Glossary entry

Dutch term or phrase:

apex achterblijft

English translation:

delayed apex

Added to glossary by ebell
Oct 15, 2007 08:38
16 yrs ago
Dutch term

apex achterblijft

Dutch to English Medical Medical (general)
In a report on left ventricular angiography in a cardiac patient: "goed contracties, zij het dat de apex iets achterblijft, geen mitralisklepinsufficientie"

Thank you for any suggestions.

Proposed translations

27 mins
Selected

with reduced/delayed apex movement

I am not sure about the exact meaning of 'achterblijft' here, but I assume it refers either to a delayed full contraction, or to an incomplete contraction. I used 'movement' in order to prevent repetition of the word 'contraction' in the sentence, I think both can be used.
Peer comment(s):

neutral Jack den Haan : *Lagging* of the apex, perhaps?
57 mins
hmmm... mogelijk, mooie term, maar ben ik nooit in een dergelijke context tegengekomen.
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4 KudoZ points awarded for this answer. Comment: "Many thanks for your help. I put 'delayed' in the end, it seems to be used in ECGs in the context of contractility."
2 hrs

(with a somewhat) diminished sympathetic drive


In patients with heart failure, ACE inhibitors have been shown to reduce sympathetic drive and partly restore the number of β-adrenergic receptors. ... at hyper.ahajournals.org/cgi/content/full/31/3/747

or

The net difference in short-axis twist between base and apex experienced throughout ..... vasodilatation rather than solely diminished sympathetic response. ...
at content.onlinejacc.org/cgi/content/full/j.jacc.2005.11.052v1
or:
In systole, there is a very abrupt cessation of apex-to-base flow, ... Indeed, a vicious cycle has been described in HCM, relating diminished coronary flow ...at firstsearch.oclc.org/fsip?sici=0268-4705(19950501)10%3A3%3C299%3ANIITCM%3E2.0.TX%3B2

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