Charles Davis May 26, 2019:

Context I really don't know whether it makes any difference to the translation, but perhaps it is just worth reminding ourselves that this refers to auscultation of a neonate. "Tonos netos" is not common in Spanish, but the online examples I find seem to refer to neonates. I presume that you would be listening particularly for murmurs.

Stuart and Aida Nelson May 26, 2019:

herztöne rein und rhythmisch
https://befunddolmetscher.de/koerperliche-untersuchung/thora...

(Herztöne) rein und rhythmisch heart with normal sound and rhythm
https://www.proz.com/personal-glossaries/entry/4949812-cor-r...

Stuart and Aida Nelson May 26, 2019:

It is very common in English to use clear and regular heart sounds. In addition, it is also very common e.g. in German to make a distinction stating that the heart sounds are clear and regular and that in addition there are no heart murmurs</I>.

Anne Schulz May 26, 2019:

And, just to make it clear (no pun intended): I did not suggest "clean" as a translation for "neto", but used the English literal translation of our German word "rein" to describe the concept.

Chema Nieto Castañón May 26, 2019:

Efectivamente, Aida. Lamento no haberlo aclarado antes. Me temo que la alusión original a "netos" es redundante en este contexto. Si bien es cierto que "tonos netos" suele acompañarse de la especificación "sin soplos", o "sin soplos ni roces", "poco neto" alude a la presencia de "soplos" o "roces" (piensa en el sentido de "(ruidos) de límites poco netos"). No encontrarás (creo) lo uno sin lo otro; si son netos no debes escuchar soplos ni roces, y si no lo son es porque aparecen éstos.
* En todo caso, aunque creo que mucho menos común (salvo en traducciones, como las que referencias en respuesta), heart sounds (are) clear and regular es expresión perfectamente utilizable, con el mismo sentido en inglés (¡y "clear" tiene el mismo matiz redundante de "netos" en referencia a otros ruidos sobreañadidos!).

Stuart and Aida Nelson May 26, 2019:

tonos netos y rítmicos. No soplos. There is a clear separation in the source text: tonos netos y rítmicos followed by a full stop and a new sentence: No soplos = no heart murmur.

Chema Nieto Castañón May 25, 2019:

I believe regular rhythm (as in Regular Rate and Rhythm, with No Murmurs, Rubs, or Gallops) es la expresión habitual equivalente en inglés, con el sentido de ruidos cardíacos rítmicos (versus arrítmicos). En cuanto a tonos claros se alude a la ausencia de soplos -o de otros ruidos sobreañadidos. En inglés se expresaría bien como no murmur o bien como no murmurs, rubs or gallops.

Rachel Fell May 25, 2019:

Tend to agree with Joseph. cf: https://www.proz.com/kudoz/spanish-to-english/medical-cardio...

Joseph Tein May 25, 2019:

comment from a friend I have a doctor friend whom I sometimes ask for clarification about my questions.

Today he says: "When one is auscultating the heart, one is listening for flow sounds which give some clue to the status of the valves and the actual passage of blood thru the piping. I prefer "normal" heart sounds. Rhythm, cadence can be got from simply taking a pulse or looking at a monitor but offer no clue to the actual workings of the heart. Rhythmic and regular to my mind address just that ... tempo, cadence, timing, etc. and really do not comment on the flow characteristics."

Joel Pina Diaz May 25, 2019:

As any resident there are bad mistakes when "Auscultación cardiorrespiratoria or ACR" is carried out, the RUIDOS CARDIACOS (NO tones) basically searched over the cardiac foci A (aórtico) - P (pulmonar) - A (accesorio) - T (tricuspídeo) - A (apexiano o mitral), are produced as (normal heart) - 1) closure of atrioventricular valves (AV), beginning of systole, (first heart sound) followed by 2) the closing of the semilunar valves (aortic and pulmonary), end of systole, (second sound); sometimes a third sound is heard (middle third of diastole) mostly in pediatrics, the atrial sound or fourth sound (patologic). So, "Tonos netos y rítmicos" (a little note regarding the mistake of the source will be appreciated) should be as Stuart and Aida propose...

Anne Schulz May 25, 2019:

neto We have the same concept of 'clean' heart sounds in German, but I don't think it exists in English. You would probably just say "normal heart sounds".

Charles Davis May 25, 2019:

From what I can see it is going too far to say the "rhythmic" is wrong — it is used fairly often by native English-speaking professionals — but "regular" is more frequent and, to my mind, preferable, since it expresses the meaning more precisely.

Joseph Tein May 25, 2019:

Hi Stuart/Aida,

It's late here, I'll check into this some more tomorrow. The question will be how frequently "rhythmic" is used vs. "regular" by professional native English speakers.

neilmac May 25, 2019:

Neto = clean/clear.

Stuart and Aida Nelson May 25, 2019:

@ Joseph - rhythmic his mother's rhythmic heartbeat was valid, the neonate would quiet more to his own mother's heart rate than to a highly discrepant heart rate
https://www.jstor.org/stable/1128162?seq=1#page_scan_tab_con...

The Germans use rhythmic in German all the time and our doctor who (is an English native speaker) proofreads our translations has no problems using it. Cheers, Aida

franglish May 25, 2019:

clear regular heartbeats gets plenty results

Joseph Tein May 25, 2019:

rítmicos Can't help you with 'netos" but want to share that I always translate 'ritmicos' as "regular." This is what I've seen in my own medical records; I think it's incorrect to use "rhythmic."