Medical Terminology Simplified

Reading

Practice pronunciation of medical terms by reading the following medical report aloud.

Cardiac Catheterization

PROCEDURE:Patient was prepared and draped in a sterile fashion and 20 mL of 1% lidocaine was infiltrated into
the right groin. A No. 6 French Cordis right femoral arterial sheath was placed and a No. 6 French JL-5 and JR-4
catheter was used to engage the left and right coronary. A No. 6 French pigtail was used for left ventricular angiography.
Angioplasty was performed, and further dictation is under the angioplasty report. There were minor irregularities,
with a maximal 25% stenosis just after the first diagonal. The remainder of the vessel was free of significant disease.

A 0.014, high-torque, floppy, extra support, exchange-length wire was used to cross the stenosis in the distal right
coronary artery. A 3.5 ×20–mm Track Star balloon was inflated in the right coronary artery in the distal portion.
The initial stenosis was 50% to 75% with an ulcerated plaque, and the final stenosis was 20% with no significant clot
seen in the region. The patient had significant ST elevations in the inferior leads and severe throat tightness and short-
ness of breath. This would resolve immediately with the inflation of the balloon. The catheters were removed, and the
sheath was changed to a No. 8 French Arrow sheath. The patient will be on heparin over the next 12 hours.

IMPRESSION:1. Two-vessel coronary artery disease with a 75% obtuse marginal and a 75% right coronary artery
lesion.

2. Normal left ventricular function.


3. Successful angioplasty to right coronary artery with initial stenosis of 75% and a final stenosis
   of 20%.

Evaluation

Review the medical record to answer the following questions. Use a medical dictionary such as Taber’s Cyclopedic
Medical Dictionary and other resources if needed.

1. What coronary arteries were under examination?


2. Which surgical procedure was used to clear the stenosis?


3. What symptoms did the patient exhibit before balloon inflation?


4. Why was the patient put on heparin?

Medical Record Activities • CHAPTER 5 207

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pronunciation and meanings of the selected terms in this medical report listed in

the table above.