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glossary of terms

Glossary


ACE inhibitors

A group of medications that work by inhibiting an enzyme that is important in the regulation of blood pressure

aetiology

A branch of medical science concerned with the causes and origins of diseases

angina pectoris

A disease marked by brief attacks of chest pain caused by lack of oxygen to the heart muscles

angiogram

See ‘coronary angiogram’

angiography

See ‘coronary angiography’

angiotensin II

A group of medications that work in a similar fashion to ACE inhibitors

arteries

Vessels which carry blood from the heart to other parts of the body

atheroma

Fatty material that can build up within the walls of the arteries

atrial fibrillation

A condition where the heart beats irregularly, resulting in ineffective pumping of blood into the ventricle

atrium; atria; atrial

The thin-walled chambers (right and left) of the heart that pump blood into the ventricles.

beta-blockers

A class of drugs that slow heart action and increase coronary blood flow by blocking the activity of beta-receptors

biventricular pacing

A pacemaker that has leads into both the left atrium and ventricle, allowing co-ordinated contraction of the heart

cardiac

To do with the heart

cardiac catheterisation

A test to find out about the condition of the heart

cardiologist

A doctor specialising in heart disease

cardiomegaly

Enlargement of the heart

cardiomyopathy

General diagnostic term for disease of the heart.

catheterisation

See ‘cardiac catheterisation’

coronary angiogram

A picture which show where the coronary arteries are narrowed and how narrow they have become

coronary angiography

A test to show where the coronary arteries are narrowed and how narrow they have become

coronary heart disease

When atheroma builds up in the inside walls of the coronary arteries

digoxin

A drug that controls ventricular rate in atrial fibrillation and increases the strength of contraction

diuretic

An agent that promotes the excretion of urine

Doppler echocardiography

A technique to measure how fast the blood flows in different parts of the heart

dyspnoea

Shortness of breath, difficult or laboured breathing.

dysrhythmia

An abnormal rhythm

ECG

See ‘electrocardiogram’

echocardiogram

A test which uses high-frequency sound waves (ultrasound) to create a picture of the heart which show the structure of the heart and how it is working

electrocardiogram

A test to record the rhythm and electrical activity of the heart on a moving strip of paper. Also called an ECG

electro-physiological testing

A technique for detecting and giving information about abnormal heart rhythms

endocardial

Seated or generated within the heart

enzymes

Proteins that help stimulate chemical actions in the body

exercise ECG

See ‘exercise electrocardiogram’

exercise electrocardiogram

A test to record the rhythm and electrical activity of the heart, carried out while the person is taking exercise.

HMG CoA reductase inhibitor.

A drug which interferes with the chemical process of building up cholesterol

Holter monitoring

A 24-hour recording of an electrocardiogram

hydralazine

A drug used to cause dilation of the blood vessels used in the treatment of hypertension

Implantable Loop Recorder

A recording device used for finding out about the cause of infrequent symptoms such as dizzy spells or blackouts

ischaemic heart disease

Anaemia of heart tissue due to obstruction of the inflow of arterial blood

isosorbide dinitrate

(H-ISDN)

A drug used to cause dilation of the blood vessels used in the treatment of angina

Magnetic Resonance Imaging

A technique which produces detailed pictures of internal organs of the body by exposing them to a strong magnetic field. Also called MRI.

MRI

See ‘Magnetic Resonance Imaging’

myocardial

Refers to the heart's muscle mass

myocardial infarction

A term used to describe irreversible injury to heart muscle: a heart attack

natriuretic peptide

This cardiac hormone regulates salt and water balance in body fluids and blood pressure

negative specificity

The ability of a test to rule out the presence of a condition

nitrates

A group of medications that relax smooth muscle, dilate veins, lower blood pressure and improve blood flow through the coronary arteries.

oedema

An abnormal infiltration and excess accumulation of fluid in connective tissue or in a serous cavity

palpitation

A subjective sensation of a rapid, irregular or forceful beating of the heart that the patient is aware of

pericardial

Situated around the heart

PET scan

Positron Emission Tomography scan. A test to examine the flow of blood and see how the heart muscle is working

primary care

Primary Care is a blanket term covering the activities centred around GP practices. The Primary Care Team involves not only the doctors but other staff such as district nurses, dentists, pharmacists, opticians and health visitors.

radionuclide test

A test which provides a picture of the heart.

revascularisation

A procedure that opens up blocked arteries

secondary care

Secondary care services are generally those delivered in a hospital setting whether on an outpatient, day case or inpatient basis

spironolactone

A diuretic

systolic

The period of time when the heart is contracted

technetium scan

A type of radionuclide test

tertiary care

Specialised consultant care by specialists working in a centre that has personnel and facilities for special investigation and treatment.

thallium scan

A type of radionuclide test

thrombolysis

Dissolving of a thrombus (a clot of blood formed within a blood vessel and remaining attached to its place of origin)

transoesophageal

Across the oesophagus (gullet)

ventricle; ventricular

The paired (right and left) more muscular chambers of the heart that receive blood from a corresponding atrium and from which blood is forced into the arteries