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acute and chronic left ventricular systolic function

Posted By: CrankyBeach on 2009-05-08
In Reply to: Acute "onchronic" left ventricular - systolic dysfunction?

Subject: acute and chronic left ventricular systolic function

:)


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Acute "onchronic" left ventricular
Subject: Acute "onchronic" left ventricular


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Subject: left ventricular size AND function. drug-eluTing stent. nm

nm
depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
Subject: depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.

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cardiology.... retained systolic function and no change in her.....
Subject: cardiology.... retained systolic function and no change in her.....

s/l end D and D systolic dimension from her last echo


Could be right, could also be acute on chronic. NM
Subject: Could be right, could also be acute on chronic. NM

x
It is acute-on-chronic. NM
Subject: It is acute-on-chronic. NM

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acute on chronic.....nm
Subject: acute on chronic.....nm

xx
no, they often say acute on chronic.........
Subject: no, they often say acute on chronic.........


it is acute on chronic......n/m
Subject: it is acute on chronic......n/m


acute-on-chronic
Subject: acute-on-chronic


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Subject: acute on chronic


acute on chronic?
Subject: acute on chronic?

dr states exactly " he may have an acute on chronic complete on partial tear"?

Is it acute-on-chronic and complete-on-partial??

ANy help is appreciated!~
Acute "superimposed" on chronic
Subject: Acute "superimposed" on chronic

She's right. Acute on chronic means - they exist as two separate conditions, but the acute is "superimposed" on the chronic.
Yes, acute on chronic is correct.
Subject: Yes, acute on chronic is correct.


s/l acute and chronic renal failure?????
Subject: s/l acute and chronic renal failure?????


Does "acute" come before this for acute on chronic pain? nm
Subject: Does "acute" come before this for acute on chronic pain? nm

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It would be left ventricular hypertrophy
Subject: It would be left ventricular hypertrophy

and I would expand it.

Hyperplasia is an excess of normal tissue. Specifically, it is the increased cell production in a normal tissue or an organ. Hyperplasia may be a sign of precancerous changes.


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Subject: left ventricular frontal lobe (NM)

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LVEF = left ventricular ejection fraction
Subject: LVEF = left ventricular ejection fraction

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2D echo shows the left ventricular dysfunction in the
Subject: 2D echo shows the left ventricular dysfunction in the

s/l CP, CP&P??
LVAD=left ventricular assist device ?sm
Subject: LVAD=left ventricular assist device ?sm

perhaps the patient went into heart failure because of the lung disease....
Maybe LVEDP? Left ventricular end-diastolic pressure. nm
Subject: Maybe LVEDP? Left ventricular end-diastolic pressure. nm


All I can think is LVEDP (left ventricular end-diastolic pressure)?
Subject: All I can think is LVEDP (left ventricular end-diastolic pressure)?

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LVEF left ventricular ejection fraction
Subject: LVEF left ventricular ejection fraction


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Subject: ejection (or early) systolic murmur at the anterior ascending right and (or "or") left lower sternal border (?)


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Subject: Left ventricular S/L"Obb V" reveald ejection fraction of S/L "four to zero percent" TIA

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Subject: evaluate the function of left kidney

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He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.
Subject: He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border.

He has a whistling type 3/6 systolic ejection murmur best heard at the left *heart or hard* border. nm


cardio.. An echo will assess left and right heart function....
Subject: cardio.. An echo will assess left and right heart function....

as well as (a) diastolic parameters (and) LVH. 


It does not sound right with the a in there and I assume it is the word and, and not in.  He does a New York accent and sometimes it is hard to tell.  thank you


chronic chronic chronic! Good grief.
Subject: chronic chronic chronic! Good grief.


The costophrenic angles are acute. Acute?
Subject: The costophrenic angles are acute. Acute?

Does acute make sense?  Doctor with accent.


Thanks!


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Subject: med for chronic myalgia/chronic arthritis

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Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.

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pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom

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Systolic murmur
Subject: Systolic murmur

Hi! I have a rather simple (I hope) question. I have an ESL that always dictates 2/6 systolic murmur **at LLB and apex**. Is LLB correct? Every time she says this I try to look it up again, but it is a little difficult to search. Thanks for any advice on this!
S/D/M = systolic, diastolic, mean. sm
Subject: S/D/M = systolic, diastolic, mean. sm

SDNN = standard deviation of normal to normal beats.

Do either of these fit?

There is no SBN as far as I know.
Possible end-systolic dimension
Subject: Possible end-systolic dimension


Figured it out - he's just saying systolic
Subject: Figured it out - he's just saying systolic


systolic murmur
Subject: systolic murmur


Sorry. ESM is ejection systolic murmur. sm
Subject: Sorry. ESM is ejection systolic murmur. sm

ISH is isolated septal hypertrophy, ASH is asymmetric septal hypertrophy, but I doubt these. Maybe she's making a word out of abbreviations, again doubt. I'd leave a blank and flag it unless someone else has an idea. She may have started to say something like "ischemia" but cut herself off. Doubt if she'd say "murmurish." That wouldn't make any sense. I'll keep thinking about it. Please let us know what you find out.

Could also be "a systolic murmur is heard"
Subject: Could also be "a systolic murmur is heard"


Could be - 2/6 systolic "ejection" murmur
Subject: Could be - 2/6 systolic "ejection" murmur


Doc dictates 3/5 systolic murmur (sm)
Subject: Doc dictates 3/5 systolic murmur (sm)

I always thought the last number was 6.  Does this make sense?  TIA!
S/L Shorharz systolic mumur nt
Subject: S/L Shorharz systolic mumur nt


what about "on the order of" 170 systolic.
Subject: what about "on the order of" 170 systolic.

Meaning - for example
hole systolic murmur
Subject: hole systolic murmur

Has anyone heard of a hole systolic murmur?  The doctor dictates that it is a hole systolic at the apex. 
1/6 vs 1/VI systolic ejection murmur.
Subject: 1/6 vs 1/VI systolic ejection murmur.

Hi Ginny,

Actually, both are technically correct. However, for us it depends on client. Some want it with regular numbers and some want the roman numeral. As per the AHDI book of style 2 though "arabic v roman numerals
There is a trend away from the use of roman numerals and toward the use of arabic numerals. A good example of this is in diabetes terminology, where an international expert committee dropped the roman numerals in favor of arabic, noting the danger of a roman numeral II being misread as an arabic number 11. In addition, the AMA Manual of Style states, "Avoid the use of roman numerals except when part of established nomenclature." Copyright (c) 2002 American Association for Medical Transcription"
That being said, I would use 1/6 unless otherwise specified by client or boss.
Systolic ejection murmur...
Subject: Systolic ejection murmur...

He does have a 2/6 systolic ejection murmur s/l "ena cranst as 4".
Systolic ejection murmur
Subject: Systolic ejection murmur

MTPockets
probably means left anterior descending. Instead of saying LAD, just saying left AD.
Subject: probably means left anterior descending. Instead of saying LAD, just saying left AD.

x
Heart: S1, S2 regular. S/l systolic is noted
Subject: Heart: S1, S2 regular. S/l systolic is noted

Or maybe systolic ____ is not heard.