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Glossary of Terms
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A
Acute myocardial infarction: Blockage of blood flow to the
region of the heart, resulting in insufficient supply of oxygen to
and death of the affected heart cells; also called a heart attack.
Acute vascular occlusion: Sudden blockage of an artery,
usually with a blood clot.
Aggregation: Stage of clot formation when platelets clump
together.
Angina pectoris: Sudden attacks of constricting pressure
or pain, often in the chest; results from not enough blood and
oxygen getting to the heart muscle; also called angina.
Angiogenesis: Formation of blood vessels.
Angioplasty: Surgical procedure in which a balloon-tipped
catheter (thin tube) is inserted into a diseased, narrowed blood
vessel; inflation of balloon stretches vessel opening, improving
blood flow through it. Also called balloon angioplasty, coronary
angioplasty, and percutaneous transluminal coronary angioplasty (PTCA).
Anticoagulant: A medicine that decreases blood's ability
to clot, therefore lessening the risk of DVT.
Antigen: Any foreign body that causes an immune
(protective) response in the body.
Antiplatelet Agents: A drug that helps keep blood clots from
forming, such as aspirin.
Antithrombin III: A naturally occurring protein that is an
important inhibitor of blood clot formation; also called ATIII.
Aorta: Main artery in the body, which carries blood from
the heart to all parts of the body, except the lungs.
Arrhythmia: Any variation in the normal rhythm of the
heartbeat.
Arterial embolism: Sudden blockage of an artery by a blood
clot or atherosclerotic plaque, which the blood carried from another
location.
Arteries: Thick-walled vessels (canal or hollow tube) that
carry oxygen-rich blood away from the heart (the pulmonary artery is
the only exception).
Arterioles: Small branches of arteries.
Arteriolosclerosis: Disease characterized by thickening
and loss of elasticity (sclerosis) of the walls of smaller arteries
(arterioles).
Artificial heart valve: A synthetic or pigskin (porcine)
valve surgically placed into the heart to replace a defective valve;
most often used to replace aortic and mitral valves.
Asystole: Cardiac standstill or arrest; absence of a
heartbeat .
Atherectomy: Removal of atherosclerotic plaques from an
artery; requires introduction of rotary cutter into artery through a
special catheter (thin tube).
Atherosclerosis: Progressive, degenerative (loss of
function or structure) disease in which plaques containing
cholesterol build up in the walls of larger arteries; causes
narrowing of blood vessels and decreased blood flow.
Atria: Two thin-walled chambers of the heart that pump
blood into the ventricles; consists of right atrium and left atrium.
Atrial fibrillation: A disorder that upsets the heart's
rhythm, which may cause it to not pump enough blood to meet the
body's needs.
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B
Blood cells: The solid elements of the blood. Red blood
cells carry oxygen to the tissues; white blood cells combat
disease-causing agents by destroying them, or by stimulating the
body's natural defense systems; platelets contribute to clotting.
Blood clot: A firm mass composed of blood cells, fibrin,
and platelets.
Blood pressure: Force or pressure that circulating blood
exerts on the walls of the arteries; divided into systolic (during
heart contraction) and diastolic (during heart relaxation)
pressures.
Blood vessels: The hollow tubes that carry blood
throughout the body. The blood vessels include arteries, veins,
arterioles, venules, and capillaries.
Bradycardia: Slow heart beat, usually below 60 beats per
minute.
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C
CAD: See Coronary artery disease.
Calcification: Depositing of calcium; in atherosclerosis,
calcification of plaques results in hard, brittle arterial walls.
Capillaries: Tiny vessels that connect arterioles and
venules; the exchange of nutrients and fluids between the tissues
and blood occurs through the walls of these vessels.
Cardiac catheterization: Passage of a small tube
(catheter) through a vein in the arm, leg, or neck into the heart.
Cardiac imaging study: Diagnostic technique that provides
images of heart structure and function; includes chest x-ray films,
coronary angiography, thallium 201 imaging, acute infarct
scintigraphy, radionuclide ventriculography, and echocardiography.
Cardiomyopathy: A type of heart disease that affects the
heart muscle (myocardium). This type of disorder may result in
problems with how the heart pumps blood.
Cardiovascular: Pertaining to the heart and blood vessels.
Cardiovascular Disease: Any disorder that affects the
heart muscle or the blood vessels of the heart. It includes any
condition that impacts the blood vessels, such as poor circulation
due to blockage.
Cholesterol: A fatty substance found in cell membranes; plays
an important role in essential body functions.
Chronic stable angina: Recurrent episodes of angina (chest
pain) that are related to exertion and do not change in frequency,
severity, or duration.
Chronic venous insufficiency: Condition in which veins do
not channel the flow of blood adequately. Most often seen in the
lower extremities.
Clotting: The process by which fluid blood changes to a
solid.
Clotting cascade: The series of cellular and molecular
reactions among blood clotting factors that cause clotting; also
called coagulation cascade.
Clotting factors: A group of chemicals in the blood
(factors I to XIII) that interact to make blood clot.
Coagulation: Blood clotting; formation of a blood clot.
Coarctation: Narrowing of a blood vessel, such as the
congenital condition coarctation of the aorta.
Congenital heart disease: Disorders resulting from
incomplete development of the heart in the womb; birth defects of
the heart.
Congestive heart failure: Heart failure resulting from
impaired pumping, causing blood to back up and accumulate in the
blood vessels or lungs; also called CHF.
Coronary angiography: Heart imaging study that shows the
shape of the coronary arteries and areas that are narrowed or
blocked.
Coronary arteries: Arteries that supply oxygen and
nutrient-rich blood to the tissues of the heart itself.
Coronary artery bypass grafting: Surgical procedure used
to restore blood flow to a part of the heart; a blood vessel from
the patient's leg or chest is grafted to a coronary artery to bypass
an obstructed area of the artery; also called CABG.
Coronary artery disease (CAD): Disease characterized by
atherosclerosis of the coronary arteries; may cause angina pectoris
and myocardial infarction; also called CAD.
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D
Deep vein thrombosis: Formation of blood clots in the deep
veins of the extremities; also called DVT.
Deep veins: Veins located deep within the muscles.
Defibrillation: Use of drugs or an electric shock to stop
the fibrillation (rapid uncoordinated twitching movements) of the
heart and restore normal rhythm.
Diastole: Period in the cardiac cycle during which the
heart muscle relaxes and fills with blood.
Dilated cardiomyopathy: Group of disorders in which the
heart muscle is weakened and cannot pump effectively. The result is
dilation of the heart chambers or enlargement of the heart. Poor
cardiac function results in congestive heart failure.
DVT: See Deep Vein Thrombosis.
Dyspnea: Difficulty breathing; often results in shortness
of breath.
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E
Echocardiography: Cardiac imaging study that uses sound
waves to create images of the heart; shows heart's motion and size
of its chambers.
Edema: Swelling caused by an excess of fluid accumulation.
Electrocardiogram: Graphic recording of the electrical
activity of the heart; detects and records the electrical potential
of the heart during contraction; also called ECG or EKG.
Embolism: Sudden blockage of an artery by a clot or
foreign material carried and deposited by the blood current.
Embolus: Blood clot that causes embolism.
Exercise stress test: Noninvasive diagnostic procedure in
which a patient exercises while undergoing ECG monitoring; can
detect exercise-induced ischemia (lack of blood supply).
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F
Fibrin: A protein necessary for blood clotting; fibrin
forms a web-like mesh that traps platelets and red blood cells and
holds a clot together.
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G
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H
Heart: The hollow muscular organ that pumps blood
throughout the body.
Heart attack: Heart cell death due to prolonged lack of
oxygen; also called myocardial infarction or MI.
Heart failure: Disease state caused by impaired pumping of
the heart.
Hematocrit: The relative volume of red blood cells to the
volume of whole blood; also, the instrument for measuring this ratio
.
Hemoglobin: Oxygen-transporting component of red blood
cells.
Hemostasis: Stopping of bleeding through natural (clot
formation, constriction of blood vessels), artificial (compression,
ligation), or surgical means.
Heparin: An anticoagulant commonly used to prevent the
formation of new blood clots (rethrombosis) in the acute myocardial
infarction (MI) patient; also used to prevent blood clotting during
open-heart surgery.
Heparinoids: Agents having anti-clotting activity
resembling that of a heparin.
Hyperglycemia: Abnormally high levels of glucose (sugar)
in the blood.
Hypertension: Persistently high blood pressure; may have
no known cause (essential or idiopathic) or result from other
primary diseases (secondary). It is a risk factor for heart disease,
peripheral vascular disease, stroke, and kidney disease.
Hypoplastic heart: Form of congenital heart disease in
which one side of the heart is incompletely formed.
Hypotension: Abnormally low blood pressure.
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I
Infarction: Cell death due to insufficient supply of
oxygen.
Ischemia: Insufficient supply of blood and oxygen to a
part of the body; often results from constriction or obstruction of
a blood vessel.
Ischemic heart disease: Disturbance of heart function
resulting from inadequate supply of oxygen to the heart muscle; also
called coronary artery disease (CAD) and IHD.
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L
Low-molecular-weight heparins: An anticoagulant medication
used to prevent the formation of new blood clots; it is one-third
the size of heparin; potential advantages include once-a-day dosing
and no need for laboratory monitoring.
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M
Mitral stenosis: Congenital (present at birth) or acquired
abnormality of the mitral valve in the heart; narrowing and
ineffective opening of the mitral valve.
Mitral valve: Heart valve that separates the left atrium
from the left ventricle. When the atrium contracts, the valve opens
to allow blood into the ventricle. On closure, the mitral valve
prohibits the flow of blood back into the atrium.
Mitral valve prolapse: Abnormality affecting the mitral
valve, often with flow of blood back into the atrium; characterized
by systolic clicks and murmurs.
Myocardial cells: Heart muscle cells; cells found in the
myocardium.
Myocardial infarction: Heart cell death due to prolonged
lack of oxygen; also called MI or heart attack.
Myocardium: Middle and thickest layer of the heart wall.
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N
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O
Orthostatic hypotension: Drop in blood pressure brought on
by changes in body position, such as rising from a chair or bed.
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P
Patent ductus arteriosus: Condition in which ductus
arteriosus (hole between aorta and pulmonary artery) remains open
(patent); usually closes within hours after birth; prevents
transport of blood and nutrients to the body.
Pericardial effusion: Collection of fluid or blood in the
sack (pericardium) that surrounds the heart. Causes include
congestive heart failure, cancer, and autoimmune disease.
Pericardial tamponade: A life-threatening syndrome in
which fluid (usually blood) collects in the sack (pericardium) that
surrounds the heart and interferes with its performance. Untreated,
condition can result in low blood pressure, shock, and death.
Plaque: Buildup of cholesterol and fatty material within
an artery wall occurring in atherosclerotic disease. Also called
atherosclerotic plaque.
Plasma: Liquid portion of the blood; remains after cells
have been removed.
Platelets: Oval cells found in the blood and involved in
clotting; also called thrombocytes.
Precordial: Pertaining to the precordium, which is the
region over the heart and stomach.
Preload: The pressure inside the left ventricle at the end
of diastole; determined by venous return and myocardial
contractility and relaxation.
Pulmonary artery: Artery that carries deoxygenated blood
from the right ventricle of the heart to the lungs.
Pulmonary edema: Severe state of increased fluid within
the lung, leading to flooding of the alveoli; often result of
ineffective pump function of the heart, but noncardiac causes also
exist.
Pulmonary embolism: Lodging of a blood clot in the lumen
(open cavity) of a pulmonary artery, causing a severe dysfunction in
respiratory function. Pulmonary emboli often originate in the deep
leg veins and travel to the lungs through blood circulation.
Symptoms include sudden shortness of breath, chest pain (worse with
breathing), and rapid heart and respiratory rates.
Pulmonary stenosis: A congenital (present at birth) or
acquired heart valve defect, characterized by abnormal narrowing and
ineffective opening of the pulmonary valve. Symptoms include
cyanosis (bluish discoloration of the skin) and difficulty
breathing.
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Q
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R
Refractory angina: Chest pain that does not respond to
pharmacologic therapy.
Renal artery stenosis: Narrowing of the renal artery or
one of its main branches.
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S
Spasm: Abnormal contraction of vascular smooth muscle that
causes narrowing of blood vessels.
Stasis: The slowing of blood flow.
Stenosis: Narrowing of the inside of a blood vessel.
Sternum: The breastbone.
Stress tests: Noninvasive procedure used to provoke and
detect myocardial ischemia, either through the use of exercise or
pharmacologic agents.
Stroke: Death of tissue within the central nervous system
resulting from a clot blocking a blood vessel in the brain or from
hemorrhaging caused by a ruptured blood vessel on the surface or
within the brain.
Subcutaneous: Given or occuring under the skin.
Superficial veins: Veins lying close to the surface of the
skin.
Systole: Period of the cardiac cycle during which the
heart muscle contracts and pumps blood out and into the arteries.
Systolic blood pressure: Pressure exerted on the walls of
the arteries during the contraction phase of the heartbeat; varies
with age, gender, size, and physical condition.
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T
Tachycardia: Excessively rapid heat rate, usually above
100 beats per minute.
Thallium heart scan: Diagnostic test that involves the
introduction of a radioactive tracer into the bloodstream to
determine blood flow.
Thallium stress test: Diagnostic test used to assess
coronary blood flow before and after strenuous exercise. A
radioactive tracer is introduced into the bloodstream and measured
with a special camera.
Thrombocytopenia: A condition in which there is an
abnormally small number of platelets in the circulating blood;
usually associated with bleeding conditions.
Thromboembolism: Obstruction of a blood vessel with
material deposited by the bloodstream.
Thrombolytic agents: Medicines used to dissolve blood
clots formed in certain blood vessels.
Thromboprophylaxis: The use of drugs or other protective
therapies to reduce thrombosis.
Thrombosis: Formation of thrombosis (blood clot) within
the lumen (open cavity) of the blood vessels or heart.
Thrombus: Blood clot formed from platelets and other
elements; may obstruct a blood vessel at its point of formation or
travel to other areas of the body.
Tissue factor: A protein released from damaged tissue that
triggers the clotting cascade.
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U
Unstable angina: Form of angina pectoris (chest pain)
characterized by sudden changes in the severity or length of
attacks.
Unstable plaque: Plaque that is prone to rupture, causing
release of fat from within the plaque into the inside of the artery.
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V
Valves: Cup-like folds inside a vein that prevent backward
flow of blood. Valves open as blood moves through them and close
under the weight of blood collecting in the vein due to low pressure
and gravity.
Varicose: Unnaturally and permanently distended; usually
refers to veins.
Vascular endothelium: Layer of cells that lines the blood
vessels and is in direct contact with blood.
Veins: Thin-walled vessels that carry deoxygenated blood
to the heart (the pulmonary vein is the only exception).
Venous insufficiency: A condition in which the veins do
not channel the flow of blood adequately; most often seen in the
lower extremities.
Ventricles: Two lower chambers of the heart.
Ventricular arrhythmia: Cardiac arrhythmia originating
within the ventricles; isolated ventricular contractions are
referred to as premature ventricular contractions. Frequent
premature ventricular contractions can be potentially unstable and
can degrade to a more serious rhythm or cardiac arrest.
Ventricular tachycardia: Abnormal heart beat in the lower
chambers of the heart, usually to a rate of 150-200 beats per
minute; may result in fainting, low blood pressure, shock, or even
sudden death; common and often lethal complication of heart attack.
Venules: Small veins.
Vital signs: Pulse, blood pressure, and respiration.
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