Documentos de Académico
Documentos de Profesional
Documentos de Cultura
COMMON ABBREVIATIONS
ablation: A procedure that eliminates extra electrical pathways within the heart that cause
irregular or fast heart rhythms.
ACE inhibitors: Helps to relax and open blood vessels.
agranulocytosis: Extremely low levels of leukocyte levels as a result of drug toxicity or
hypersensitivity.
alpha blockers: Helps keep the hormone norepinephrine from tightening the muscles in the
walls of smaller arteries and veins, improving blood flow and reducing blood pressure. These
also improve urine flow in men with prostate problems.
anastomosis: A surgical connection, often between two blood vessels.
aneurysm: A pathological blood-filled dilatation of a blood vessel.
angina pectoris: Chest pain after exertion caused by reduction of oxygen to the myocardium.
angina: Chest pain.
angiogram: Contrast material is injected into the blood vessels and an x-ray image obtained.
angiography: An x-ray study that uses dye injected into arteries to study blood circulation.
angioplasty: A nonsurgical procedure for treating narrowed arteries.
antiarrhythmic drugs: Treats cardiac arrhythmias. These include beta blockers, calcium
channel blockers, potassium channel blockers, and sodium channel blockers.
anticoagulant: A medication that keeps blood from clotting.
antihyperlipidemics: Reduces cholesterol.
aorta: The major artery of the body. Blood ejected by the left ventricle of the heart passes into
the aorta and from there is distributed to every organ of the body.
aortic regurgitation: Backwards leakage of blood from the aorta, through a weakened aortic
valve, and into the left ventricle.
aortic stenosis: Narrowing of the opening of the aortic valve.
CARDIAC DRUGS
This list includes antihypertensives (beta blockers, calcium channel blockers, ACE inhibitors),
diuretics, alpha antagonists, anti-angina, antiarrhythmics, lipid-lowering agents, and
anticoagulant/thrombolytic agents.
TRANSCRIPTION TIPS
See the AHDI Book of Style, 3rd edition, chapter 14, Cardiology
LEADS
Use roman numerals for standard bipolar leads as listed below.
lead I lead II lead III
Use a lowercase a followed by a capital V and then a capital R for right, a capital L for left, or a
capital F for foot for augmented limb leads as listed below.
aVR aVL aVF
Use a capital V followed by an arabic numeral for precordial leads as listed below.
V1 V4 V7 V2 V5 V8 V3 V6 V9
Use a capital V followed by an Arabic numeral and a capital R for right precordial leads as listed
below.
V3R V4R
Use a capital V followed by a capital E for the ensiform cartilage lead as listed below.
VE
Use a capital V followed by an arabic numeral for the 3rd interspace leads as listed below.
3V1 3V2 3V3
Use a capital E followed by an Arabic numeral for the esophageal leads as listed below.
E15 E24 E50
TRACING TERMS
Use a capital letter for large waves. Do not place a hyphen after the single letter unless the term
is used as a compound modifier.
P wave Q wave QS wave
Note: The AHDI Book of Style says to use the prime symbol after the R; however, we
discourage the use of special symbols, superscripts, and subscripts, as they are difficult to read
and often interfere with transferring of the file to the facility.
Additional examples:
J junction QT interval, prolongation, etc.
J point QTc
PR interval, segment, etc. QRS axis, complex, configuration, etc.
ST segment Ta wave
When a term is used as a compound modifier, insert a hyphen between the capital letter and the
other part of the compound modifier.
Note: There is no such thing as an ST wave or an ST-T wave, but it is common practice for
providers to dictate the ST segment and the T wave together. Care should be taken to
transcribe these references in a way that does not imply an ST wave or ST-T wave.
Dictated: STT wave abnormality.
Transcribe: ST and T-wave abnormality or ST-T-wave abnormality
Not STT-wave abnormality or ST-T wave abnormality
When the number of degrees is dictated after QRS axis, a plus or minus sign followed by arabic
numerals and the word degrees should be transcribed.
QRS +60 degrees
HEART SOUNDS
MURMURS
grade 1 barely audible, must strain to hear
grade 2 quiet but clearly audible
grade 3 moderately loud
grade 4 loud
grade 5 very loud; audible with stethoscope partly off the chest
grade 6 so loud that it can be heard with stethoscope just above chest
wall
Place a slash mark between the murmur grade and the scale used.
REFERENCES