Irregular heart rate
Posted By: Stefanie on 2007-08-22
In Reply to:
Subject: Irregular heart rate
Here's my question, can a patient have an irregular heart rate and rhythm but have a normal S1 and S2 with no murmur? The patient does have recurrent atrial fibrillations. Thanks.
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On PE heart section doc says "Heart irregular rate regular"?? is that right
Subject: On PE heart section doc says "Heart irregular rate regular"?? is that right
pt with afib
No distinct heart sounds. Irregular.
Subject: No distinct heart sounds. Irregular.
Would a doctor ever say "No distinct heart sounds"?
heart rate 90 to ?
Subject: heart rate 90 to ?
Dictator says what sounds like heart rate 90 to "oneteen" would that be the correct way to transcribe? google says oneteen means 11 so would that mean would be 111 in this context? Thanks!
for the first - heart rate 80 - not sure about second. nm
Subject: for the first - heart rate 80 - not sure about second. nm
nm
heart rate
Subject: heart rate
nm
heart rate 60 beating in...
Subject: heart rate 60 beating in...
14 METS a minute? sounds like "beating in fortreemets a minute". New doc to me, he obviously says this over and over.
Ttarget heart rate between 60-143 bpm
Subject: Ttarget heart rate between 60-143 bpm
meant target heart rate between
Subject: meant target heart rate between
though that seems to be a wide range for a target
HEART: Regular rate and rhythm, S1 and S2 s/l plus zero?
Subject: HEART: Regular rate and rhythm, S1 and S2 s/l plus zero?
nm
Heart regular rate and rhythm?
Subject: Heart regular rate and rhythm?
The heart rate was regular without fills?,
Subject: The heart rate was regular without fills?,
The heart rate was regular without fills?, murmurs, clicks, or rubs.
HEART: revealed a s/l "night" rate........
Subject: HEART: revealed a s/l "night" rate........
Under Physical exam, in the HEART section, doc says "revealed a s/l "night" rate of 96, no murmur."
Can anyone think of a word that sounds like "night," that makes sense here?
Thanks,
Abby
Heart rate 60, breathing in 14 breaths a minute?
Subject: Heart rate 60, breathing in 14 breaths a minute?
x
Her orthostatics are positive. Upon lying, her heart rate is 68.
Subject: Her orthostatics are positive. Upon lying, her heart rate is 68.
All I can think of/document would be "flow rate" heart failure.....sm
Subject: All I can think of/document would be "flow rate" heart failure.....sm
if you think about it, when a patient is severely hypotensive, obviously the flow rate of the blood and return to the heart would be very slow, because of low pressure, and subsequently caused by low pressure; if you listen and it sounds like this, it physiologically would make sense, although I have not come across the exact phrase yet, they always throw new ones at ya!! Hope this is of some help! 
An EKG was normal except the **rate rolls** of a rapid heart
Subject: An EKG was normal except the **rate rolls** of a rapid heart
An EKG was normal except the **rate rolls** of a rapid heart.
Usually hear regularly irregular or irregularly irregular. Regular
Subject: Usually hear regularly irregular or irregularly irregular. Regular
s
Heart: Regular rate and rhythm, no murmur, s/l (no extra beat) is hear
Subject: Heart: Regular rate and rhythm, no murmur, s/l (no extra beat) is hear
Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
Subject: Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
ANA (antinuclear antibody) and sed rate (sedimentation rate)
Subject: ANA (antinuclear antibody) and sed rate (sedimentation rate)
Irregular
Subject: Irregular
Could be saying that as well
thanks it was irregular!!!
Subject: thanks it was irregular!!!
It should be irregularly irregular.
Subject: It should be irregularly irregular.
Probably regularly irregular.
Subject: Probably regularly irregular.
murmur "lows" and a T S1, S2 somewhat irregular?????
Subject: murmur "lows" and a T S1, S2 somewhat irregular?????
I have two questions on a cardiology transcription I am doing, if you could help. Dictator first says "heart: a T S1, S2 somewhat irregular", the t is throwing me off...what is she meaning by that. Also, she says he has a grade 1-2/6 murmur "lows" emphasis on the S so low SS, if that makes any sense...any ideas on what either of these things mean? I appreciate the help!
Might be irregularly irregular.. rhythm all over the place. nm
Subject: Might be irregularly irregular.. rhythm all over the place. nm
s
No, he says "joint erosions that are RATTY and irregular." NM
Subject: No, he says "joint erosions that are RATTY and irregular." NM
Verrucous lesions have an irregular or velvety surface. nm
Subject: Verrucous lesions have an irregular or velvety surface. nm
.
Patient complains of a very large, irregular, *brufus* mass to her knee....TIA
Subject: Patient complains of a very large, irregular, *brufus* mass to her knee....TIA
xxxx
At that rate and especially if you like it.......
Subject: At that rate and especially if you like it.......
nm
sed rate
Subject: sed rate
sed rate stands for sedimentation rate, therefore, making it 2 words. Hope this helps. Have a good day.
sed rate for second S/L. sm
Subject: sed rate for second S/L. sm
sedimentation rate
the rate at which a sediment is deposited from a solution. See Also: erythrocyte sedimentation rate.
KVO rate
Subject: KVO rate
A-fib rate (cause I like it that way) nm
Subject: A-fib rate (cause I like it that way) nm
sed rate usually checked for --sm
Subject: sed rate usually checked for --sm
rheumatoid arthritis or some other inflammatory process.
Filtration Rate
Subject: Filtration Rate
Sounds like "skull-marry-ah-lar" filtration rate. Even the doctor couldn't pronounce it as she tried to a few times so this is the best example I could give.
It is "for rate" - nm
Subject: It is "for rate" - nm
Probably 'basal rate'...nm
Subject: Probably 'basal rate'...nm
s
sedimentation rate?
Subject: sedimentation rate?
sedimentation rate....nm
Subject: sedimentation rate....nm
c
apical rate?
Subject: apical rate?
apical rate
Subject: apical rate
I think that's it. Thanks!
Pulse rate
Subject: Pulse rate
from 100s to 1-teens. How is that written out?
How do you right Afib rate?
Subject: How do you right Afib rate?
Doc is saying afib rate (atrial fibrillation) but I'm not sure how to abbreviate that. Is it afib, AFib, A-fib, ????
Thanks!
?? sed or sedimentation rate ?? (nm)
Subject: ?? sed or sedimentation rate ?? (nm)
dd
respiratory rate nm
Subject: respiratory rate nm
nm
Not respiratory rate
Subject: Not respiratory rate
RR is also given. This seems to be something else which is why I'm confused.
resting rate
Subject: resting rate
junctural rate?
Subject: junctural rate?
Is there such a thing with a patient who has atrial fibrillation for it to be In a junctural rate with heart rate 50-60 beats per minute? I cannot find any reference of "junctural rate" anywhere.
juctional rate, maybe?
Subject: juctional rate, maybe?
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