Glossary for Cardiac Care
The more you know about your heart, the better
you can communicate with your doctor - and understand what to
expect in treatment. Here are some useful terms related to heart
disease:
Angina
Angina (or myocardial ischemia) is chest pain or pressure that
results from a spasm or partial narrowing of the coronary
arteries.
Angiography
An angiography (also called arteriography) is a testing procedure
that allows the cardiologist or cardiac surgeon to see any
narrowings in the coronary arteries and peripheral vessels through
the use of X rays and a contrast medium injected into the
bloodstream.
Aorta
The aorta is the heart's major blood vessel. It sends re-oxygenated
blood from the heart to the rest of the body.
Aortic
valve
Valves allow the blood to flow through the heart in only one
direction. The aortic valve, located between the left ventricle and
the aorta, controls the flow of blood as it is pumped by the
ventricles.
Arrhythmia
Arrhythmia is an irregular heartbeat caused by changes in the flow
of the heart's electrical current.
Artery
Arteries are blood vessels that carry blood containing fresh
supplies of oxygen and other nutrients away from the heart to the
rest of the body.
Atherectomy
Atherectomy is a procedure in which the plaque
narrowing an artery is cut away or pulverized, rather than being
pushed into the arterial wall, as is done in balloon
angioplasty.
Atherosclerosis
Atherosclerosis
refers to the clogging of arteries - especially the coronary
arteries that supply blood to the heart muscle - with fatty
deposits, cholesterol, and other materials. Over time, blood
circulation becomes restricted, which increases the risk of heart
attack, stroke, and other serious diseases. Atherosclerosis is
sometimes referred to as hardening of the arteries or
arteriosclerosis.
Atrium
The heart contains four chambers. The two upper chambers are called
atria: the left atrium and the right atrium. The right atrium
collects oxygen-depleted blood that is returning from the body
through veins. The left atrium collects blood coming back from the
lungs with fresh supplies of oxygen.
Blood Pressure
Blood pressure refers to the force or pressure
exerted by the heart while pumping blood, including the amount of
blood pumped out of the heart, as well as the amount of tension
pushing against the walls of the arteries.
Each blood pressure measurement has two
readings:
-
Systolic blood pressure (the top number) measures the highest
pressure within the arteries while the heart is pumping out
blood. A normal, healthy systolic reading is 120 or below.
-
Diastolic blood pressure (the bottom number) measures the
lowest pressure within the arteries, while the heart is
between beats and filling with blood. A normal, healthy
diastolic reading is 80 or below.
Bradycardia
Bradycardia is the term used to describe a
slow heartbeat of 50 beats per minute or slower. A normal heartbeat
is from 60 to 100 beats per minute.
Cardiac
The word cardiac means "pertaining to the heart."
Cardiac
catheterization
Cardiac catheterization is a procedure in which a catheter is
inserted into the heart or blood vessels to assess, through the use
of a contrast medium and X rays, the condition of the coronary
arteries, heart valves, and heart muscle. Cardiac catheterization
can also be used to open blocked arteries and to reshape heart
valves.
Cardiovascular disease
Cardiovascular disease refers to any disease
that affects the heart or blood vessels.
Catheter
A catheter is a long, thin, flexible, hollow tube that is inserted
into the body.
Cholesterol
Cholesterol is a white, waxy substance that helps your body
metabolize fats, insulates your nerve and brain tissues,
waterproofs your skin, and helps make hormones.
Your body makes the cholesterol that it needs.
When you take in more cholesterol by eating certain foods, the
excess cholesterol is stored along the lining of your blood
vessels. Too much cholesterol can clog your blood vessels, leading
to coronary artery disease, angina, heart attack, and stroke.
Contrast medium
Contrast medium is any material that appears
white, or relatively opaque, on X rays, such as a barium
suspension, to highlight an organ or blood vessel.
Coronary
arteries
Coronary arteries supply blood to the heart muscle. They serve as
the heart's own circulatory system.
Coronary artery
disease
Coronary artery disease refers to a narrowing in the coronary
arteries that restricts the flow of blood to the heart muscle.
Coronary balloon
angioplasty
Angioplasty opens narrowed arteries by compressing fatty build-up
or plaque against the artery wall. Coronary balloon angioplasty
refers to angioplasty performed on the coronary arteries.
Diastolic blood pressure
Diastolic blood pressure (the bottom number in
a blood pressure reading) measures the lowest blood pressure in the
arteries. It measures the force of the heart at rest or between the
beats. A normal diastolic pressure is 80 or below.
Drug Eluting
Stents
A device used in angioplasty
procedures to open clogged coronary arteries ad allow blood flow to
the heart. The stent slowly releases a drug and has been
shown in clinical studies to significantly reduce the rate of
re-blockage that occurs with existing stents.
Echocardiogram
An echocardiogram ("echo") is a test that uses harmless and
painless sound waves to show how well your heart muscle and valves
are working, as well as reveal the size of your heart.
Electrocardiogram
Electrocardiogram (ECG, EKG) is a graphic recording of the
electrical impulses of your heart and your heart rhythm.
Endarterectomy
An endarterectomy is a common surgical
procedure that is performed to remove a piece of plaque from an
artery.
Endocardium
The endocardium is a smooth inner lining that covers both the heart
and its valves.
Epicardium
The epicardium is the outer layer of the heart.
Heart
failure
Heart failure occurs when the heart is unable to pump out all of
the blood that returns to it so the body's needs can be met. Heart
failure is also characterized by fluid retention in various parts
of the body, such as the legs and lungs.
High-density lipoproteins
High-density lipoproteins (HDL) refer to a
substance in your blood that helps to clear your blood vessels of
cholesterol build-up. HDLs, sometimes called "good" cholesterol,
are often measured as part of a cholesterol (blood) test. A reading
of more than 35 is considered healthy.
Hypertension
Hypertension is another name for high blood pressure.
Ischemia
Ischemia is a condition that occurs when an insufficient amount of
blood and oxygen reaches the tissues due mainly to narrowed
(blocked) arteries.
Low-density lipoproteins (LDLs)
Low-density lipoproteins refer to a substance
in your blood that causes cholesterol to stick to the walls of your
blood vessels, leading to clogging in your blood vessels. LDLs,
sometimes called the "bad" cholesterol, are often measured as part
of a cholesterol test. A reading of less than 200 is
desirable.
Mitral
valve
Valves allow the blood to flow through the heart in only one
direction. The mitral valve on the left side of the heart controls
the flow of blood from the left atrium to the left ventricle.
Mitral valve
prolapse
Mitral valve prolapse, a faint heart murmur, is a common condition
that rarely causes more serious heart problems. It affects as much
as seven percent of the population and is more common among women
than men. It is believed to be hereditary.
Myocardial infarction
Myocardial infarction (MI) is a heart attack.
It is actually a myocardial ischemia (a spasm or narrowing of the
coronary arteries) that lasts long enough to cause some of the
heart muscle to die from lack of oxygen.
Myocardial
ischemia
Myocardial ischemia refers to chest pain or pressure that results
from a spasm or partial narrowing of the coronary arteries. Silent
ischemia is a myocardial ischemia that causes no symptoms.
Myocardium
The myocardium forms the muscular wall of the
heart ("myo" means muscle, "cardia" refers to the heart). The
myocardium beats in response to the electrical signals it receives
from the body's own natural pacemaker, the sinoatrial node. When
the myocardium receives an electrical impulse, it contracts, which
pumps the blood out of the ventricle.
Percutaneous
Percutaneous refers to a procedure that is done through the
skin.
Percutaneous
coronary intervention
Percutaneous coronary intervention (PCI) is an all-inclusive term
used to describe procedures that are performed in catheterization
laboratories to reduce the amount of constriction, or narrowing, in
a coronary artery due to plaque formation.
Pericardium
The pericardium is a sac around the outside of
the heart.
Plaque
Plaque is a combination of fatty material and other deposits that
build up inside an artery and can reduce or block blood flow.
Port
Ports are the small incisions that are made between the ribs or in
the chest during minimally-invasive heart surgery.
Pulmonary
artery
When "used" blood returns from a trip throughout the body, it is
pumped through the pulmonary artery to the lungs, where the blood
picks up a fresh supply of oxygen.
Pulmonary valve
Valves allow the blood to flow through the
heart in only one direction. The pulmonary valve, located between
the right ventricle and pulmonary artery, controls the flow of
blood as it is pumped by the ventricle.
Systolic blood
pressure
Systolic blood pressure (the top number in a blood pressure
reading) refers to the highest blood pressure measured in the
arteries. It occurs when the heart contracts during a heartbeat. A
normal systolic reading is 120 or below.
Tachycardia
Tachycardia is a fast heartbeat, usually ranging from 160 to 200
beats per minute. A normal heartbeat is from 60 to 100 beats per
minute.
Thrombosis
Thrombosis is the formation of a blood clot
(thrombus) within the heart or blood vessels.
Tricuspid
valve
Valves allow the blood to flow through the heart in only one
direction. The tricuspid valve controls the flow of blood from the
right atrium to the right ventricle.
Triglyceride
Triglyceride refers to a type of fat your body uses to store sugar
until it is needed. Too much triglyceride may cause clogging of
your blood vessels. Triglyceride is often measured as part of a
cholesterol (blood) test. A reading of less than 250 is considered
healthy.
Valve
Valves allow the blood to flow through the
heart in only one direction.
Vein
Veins are blood vessels that carry blood to the heart.
Ventricle
The larger, lower chambers of the heart are called ventricles - the
left ventricle and the right ventricle. The ventricles are strong
muscles that pump blood throughout the body.
Ventricular
septum
The ventricular septum is a band of thick muscle that separates the
left and right ventricles.