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Several areas of cardiology use simple letter terms and alphanumeric terms that need not be expanded at first mention. | International standardization of electrocardiographic nomenclature dates back to the mid-20th century. The preferred abbreviation for electrocardiogram and electrocardiographic in JAMA and the Archives Journals is ECG, not EKG. In the following examples of ECG terms note the use of capitals, lowercase letters, subscripts, and hyphens. Leads (recording electrodes) are designated as follows: Example: The abnormality appeared in leads V3 through V6 [not V3-V6 or V3-6]. The main deflections of the ECG (see Figure ) are named in alphabetical sequence (P, Less

See also , Molecular Medicine. These descriptive terms do not require expansion: Expand these terms at first mention: If an expansion is given, use at first mention. Otherwise, terms may be used without expansion. Expand the following lipoproteins and related terms at first mention: Expand apo as apolipoprotein at first mention of terms such as the following: | Less

Guidelines are available for nomenclature of coronary artery segments, used in coronary artery catheterization and thrombolysis in myocardial infarction flow (TIMI flow). The TIMI flow is expressed as grade 0, grade 1, grade 2, or grade 3, from lowest flow (or severest lesion) to highest flow. | Less

The names of major echocardiographic methods are listed below. Expand any abbreviations at first mention, unless otherwise indicated. The following commonly used echocardiographic indexes should also be expanded at first mention but are included here for reference: Terms are combined as in the following examples: IVSd IVSs LVIDd LVIDed LVIDes LVIDs LVPWd LVPWs RVIDd Ejection fraction is expressed as a percentage, eg, 60% (see also , Numbers and Percentages). | Less

International standardization of electrocardiographic nomenclature dates back to the mid-20th century. The preferred abbreviation for electrocardiogram and electrocardiographic in JAMA and the Archives Journals is ECG, not EKG. In the following examples of ECG terms note the use of capitals, lowercase letters, subscripts, and hyphens. Leads (recording electrodes) are designated as follows: Example: The abnormality appeared in leads V3 through V6 [not V3-V6 or V3-6]. The main deflections of the ECG (see Figure ) are named in alphabetical sequence (P, Q, R, S, T, U), a usage that dates back to the inventor, Willem Einthoven. Other deflections use initial letters Less

Electrogram (EGM) terms pertain to invasive electrophysiologic recording of cardiac impulse conduction. Expand them at first mention. |

Several classifications pertaining to heart disease are in use: The classes are assessed in various ways, for instance, by physical examination (Killip), hemodynamic measurement (Forrester), and patient history (NYHA). The detailed meanings of each class are beyond the scope of this book, but several style points may be noted: ▪ Severity increases from lower to higher numbers and letters. ▪ There is no automatic correspondence between classes (eg, Killip class I is not equivalent to NYHA class I). ▪ The numerals are designators and are not quantitative or semiquantitative. Therefore, roman numerals are appropriate. ▪ Authors should describe their classification Less

The 4 heart sounds and 4 components are commonly abbreviated in discussions of cardiac auscultatory findings; numerical subscripts are used.S1 first heart sound  M1 mitral valve component  T1 tricuspid valve component S2 second heart sound  A2 aortic valve component  P2 pulmonic valve component S3 third heart sound S4 fourth heart sound Examples: The presence of an audible S3was consistent with the patient’s ventricular aneurysm. An audible S4 may be due to a variety of cardiac and systemic conditions. Sound names may be written out in full when discussed generically.Third heart sounds are suggestive of congestive heart failure, but an S3gallop Less

A similar code, known as the NASPE/BPEG Defibrillator Code or NBD Code, exists for implanted cardioverter/defibrillators (ICDs), as defined in Table . Examples are as follows: DDH defibrillator VOEO defibrillator There is also a Short Form of the NBD Code intended only for use in conversation: ICD-B: ICD with antibradycardia pacing as well as shock ICD-T: ICD with antitachycardia pacing as well as shock and antibradycardia pacing ICD-S: ICD with shock capability only The foregoing terms can each represent a variety of devices; for instance, ICD-S could indicate VO, VOE, VOEO, DOH, or DOHV. The same devices may also be Less

The jugular venous pulse contours are expressed with italic single letters and roman words: a wave (atrial) x descent z point c wave x′ descent v wave (ventricular) y descent (or y trough) h wave Examples: prominent a wave giant a wave steep x descent increased v wave abrupt y descent | Less