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  3. Medical: Cardiology

insuficiencia I-II/IV

English translation: I-II/IV insufficiency

15:18 Oct 1, 2006
Spanish to English translations [PRO]
Medical - Medical: Cardiology / Medical report
Spanish term or phrase: insuficiencia I-II/IV
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.
Adam Burman
United Kingdom
Local time: 07:14
English translation:I-II/IV insufficiency
Explanation:
"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.
Selected response from:

Paulo César Mendes MD, CT
United States
Local time: 01:14
Grading comment
Selected automatically based on peer agreement.
4 KudoZ points were awarded for this answer



Summary of answers provided
5 +4I-II/IV insufficiency
Paulo César Mendes MD, CT
5vea las referencias
liz askew
4funcional classes
David Russi
4I-II/IV failure
translatol
4grade I-II/V tricuspid valve disease ...
Simon Boyden


Discussion entries: 2





  

Answers


15 mins   confidence: Answerer confidence 4/5Answerer confidence 4/5
funcional classes


Explanation:
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.

--------------------------------------------------
Note added at 16 mins (2006-10-01 15:35:41 GMT)
--------------------------------------------------

Sorry about the typo: funcTional classes

David Russi
United States
Local time: 00:14
Native speaker of: Native in EnglishEnglish, Native in SpanishSpanish
PRO pts in category: 24
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1 hr   confidence: Answerer confidence 5/5 peer agreement (net): +4
I-II/IV insufficiency


Explanation:
"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.

Paulo César Mendes MD, CT
United States
Local time: 01:14
Specializes in field
Native speaker of: Portuguese
PRO pts in category: 20
Grading comment
Selected automatically based on peer agreement.

Peer comments on this answer (and responses from the answerer)
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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1 hr   confidence: Answerer confidence 4/5Answerer confidence 4/5
I-II/IV failure


Explanation:
Insuficiencia cardiaca is heart failure (Oxford Spanish Dictionary).

translatol
Local time: 07:14
Native speaker of: Native in EnglishEnglish
PRO pts in category: 4

Peer comments on this answer (and responses from the answerer)
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   confidence: Answerer confidence 5/5
vea las referencias


Explanation:
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



liz askew
United Kingdom
Local time: 07:14
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 568
Notes to answerer
Asker: Very useful refs. Thanks scruff!

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5 days   confidence: Answerer confidence 4/5Answerer confidence 4/5
grade I-II/V tricuspid valve disease ...


Explanation:
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


    Reference: http://circ.ahajournals.org/cgi/content/full/104/suppl_1/I-2...
Simon Boyden
United Kingdom
Local time: 07:14
Native speaker of: Native in EnglishEnglish, Native in SpanishSpanish
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