2024年3月31日发(作者:)
心血管内科常用英文
Symptoms 症状
chest distress胸闷
dyspnoea呼吸困难:paroxysmal nocturnal dyspnea, orthopnea
breathlessness 气促
a poor effort tolerance
cough咳嗽
palpitation 心悸
precordial chest pain心前区胸痛
retrosternally chest pain 胸骨后胸痛
precipitation by exertion, promptly relief by rest or sublingual nitrate
a sense of oppression or tightness in the chest - like a band around the chest
patients may close a hand around the throat ,put a hand or clenched fist on
the sternum
may radiate to the neck or jar, accompanied by discomfort in the
arms(referred pain)
occasionally epigastric or interscapular 上腹部的/肩胛间的
sense of impending death 濒死感
autonomic disturbance including sweating, nausea, vomiting
Signs 体征
Vital signs 生命体征
blood pressure (systolic/diastolic, pulse pressure
压):hypertension/hypotension
pulse rate 脉律: regular/irregular
dropped beat脉搏短绌
respitatory rate : tachypnea呼吸急促/ respiration ceases呼吸停止
temperature: fever /clammy peripheries 四肢湿冷
cyanosis 发绀
脉
loss of consciousness,unconsciousness意识丧失
tic of limbs四肢抽搐
gatism,urinary and fecal incontinence大小便失禁
cardiac apex (4/5th ICS-MCL or displaced laterally) 心尖
palpable lift
thrill 震颤
cardiac dilatation心脏扩大
large right atrium 右房大
dilated left ventricle 左室大
beats per minute ,bpm (heart rate) 心率: tachycardia/bradycardia,
regular/irregular rhythm
heart sounds: S1,S2,S3,S4
gallop奔马律, systolic click收缩期卡嗒音, opening snap(二尖瓣)开瓣音,
pericardial knock 心包叩击音
heart murmur 心脏杂音
systolic/diastolic/continous
grade 1-5
crescendo/decrescendo 递增/递减
radiation
location
pitch音调
quality 性质
pericardial friction rub, pericardial rub心包摩擦音
inspiratory crepitations over the lung bases, basal crackles 肺底湿啰音
wheezing rale 哮鸣音
cardiomegaly 心脏肥大
elevated venous pressure
distention of jugular vein,jugular filling,jugular varicosity颈静脉怒张/充盈
hepatojugular reflux sign肝颈静脉回流征
ascites 腹水
edema of lower extremity下肢水肿
Hypertensive disease高血压病
sphygmomanometer;blood pressure gauge,BPG血压计
stethoscope听诊器
hypertension
primary hypertension
secondary hypertension
chronic kidney disease, CKD
drugs: non-steroid anti-inflammatory drug,NSAID非甾体类抗炎药
glucocorticosteroids糖皮质激素
mineral corticoid ,MCH盐皮质激素
oral contraceptives口服避孕药
adrenomimetic拟肾上腺素药
monoamine oxidase inhibitor单胺氧化酶抑制剂
tricyclic antidepressant;TCA三环类抗抑郁药
immunodepressant免疫抑制剂(如ciclosporin环孢素)
erythropoietin, EPO 促红细胞生成素
hyperthyrea, hyperthyroidism, hyperthyrosis甲状腺功能亢进
primary hyperaldosteronism原发性醛固酮增多症
adrenal cortical hyperplasia肾上腺皮质增生症
chromaffin-cell tumor,chromaffinom,medullosuprarenoma,
phaeochromocytoma,PCC嗜铬细胞瘤
sleep apnea syndrome睡眠呼吸暂停综合征
diabetes mellitus糖尿病
coarctation of aorta,COA主动脉缩窄
white coat hypertension
isolated systolic hypertension 单纯收缩期高血压
hypertensive emergencies 高血压急症
hypertensive urgencies 高血压亚急症
hypertensive crisis 高血压危象
hypertensive encephalopathy 高血压性脑病
The coronary circulation
left anterior descending artery,LAD
left circumflex coronary artery, LCX
right coronary artery, RCA
Coronary artery disease;coronary heart disease,CAD,CHD冠心病
atherosclerosis 动脉粥样硬化
atheromatous plaques 动脉粥样斑块
plaque rupture 斑块破裂
angina pectoris 心绞痛
stable angina pectoris 稳定性心绞痛
variant angina pectoris 变异性心绞痛
silent myocardial ischemia 无症状心肌缺血(latent coronary heart disease 隐匿
性冠心病)
myocardial bridging 心肌桥
post-infarction angina pectoris 梗死后心绞痛
acute coronary syndrome,ACS 急性冠脉综合征
unstable angina pectoris ,UAP 不稳定心绞痛
rest 静息型 , new/initial初发型,accelerated 恶化型
acute myocardial infarction ,AMI 急性心肌梗死
non-ST segment elevation MI, NSTEMI
ST segment elevation MI, STEMI
sudden cardiac death, SCD 心脏性猝死
dysfunction/rupture of papillary muscle 乳头肌功能不全/断裂
rupture of chordae tendineae腱索断裂
rupture of the heart ,cardiac rupture心脏破裂
embolism 栓塞(systemic体循环的)
cardiac aneurysm 心脏室壁瘤
postinfarction syndrome 心肌梗死后综合征
Four chambers: left/right atrium/ventricle 心房/心室 (atrial 心房的,ventricular
心室的)
atrial septum房间隔 interventricular septum 室间隔
Cardiac insufficiency心功能不全,heart failure 心衰
compensated/overt heart failure 代偿性/显性心衰
congestive heart failure 充血性心力衰竭
acute/chronic left-sided heart failure 急/慢性左心衰竭
intractable heart failure难治性心衰
systolic/diastolic insufficiency heart failure收缩/舒张功能不全的心衰
The electrical conduction system
sinoatrial node
His bundle
right and left bundles
left anterior and posterior hemibundles
Purkinje network
Arrhythmia 心律失常
triggered activity 触发活动
re-entry 折返
afterdepolarization 后除极
sinus bradycardia/ tachycardia窦性心动过缓/心动过速
sinus pause (sinus arrest)窦性停搏(窦性静止)
sinoatrial block (Wenckebach 文氏,Mobitz莫氏)
sick sinus syndrome(SSS) 病态窦房结综合征:bradycardia-tachycardia
syndrome
atrial premature beats 房性期前收缩
atrial tachycardia(automatic, reentrant,chaotic) (自律性,折返性,紊乱性)房性心
动过速
atrial flutter, AFL
atrial fibrillation ,AF
premature atrioventricular junctional beats 房室交界性期前收缩
AV junctional escape beats 逸搏
paroxysmal supraventricular tachycardia,PSVT阵发性室上性心动过速
atrioventricular nodal reentrant tachycardia, AVNRT
atrioventricular reentrant tachycardia, AVRT
preexcitation syndrome (Wolff-Parkinson-White syndrome)
premature ventricular beat
ventricular tachycardia,VT (multiforme多形性,multifocal 多源性)
accelerated idioventricular rhythm 加速性室性自主节律
torsades de pointes ,TDP尖端扭转
ventricular flutter
ventricular fibrillation
atrioventricular block, AVB
Adame-Strokes syndrome 阿-斯综合征
intraventricular block
left bundle branch block, LBBB
left anterior fascicular block, LAFB
left posterior fascicular block, LPFB
right bundle branch block, RBBB
bifascicular block 双分支传导阻滞
trifascicular block 三分支传导阻滞
Valvular disease of the heart,VDH, valvular heart disease心脏瓣膜病
mitral/tricuspid/aortic/pulmonary valve disease 二尖瓣/三尖瓣/主动脉瓣/肺动
脉瓣疾病
acute/chronic mitral stenosis/incompetence/ insufficiency 狭窄/关闭不全
rheumatic fever 风湿热
rheumatic carditis 风湿性心脏炎
Infective endocarditis ,IE 感染性心内膜炎
acute/ subacute, native/prothetic/right heart IE 自体瓣膜/人工瓣膜
clinical/fever thermometer体温计
Cardiomyopathy 心肌病
dilated cardiomyopathy, DCM
hypertrophic cardiomyopathy, HCM (asymmetric septal 非对称性室间隔肥厚)
restrictive cardiomyopathy, RCM
arrhythmogenic right ventricular cardiomyopathy ,ARVC 致心律失常性右室心肌
病
speciflc cardiomyopathy 特异性心肌病
ischemic cardiomyopathy 缺血性心肌病
diabetic cardiomyopathy 糖尿病性心肌病
alcoholic cardiomyopathy 酒精性心肌病
peripartum cardiomyopathy 围生期心肌病
cardiac amyloidosis 心脏淀粉样变性
drug-induced cardiomyopathy 药物性心肌病
Keshan disease 克山病,endemic cardiomyopathy 地方性心肌病
unclassified cardiomyopathy 未分类心肌病
pericardium心包
cardiopericarditis,cardipericarditis,pericarditis心包炎
hydropericardium,pericardial effusion,pericardial fluid心包积液
constrictive pericarditis缩窄性心包炎
Congenital heart/cardiovascular disease先天性心脏病/心血管病,CHD
atrial septal defect ASD
ventricular septal defect,VSD
patent ductus ateriosus, PDA
tetralogy of fallot, TOF
Eisenmenger’s syndrome
coarctation of the aorta
pulmonic stenosis 肺动脉狭窄
primary pulmonary hypertension
dextrocardia右位心
complete transposition of the great vessels 完全性大血管错位
Disease of blood vessel,vascular disease,angiopathy血管疾病
aortic dissection主动脉夹层
primary arteritis or the aorta and its main branches 多发性大动脉炎
peripheral arteriosclerosis obliterans 闭塞性周围动脉硬化
thromboangitis obliterans (Buerger disease) 闭塞性血栓性脉管炎(Buerger病)
thrombophlebitis血栓性静脉炎
superficial thrombophlebitis 血栓性浅静脉炎
deep venous thrombosis 深静脉血栓形成
superior vena cava obstruction syndrome 上腔静脉阻塞综合征
Cardiac arrest 心脏骤停
cardiogenic shock 心源性休克
syncope 晕厥
vasovagal syncope, VVS 血管迷走性晕厥
postural hypotension体位性低血压
Cardiogenic syncope心源性晕厥
transient ischemic attack, TIA 短暂性缺血发作
syndrome X X综合征
cardiac neurosis 心脏神经官能症
Tests 常用检查
electrolyte disturbance: hypokalaemia, hyponatraemia, hypomagnesaemia,
hyperkalaemia
aterial blood gas analysis: acidosis /alkalosis碱中毒(metabolic代谢性,
respiratory呼吸性)
hyperlipoidemia高脂血症:hypertriglyceridemia高甘油三酯血症 triglyceride 甘
油三酯
hypercholesterolemia高胆固醇血症 cholesterol胆固醇
plasma low-density lipoprotein (LDL) concentration
lipoprotein(a), LP 脂蛋白
Apo, apopoprotein 载脂蛋白
enzymogram/zymogram of the cardiac muscle 心肌酶谱
CK-MB , MB isoenzyme of creatine kinase 心肌型肌酸激酶同功酶
AST, aspartate aminotransferase天冬氨酸转氨酶
LDH, lactate dehydrogenase 乳酸脱氢酶
myohemoglobin 肌红蛋白
troponin T and I 肌钙蛋白
brain natriuretic peptide,BNP 脑钠肽
blood culture
chest radiograph:cardiothoracic ration < 0.5
electrocardiography, ECG 心电图
standard 12-lead ECG (limb leads, chest leads)
exercise/stress ECG 负荷心电图
Holter ECG monitoring, ambulatory ECG 动态心电图
T wave flattening or inversion
reversible ST segment depression/elevation (planar, downsloping,upsloping)
wide QRS complex
pathologic Q wave
late ventricular potential, LVP 心室晚电位
T wave electrical alternations T波电交替
upright tilt-table testing, head-up tilt testing 直立倾斜试验
cardiac electrophysiologic study心电生理检查:programmed electrical
stimulation
sinus node recovery time, SNRT 窦房结恢复时间
sinoatrial conduction time ,SACT 窦房结传导时间
echocardiography 超声心动图
two-dimensional echocardiography
Doppler echocardiography
color Doppler flow imaging
Doppler tissue imaging 多普勒组织成像技术
transesophageal echocardiography经食管超声心动图
intravascular ultrasound血管内超声
stress echocardiography 负荷心超图
ejection fraction (0.50-0.75)
ambulatory blood pressure monitoring 动态血压监测
coronary angiography 冠脉造影
cardiac catheterization 心导管术
cardiac radionuclide (blood pool) scanning
Management 处理
avoid a high dietary salt intake
avoid severe exertion and vigorous exercise
avoid a heavy meal or very cold water
avoid agitation情绪激动
stop smoking ,alcohol withdrawal
keep bowels open通便: lactulose乳果糖,Bisacody便塞停,senna
leaves;sennae,folium番泻叶
analgesia镇痛:morphine吗啡, meperidine,pethidine哌替啶
take sublingual nitrate before undertaking exertion thar may induce angina
interventional therapy for cardiovascular diseases 介入治疗
radiofrequency catheter ablation ,RFCA经导管射频消融
coronary revascularization therapy冠脉血运重建术;reperfusion therapy 再灌
注治疗
percutaneous coronary intervention ,PCI 经皮冠脉介入治疗
percutaneous transluminal coronary angioplasty, PTCA 经皮腔内冠脉成形术
percutaneous intracoronary stent implantation 经皮冠脉内支架植入术
thrombolysis溶栓:urokinase, UK尿激酶
rt-PA重组组织型纤溶酶原激活剂
coronary artery bypass graft ,CABG 冠脉旁路手术
great saphenous vein 大隐静脉
internal mammary artery 内乳动脉
percutaneous balloon mitral valvuloplasty ,PBMV 经皮球囊二尖瓣成形术
artifical cardiac pacing 人工心脏起搏
persistent/temporary,biatrial/biventricular
antitachycardia pacing 抗心动过速起搏ATP
cardioversion 心脏电复律
:
defibrillation 电除颤
thumpversion 捶击复律
implantable cardioverter defibrillator, ICD 置入型心律转复除颤器
cardiac resynchronization therapy, CRT 心脏再同步化治疗
heart transplantation
combined heart and lung transplantation心肺联合移植
percutaneous pericardiocentesis 心包穿刺术
常用药物
vasodilator血管扩张剂(phlebectasis静脉扩张,arteriectasis动脉扩张)
nitrate-based vasodilating agents 硝酸酯类血管扩张剂
nitroglycerin 硝酸甘油
sodium nitroprusside 硝普钠
isosorbide dinitrate 硝酸异山梨酯,消心痛
diuretics
thiazide diuretic:hydrochlorothiazide 双氢克尿塞(氢氯噻嗪)
loop diuretic:furosemide呋塞米,速尿, bumetanide布美他尼
torasemide托拉塞米,特苏尼
potassium-sparing diuretic: antisterone, Spironolactone螺内酯,安体舒通
inotropic agent 正性肌力药
digitalis preparation洋地黄类:digoxin地高辛,cedilanid,lanatoside C西地兰
adrenergic receptor stimulant: dopamine多巴胺,dobutamine 多巴酚丁胺
adrenaline肾上腺素isopropylnoradrenalin异丙肾上腺素
phosphodiesterase inhibitor 磷酸二酯酶抑制剂:Milrinone 米力农
renin-angiotensin-aldosterone system, RAAS肾素-血管紧张素-醛固酮系统
angiotensin converting enzyme inhibitor ,ACEI 血管紧张素转换酶抑制剂
angiotensin-II antagonist/receptor blocker
aldosterone antagonist 醛固酮拮抗剂
beta adrenergic receptor blocker(beta blockers)
calcium channel blocker, CCB
antiarrhythmic drug
lidocaine 利多卡因
propafenone 普罗帕酮,心律平
amiodarone 胺碘酮,可达龙
propranolol 普萘洛尔,心得安
verapamil 维拉帕米,异搏定
HMG-CoA reductase inhibitors: simvastatin 辛伐他汀,舒降之
atorvastatin 阿托伐他汀,立普妥
fluvastatin 氟伐地汀,来适可
antiplatelet drugs:aspirin 阿司匹林
clopidogrel氯吡格雷,波利维
tirofiban 替罗非班,欣维宁
anticoagulation drugs
subcutaneous low molecular weight heparin
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