Dysarthria - The imperfect articulation of speech resulting
from muscular problems caused by damage to the brain or nervous
system.
Dysrhythmia - See Arrhythmia.
Dyspnea - Shortness of breath.
Echocardiography - A non-invasive method
of studying the heart's structure and function by analyzing sound
waves bounced off the heart and recorded by an electronic sensor
placed on the chest. A computer processes the information to produce
a one-, two- or three-dimensional moving picture that shows how
the heart and heart valves are functioning.
Edema - Swelling caused by fluid accumulation in body tissues.
Ejection Fraction - A measurement of blood that is pumped out
of a filled ventricle. The normal rate is 50 percent or more.
Electrocardiogram (ECG or EKG) - A test in which several
electronic sensors are placed on the body to monitor the electrical
conduction system of the heart.
Electroencephalogram (EEG) - A test that can detect and
record the brain's electrical activity. The test is done by pasting
metal disks, called electrodes, to the scalp.
Electrolytes - Elements or chemicals needed to enable the body
and heart to work properly. The most frequently tested by blood
test include sodium, potassium and chloride. If the levels are too
high or too low in the blood, it cardiac problems may occur.
Electrophysiological Study (EPS) - A test that uses cardiac
catheterization to study patients who have arrhythmias. An electrical
current stimulates the heart to provoke arrhythmia, which is immediately
treated with medication. EPS is used to identify the origin of arrhythmias
and test the effectiveness of drugs used to treat abnormal heart
rhythms.
Embolus (Embolism) - A blood clot that forms in the blood vessel
in one part of the body and travels to another part.
Endarterectomy - Surgical removal of plaque deposits or blood
clots in an artery.
Endocardium - The smooth membrane covering the inside of the
heart. The innermost lining of the heart. Endothelium - The smooth
inner lining of many body structures, including the heart (endocardium)
and blood vessels.
Endocarditis - A bacterial infection of the heart's inner lining
(endothelium).
Enlarged Heart - A state in which the heart is larger than normal
due to heredity, long-term heavy exercise, or diseases and disorders
such as obesity, high blood pressure, and coronary artery disease.
Enzyme - A complex chemical capable of speeding up specific
biochemical processes in the body.
Epicardium - The thin membrane covering the outside surface
of the heart muscle.
Exercise stress test - A common test used for diagnosing coronary
artery disease, especially in symptomatic patients. The test helps
assess blood flow through coronary arteries in response to exercise
at varied speeds and for various lengths of time on a treadmill.
A stress test may include use of electrocardiography, echocardiography,
and injected radioactive substances.
Familial Hypercholesterolemia - A genetic predisposition
to dangerously high cholesterol levels.
Fatty Acids (Fats) - Substances that occur in several
forms in foods; different fatty acids have different effects on
lipid profiles.
Fibrillation - Rapid, uncoordinated contractions of individual
heart muscle fibers. The heart chamber involved can't contract all
at once and pumps blood ineffectively, if at all.
First-degree Heart Block - When an electrical impulse from the
heart's upper chambers (the atria) is slowed as it moves through
the atria and atrioventricular (AV) node.
Flutter - The rapid, ineffective contractions of any heart chamber.
A flutter is considered to be more coordinated than fibrillation.
Fusiform Aneurysm - A tube-shaped aneurysm that causes the artery
to bulge outward. Involves the entire circumference (outside wall)
of the artery.
Gated Blood Pool Scan - An x-ray analysis of
how blood pools in the heart during rest and exercise. The test
makes use of a radioactive substance injected into the blood to
tag or label red cells. The test provides an estimate of the heart's
overall ability to pump and its ability to compensate for one or
more blocked arteries. Also called MUGA, for multi-unit gated analysis.
Heart Attack - Medically known as an acute
myocardial infarction or MI, refers to the death of, or damage to,
part of the heart muscle due to an insufficient blood supply. This
occurs when a coronary artery is completely blocked or almost completely
blocked and blood and nutrients are not able to reach the part of
the heart muscle below the blockage. The severity of the heart attack
is a result primarily of the area of the heart that is affected.
Heart Block - General term for conditions in which the electrical
impulse that activates the heart muscle cells is delayed or interrupted
somewhere along its path.
Heart-lung Machine - An apparatus that oxygenates and pumps
blood to the body during open heart surgery.
Heart Valve Prolapse - A condition of the heart valve in which
it is partially open when it should be closed.
High Blood Pressure - A chronic increase in blood pressure above
its normal range.
High Density Lipoprotein (HDL) - A component of cholesterol,
HDL helps protect against heart disease by promoting cholesterol
breakdown and removal from the blood; hence, its nickname "good
cholesterol."
Holter Monitor - A portable device for recording heartbeats
over a period of 24 hours or more.
Hypertension - High blood pressure. A constant measurement in
blood pressure above 140/90.
Hypertrophic Obstructive Cardiomyopathy (HOCM) - An overgrown
heart muscle that creates a bulge into the ventricle and impedes
blood flow.
Hypertrophy - Tissues or organs that have grown in size because
of increased workload.
Hyperventilation - Rapid breathing usually caused by anxiety.
Persons feel like they can't get enough air, so they breathe heavily
and rapidly, which can lead to numb or tingly arms and legs, or
fainting.
Hypoglycemia - Low levels of glucose in the blood.
Hypotension - Abnormally low blood pressure.
Hypoxia - Less than normal content of oxygen in the organs and
tissues of the body.
Implantable Cardioverter/Defibrillator -
A device designed to produce an electric shock to control rapid
arrhythmias and restore normal heartbeat. It is implanted beneath
the skin of the chest and connected to the heart via patches.
Immunosuppressives - Any drug that suppresses the body's immune
system. These medications are used to minimize the chances that
the body will reject a newly transplanted organ such as a heart.
Impedance Plethysmography - A noninvasive diagnostic test used
to evaluate blood flow through the leg.
Incompetent Valve - Also called insufficiency; a valve that
is not working properly, causing it to leak blood back in the wrong
direction.
Infarct - The area of heart tissue permanently damaged by an
inadequate supply of oxygen.
Infective Endocarditis - An infection of the heart valves and
the innermost lining of the heart (the endocardium), caused by bacteria
in the bloodstream.
Inferior Vena Cava - The large vein returning blood from the
legs and abdomen to the heart.
Inotropics - Any drug that increases the strength of the heart's
contraction.
Intracoronary Ultrasound - A noninvasive technique that uses
sound waves and their echoes to visualize structures and blood flow
within the heart.
Intravascular Echocardiography - A marriage of echocardiography
and cardiac catheterization. A miniature echo device on the tip
of a catheter is used to generate images inside the heart and blood
vessels.
Invasive Procedure - Any procedure, test or surgery that involves
going through the skin or muscle or into a vein or artery.
Ischemia - Decreased blood flow to an organ, usually due to
constriction or obstruction of an artery.
Ischemic Heart Disease - Also called coronary artery disease
and coronary heart disease, this term is applied to heart ailments
caused by narrowing of the coronary arteries, and therefore characterized
by a decreased blood supply to the heart.
Jugular Veins - The veins that carry blood
back from the head to the heart.
Left Ventricular Assist Device - A mechanical
pumping device that is surgically implanted to help maintain pumping
action of the heart. It is often used in patients who are waiting
for a heart transplant.
Lesion - An injury or wound. An atherosclerotic lesion is an
injury to an artery due to hardening of the arteries.
Lipid - A fatty substance insoluble in blood.
Lipoprotein - A lipid surrounded by a protein; the protein makes
the lipid soluble in blood.
Low-density Lipoprotein (LDL) - The body's primary cholesterol-carrying
molecule. High blood levels of LDL increase a person's risk of heart
disease by promoting cholesterol attachment and accumulation in
blood vessels.
Lumen - The hollow area within a tube, such as a blood vessel.
Magnetic Resonance Imaging (MRI) - A technique
that produces images of the heart and other body structures by measuring
the response of certain elements (such as hydrogen) in the body
to a magnetic field. When stimulated by radio waves, the elements
emit distinctive signals in a magnetic field. MRI can produce detailed
pictures of the heart and its various structures without the need
to inject a dye.
Minimally Invasive Heart Surgery - A surgical procedure that
is less invasive than conventional coronary artery bypass surgery.
A smaller incision allows access to the heart without surgical division
of the breastbone and eliminates the need for a heart-lung machine.
Mitral Stenosis - A narrowing of the mitral valve, which controls
blood flow from the heart's upper left chamber (the left atrium)
to its lower left chamber (the left ventricle). May result from
an inherited (congenital) problem or from rheumatic fever. Mitral
valve - The structure that controls blood flow between the heart's
left atrium (upper chamber) and left ventricle (lower chamber).
Mitral Valve Prolapse - A condition that occurs when the leaflets
of the mitral valve between the left atrium (upper chamber) and
left ventricle (lower chamber) bulge into the ventricle and permit
backflow of blood into the atrium. The condition is often associated
with progressive mitral regurgitation.
Mitral Valve Regurgitation
- Failure of the mitral valve to close properly, causing blood to
flow back into the heart's upper left chamber (the left atrium)
instead of moving forward into the lower left chamber (the left
ventricle).
Monounsaturated Fats - A type of fat found in many foods but
predominantly in avocados and canola, olive and peanut oil. Monounsaturated
fat tends to lower LDL cholesterol levels, and some studies suggest
that it may do so without also lowering HDL cholesterol levels.
Mortality - The total number of deaths from a given disease
in a population during an interval of time, usually a year.
Mortality Rate (Risk-Adjusted) - A mortality rate that
has been standardized for a variety of risk factors so different
populations can be compared or the same population can be compared
over time.
Murmur - Noises superimposed on normal heart sounds. They are
caused by congenital defects or damaged heart valves that do not
close properly and allow blood to leak back into the chamber from
which it has come.
Myocardial Infarction - The damage or death of an area of the
heart muscle (myocardium) resulting from a blocked blood supply
to the area. The affected tissue dies, injuring the heart. Symptoms
include prolonged, intensive chest pain and a decrease in blood
pressure that often causes shock.
Myocardial Ischemia - Deficient blood flow to part of the heart
muscle.
Myocardium - The muscular wall of the heart. It contracts to
pump blood out of the heart and then relaxes as the heart refills
with returning blood.
Myxomatous Degeneration - A connective tissue disorder that
causes the heart valve tissue to weaken and lose elasticity.
Nitroglycerin - A drug that helps relax and dilate arteries
to enable blood to flow more easily, often used to treat cardiac
chest pain (angina). Can be taken by mouth, spray, skin patch, or
intravenously.
Necrosis - Referring to the death of tissue within a certain
area.
Noninvasive Procedures - Any diagnostic or treatment procedure
in which no instrument enters the body.
Nuclear Cardiology - Noninvasive tests to evaluate heart disease
using a small amount of radioactive substance injected into a vein.
Its presence is detected by a gamma camera. Images reveal areas
of the heart that are not getting sufficient blood. Obesity - The
condition of being significantly overweight. It is usually applied
to a condition of 30 percent or more over ideal body weight.
Obesity - A risk factor in which excessive
weight puts a strain on the heart and can increase the chance of
developing high blood pressure and diabetes.
Occluded Artery - An artery in which the blood flow has been
impaired by a blockage.
Open Heart Surgery - An operation in which the chest and heart
are opened surgically while the bloodstream is diverted through
a heart-lung (cardiopulmonary perfusion) machine.
Pacemaker - A surgically implanted electronic
device that helps regulate the heartbeat.
Palpitation - An uncomfortable sensation within the chest caused
by an irregular heartbeat.
Patent Ductus Arteriosus - A congenital defect in which the
opening between the aorta and the pulmonary artery does not close
after birth.
Percutaneous Transluminal Coronary Angioplasty (PTCA) - See
angioplasty.
Pericarditis - Inflammation of the outer membrane surrounding
the heart. Rheumatic fever, tuberculosis, and many other agents
are its possible causes.
Pericardiocentesis - A diagnostic procedure using a needle to
withdraw fluid from the sac or membrane surrounding the heart (pericardium).
Pericardium - The thin, tissue-like sac enclosing the heart
and beginning parts of the large blood vessels that leave and enter
the heart.
Peripheral Vascular Disease (PVD) - A condition in which
blood vessels throughout the body have plaque or disease which reduces
blood flow to a particular part of the body such as the legs or
kidneys.
Plaque - A deposit of fatty (and other) substances in the inner
lining of the artery wall; it is characteristic of atherosclerosis.
Platelets - One of the three types of cells found in blood;
they aid in the clotting of the blood.
Polyunsaturated Fat - The major fat constituent in most vegetable
oils including corn, safflower, sunflower, and soybean. These oils
are liquid at room temperature. Polyunsaturated fat actually tends
to lower LDL cholesterol levels but may also reduce HDL cholesterol
levels as well.
Positron Emission Tomography (PET) - A test that uses
positron emitting substances to assess information about the metabolism
of elements that can be used to indicate whether heart muscle is
alive and functioning. A ring of radiosensitive detectors positioned
around the chest reconstructs a two- or three-dimensional image
of the heart.
Premature ventricular contraction (PVC) - An early or
extra heartbeat that happens when the heart's lower chambers (the
ventricles) contract too soon, out of sequence with the normal heartbeat.
Prevalence - The total number of cases of a given disease that
exist in a population at a specific time.
Pulmonary - Referring to the lungs and respiratory system.
Pulmonary Embolism - A condition in which a blood clot that
has formed elsewhere in the body travels to the lungs.
Pulmonary Edema - A condition in which there is a fluid accumulation
in the lungs caused by an incorrectly functioning heart.
Pulmonary Valve - The heart valve between the right ventricle
and the pulmonary artery. It controls blood flow from the heart
into the lungs.
Pulmonary Vein - The blood vessel that carries newly oxygenated
blood from the lungs back to the left atrium of the heart.
Pulse oximeter - A device that measures the amount of oxygen
in the blood.
Radiofrequency ablation (RFA) - A special
procedure used to treat heart tissue responsible for causing some
fast heart rates.
Radioisotope - A radioactive material injected into the body
so that a nuclear scanner can produce images. Radionuclide imaging
- A test in which a harmless radioactive substance is injected into
the bloodstream to show information about blood flow through the
arteries. Damaged or dead heart muscle can often be identified,
as can serious narrowing in an artery.
Radionuclide ventriculography - A diagnostic test used to determine
the size and shape of the heart's pumping chambers (the ventricles).
Regurgitation
- Backward flow of blood through a defective heart valve.
Renal - Pertaining to the kidneys.
Rheumatic Fever - A disease, usually occurring in childhood,
that may follow a streptococcal infection. Symptoms may include
fever, sore or swollen joints, skin rash, involuntary muscle twitching,
and development of nodules under the skin. If the infection involves
the heart, scars may form on heart valves, and the heart's outer
lining may be damaged.
Rheumatic Heart Disease - Damage done to the heart, particularly
the heart valves, by one or more attacks of Rheumatic Fever.
Risk Factor - An element or condition involving a certain hazard
or danger. When referring to heart and blood vessels, a risk factor
is associated with an increased chance of developing cardiovascular
disease, including stroke. Nonmodifiable risk factors include family
history, age and gender. Modifiable risk factors include smoking,
high blood pressure, diet high in fat, sedentary lifestyle, diabetes,
stress, type "A" personality, obesity and excessive use of alcohol.
Rotoblade - A high-speed rotating device that connects to the
end of a catheter and is used to grind away material that is blocking
a coronary artery. Used in an atherectomy, a procedure to open coronary
arteries often performed with an angioplasty.
Saccular Aneurysm - A round aneurysm that
bulges out from an artery. Involves only part of the circumference
(outside wall) of the artery.
Saturated Fat - Type of fat found in foods of animal origin
and a few of vegetable origin; they are usually solid at room temperature.
Abundant in meat and dairy products, saturated fat tends to increase
LDL cholesterol levels, and it may raise the risk of certain types
of cancer.
Second-degree Heart Block - Impulses traveling through the heart's
upper chambers (the atria) are delayed in the area between the upper
and lower chambers (the AV node) and fail to make the ventricles
beat at the right moment.
Septal Defect - A hole in the wall of the heart separating the
atria or in the wall of the heart separating the ventricles.
Septum - The muscular wall dividing a chamber on the left side
of the heart from the chamber on the right.
Shock - A condition in which body function is impaired because
the volume of fluid circulating through the body is insufficient
to maintain normal metabolism. This may be caused by blood loss
or by a disturbance in the function of the circulatory system.
Shunt - A connector that allows blood to flow between two locations.
Sick sinus syndrome - The failure of the sinus node to regulate
the heart's rhythm.
Silent Ischemia - Episodes of cardiac ischemia that are not
accompanied by chest pain.
Sinus (SA) Node - The "natural" pacemaker of the heart. The
node is a group of specialized cells in the top of the right atrium
which produces the electrical impulses that travel down to eventually
reach the ventricular muscle, causing the heart to contract.
Sphygmomanometer - An instrument used to measure blood pressure.
Stent - A device made of expandable, metal mesh that is placed
(by using a balloon catheter) at the site of a narrowing artery.
The stent is then expanded and left in place to keep the artery
open.
Stenosis - The narrowing or constriction of an opening, such
as a blood vessel or heart valve.
Stethoscope - An instrument for listening to sounds within the
body.
Streptococcal Infection ("strep") - An infection, usually in
the throat, resulting from the presence of streptococcus bacteria.
Streptokinase - A clot-dissolving drug used to treat heart attack
patients.
Sternum - The breastbone.
Stress - Bodily or mental tension resulting from physical, chemical
or emotional factors. Stress can refer to physical exertion as well
as mental anxiety.
Stroke (Apoplexy, Cerebrovascular Accident, or Cerebral Vascular
Accident) - An onset of symptoms resulting from injury
to the brain caused by a blood clot or hemorrhage. This is usually
secondary to hypertension, atherosclerosis or both.
Subarachnoid Hemorrhage - Bleeding from a blood vessel on the
surface of the brain into the space between the brain and the skull.
Sudden Death - Death that occurs unexpectedly and instantaneously
or shortly after the onset of symptoms. The most common underlying
reason for patients dying suddenly is cardiovascular disease, in
particular coronary heart disease.
Superior Vena
Cava - The large vein that returns blood from the head and arms
to the heart.
Syncope - A temporary, insufficient blood supply to the brain
which causes a loss of consciousness. Usually caused by a serious
arrhythmia.
Systolic Blood Pressure - The highest blood pressure measured
in the arteries. It occurs when the heart contracts with each heartbeat.
Tachycardia - Accelerated beating of the
heart, usually over 110 beats per minute. Paroxysmal tachycardia
is a particular form of rapid heart action, occurring in seizures
that may last from a few seconds to several days.
Tachypnea - Rapid breathing.
Thallium Stress Test - An x-ray study that follows the path
of radioactive potassium carried by the blood into heart muscle.
Damaged or dead muscle can be defined, as can the extent of narrowing
in an artery.
Third-degree Heart Block (also called Stokes-Adams attack)
- Impulses from the heart's upper chambers (the atria) are completely
blocked from reaching the heart's lower chambers (the ventricles).
To make up for this, the ventricles use their own "backup" pacemaker
with its slower rate.
Thrombolysis - The breaking up of a blood clot.
Thrombosis - A blood clot that forms inside the blood vessel
or cavity of the heart. Thrombolytic therapy - Intravenous or intraarterial
drugs used to dissolve blood clots in an artery.
Thrombus - A blood clot located in a blood vessel or cavity
of the heart.
Tissue Plasminogen Activator (TPA) - A clot-dissolving
drug used to treat heart attack patients.
Trans Fat - Created when hydrogen is forced through an ordinary
vegetable oil (hydrogenation), converting some polyunsaturates to
monounsaturates, and some monounsaturates to saturates. Trans fat,
like saturated fat, tends to raise LDL cholesterol levels, and,
unlike saturated fat, trans fat also lowers HDL cholesterol levels
at the same time.
Transesophageal Echocardiography (TEE) - A diagnostic
test that analyzes sound waves bounced off the heart. The sound
waves are sent through a tube-like device inserted in the mouth
and passed down the esophagus (food pipe), which ends near the heart.
This technique is useful in studying patients whose heart and vessels,
for various reasons, are difficult to assess with standard echocardiography.
Transient Ischemic Attack (TIA) - A transient (temporary)
disruption of blood flow to the brain that may last minutes to hours.
Symptoms vary from visual disturbance, speech difficulties, motor
weakness, dizziness, numbness or staggering.
Transmyocardial Revacularization (TMR) - A procedure
that creates new channels in the heart believed to restore blood
flow.
Tricuspid Valve - The structure that controls blood flow from
the heart's right atrium (upper chamber) into the right ventricle
(lower chamber).
Triglyceride - The most common fatty substance found in the
blood; normally stored as an energy source in fat tissue. High triglyceride
levels may thicken the blood and make a person more susceptible
to clot formation. High triglyceride levels tend to accompany high
cholesterol levels and other risk factors for heart disease such
as obesity.
Ultrasound - High-frequency sound vibrations,
not audible to the human ear, used in medical diagnosis.
Valves - Pieces of tissue in the heart or blood
vessels that prevent the backward flow of blood.
Valve Replacement - An operation to replace a heart valve that
is either blocking normal blood flow or causing blood to leak backward
into the heart (regurgitation).
Valvuloplasty - Reshaping of a heart valve with surgical or
catheter techniques.
Varicose Vein - Any vein that is abnormally dilated.
Vascular - Pertaining to the blood vessels.
Vasodilators
- Any medication that dilates (widens) the arteries.
Vasopressors - Any medication that elevates blood pressure.
Vein - Any one of a series of blood vessels of the vascular
system that carries blood from various parts of the body back to
the heart; returns oxygen-depleted blood to the heart.
Ventricle - (Right and Left) One of the two lower chambers
of the heart.
Ventricular fibrillation - A condition in which the ventricles
contract in a rapid, unsynchronized fashion. When fibrillation occurs,
the ventricles cannot pump blood throughout the body.
Ventricular Tachycardia - An arrhythmia (abnormal heartbeat)
in the ventricle characterized by a very fast heartbeat.
Vertigo - A feeling of dizziness or spinning.
Wolff-Parkinson-White syndrome - A condition
in which an extra electrical pathway connects the atria (two upper
chambers) and the ventricles (two lower chambers). It may cause
a rapid heartbeat.
X-ray - Form of radiation used to create a picture
of internal body structures on film.
Sources: This information provided above has been compiled from
several online medical resources included those listed on our site.
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