Glossary entry

German term or phrase:

Vorderwand/Hinterwand des Herzes

English translation:

anterior wall/posterior wall of the heart

Added to glossary by Jon Fedler
Jun 29, 2010 07:59
13 yrs ago
10 viewers *
German term

Vorderwand/Hinterwand des Herzes

German to English Medical Medical: Cardiology
I have a document about eligibility of diabetes sufferers for acceptance into a telemedical care program.

AMONG THE CONDITIONS IT REFERS TO ARE ILLNESSES AFFECTED BY DIABETES, E.G.
UNDER CORONARY HEART DISEASE IT CITES:
RECIDIVISTIC MYOCARDIAL INFARCTION OF THE"VORDERWAND" AND THE "HINTERWAND"
(APOLOGIES FOR USING TRANSLATED TEXT AS MAIN CONTEXT BUT i'M DEADLINE-OVERDUE)

Discussion

Lirka Jun 29, 2010:
About "true posterior infarction", which is rare: True posterior MI:

ECG changes are seen in anterior precordial leads V1-3, but are the mirror image of an anteroseptal MI:

Increased R wave amplitude and duration (i.e., a "pathologic R wave" is a mirror image of a pathologic Q)

R/S ratio in V1 or V2 >1 (i.e., prominent anterior forces)

Hyperacute ST-T wave changes: i.e., ST depression and large, inverted T waves in V1-3

Late normalization of ST-T with symmetrical upright T waves in V1-3


Often seen with inferior infarction: inferoposterior MI




Lirka Jun 29, 2010:
@Jonathan: What's the German word in the original? For 'recidivistic'--rezidivierend?
Marga Shaw Jun 29, 2010:
"recidivistic" vs. "recurrent" I agree wirth lirka that "recidivistic" does not seem to work here. However, as SJLD suggests "recurrent" might work, e.g.
recurrent anterior/posterior myocardial infarction or recurring anterior/posterior myocardial infarction. There are plenty of good sources.

Lirka Jun 29, 2010:
recidivistic won't work :) :)
SJLD Jun 29, 2010:
wand = wall (dictionary) - have you considered anterior/posterior?
"recidivistic"??? do you mean recurrent?

Proposed translations

+1
28 mins
Selected

anterior wall/posterior wall of the heart


"infarction of the anterior/ posterior wall of the heart" or simply

"anterior/posterior [myocardial] infarction"

e.g.:

anterior myocardial infarction
Infarction involving the anterior wall of the heart, and producing indicative electrocardiographic changes in the anterior chest leads and often in limb lead I.
http://webcache.googleusercontent.com/search?q=cache:PLTe89p...

posterior myocardial infarction
Infarction involving the posterior wall of the heart; also formerly used erroneously of infarction's involving the inferior or diaphragmatic surface of the heart.
http://webcache.googleusercontent.com/search?q=cache:_r9vHmm...


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Note added at 42 mins (2010-06-29 08:42:07 GMT)
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There are two basic types of acute myocardial infarction:
* Transmural: associated with atherosclerosis involving major coronary artery. It can be subclassified into anterior, posterior, or inferior. Transmural infarcts extend through the whole thickness of the heart muscle and are usually a result of complete occlusion of the area's blood supply.
http://webcache.googleusercontent.com/search?q=cache:RBieIKQ...

Mean value of resting ejection fraction for the group or <b<anterior-posterior infarction subgroups did not change from initial or predischarge values. The 27 patients with anterior infarction showed no change in ejection fraction during exercise, while the 31 patients with posterior infarction increased their ejection fraction from 53±11% to 57±12% (P<0.001).
http://eurheartj.oxfordjournals.org/content/8/suppl_G/15.abs...
Peer comment(s):

agree MMUlr
7 hrs
Thank you, MMUlr!
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3 KudoZ points awarded for this answer.
+1
19 mins

inferior myocardial infarction

Hi, Jonathan:

Hinterwandinfarkt is a inferior myocardial infarction
Vorderwandinfarkt is an anterior myocardial infarction

HDH :-)
Sabine
Peer comment(s):

agree Lirka : To clarify: True posterior MI is rarely seen, it's most often seen with inferior infarction:"inferoposterior MI". That's what they mean by Hinterwand is in DE.
1 hr
neutral Marga Shaw : There seems to be a difference between an inferior and posterior MI. http://www.ecglibrary.com/postlat.html / http://www.ecglibrary.com/infmi.html
2 hrs
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