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  3. Medical: Cardiology

p sinistroatriale

English translation: P-sinistrocardiale

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
German term or phrase:p sinistroatriale
English translation:P-sinistrocardiale
Entered by: Bettina Grieser Johns

10:44 Jun 26, 2015
German to English translations [PRO]
Medical - Medical: Cardiology / EKG
German term or phrase: p sinistroatriale
Ich weiss, was es ist (glaube ich zumindest) und ich weiss, wie es aussieht - das alles habe ich gefunden. Was ich nicht gefunden habe ist der englische Ausdruck dafuer. Kann es so einfach wie 'left-atrial p-wave' sein? Mir gefaellt das nicht, weil es sich so anhoert, als ob das die p-Welle des linken Ventrikels ist - oder ist das tatsaechlich der Fall? Waere sehr dankbar fuer Eure Hilfe!

Ach ja, der Kontext: Ein Arzt/Krankenhausbericht. Der Satz: Bei im EKG aufgefallenen p sinistroatriale bitten wir um eine ambulante kardiologische Wiedervorstellung zur weiteren Abklaerung.

Danke!
Bettina Grieser Johns
United Kingdom
Local time: 22:20
P-sinistrocardiale
Explanation:

"...P sinistro-atriale. Der erste Anteil von P ist normal, durch die Überlastung des linken Vorhofes kommt es zu einem doppelgipfligen, oft verbreiterten P..."
http://www.grundkurs-ekg.de/p_welle/p1.htm

"...broad, notched P waves in several or many leads with a prominent late negative component to the P wave ...[11] Thus, P-sinistrocardiale may be a more appropriate term..."
https://en.wikipedia.org/wiki/Mitral_valve_stenosis
Selected response from:

Harald Moelzer (medical-translator)
Germany
Local time: 23:20
Grading comment
Thanks to everybody for their help!
4 KudoZ points were awarded for this answer



Summary of answers provided
4 +2P-sinistrocardiale
Harald Moelzer (medical-translator)
3 +1left atrial P wave
Marga Shaw
3P mitrale, bifid P waves, WNPW (wide notched P waves), broad notched P waves
Anne Schulz


Discussion entries: 1





  

Answers


17 mins   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +2
P-sinistrocardiale


Explanation:

"...P sinistro-atriale. Der erste Anteil von P ist normal, durch die Überlastung des linken Vorhofes kommt es zu einem doppelgipfligen, oft verbreiterten P..."
http://www.grundkurs-ekg.de/p_welle/p1.htm

"...broad, notched P waves in several or many leads with a prominent late negative component to the P wave ...[11] Thus, P-sinistrocardiale may be a more appropriate term..."
https://en.wikipedia.org/wiki/Mitral_valve_stenosis


Harald Moelzer (medical-translator)
Germany
Local time: 23:20
Specializes in field
Native speaker of: Native in GermanGerman
PRO pts in category: 125
Grading comment
Thanks to everybody for their help!

Peer comments on this answer (and responses from the answerer)
agree  BioScience
1 hr
  -> Many thanks, BioScience!!
agree  Jacek Konopka
1 hr
  -> Many thanks, Jacek!!
neutral  Marga Shaw: Wird hier nicht nach dem englischen Terminus gefragt? Oder entgeht mir hier etwas?
2 hrs
  -> The German term does not refer to the 'left atrial P wave' per se but to a specific anomaly of it called "p sinistroatriale" which is "P-sinistrocardiale" in English
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2 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +1
left atrial P wave


Explanation:
...

e.g.

In order to assess the left atrial (LA) P wave and to define LAR, the P wave and loop were studied by direct LA pacing in 11 patients undergoing diagnostic transseptal left heartcatheterization. Experimental LAR produced changes in P-wave configuration and polarity.
http://circ.ahajournals.org/content/37/6/1000.full.pdf

In left atrial abnormality left atrial depolarization lasts longer than normal but its amplitude remains unchanged. Therefore, the height of the resultant P wave remains within normal limits but its duration is longer than120 ms. A notch (broken line) near its peak may or may not be present.
http://www.medicine-on-line.com/html/ecg/e0001en_files/11.ht...

Left atrial P wave abnormalities occur in adults (Figure 18-19), and right atrial P wave abnormalities occur in symptomatic infants (Figure 8-20).
https://books.google.co.uk/books?id=8q522N73IR8C&pg=PA114&lp... (p. 114 - Electrocardiogram)

A study has been made of serial electrocardiograms of patients with mitral stenosis in sinus rhythm, whose clinical progress was followed for at least four years after mitral valvotomy. The behaviour of the left atrial P wave after operation has been examined with special reference to its relationship to continued clinical progress.
http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10177...





--------------------------------------------------
Note added at 2 hrs (2015-06-26 13:32:43 GMT)
--------------------------------------------------

Interatrial conduction time, defined as the time from the right atrial pacing pulse or intrinsic P to the onset of left atrial P wave, and P wave sensing delay cause a shorter left heart AV interval during atrial pacing-ventricular sensing and atrial sense-ventricular pace. Interventricular conduction time (the time from the right ventricular pacing pulse to the onset of left ventricular depolarization), lengthens left heart AV interval during atrial sensing-ventricular pacing.
http://www.ncbi.nlm.nih.gov/pubmed/7700831


Marga Shaw
United Kingdom
Local time: 22:20
Works in field
Native speaker of: German
PRO pts in category: 87

Peer comments on this answer (and responses from the answerer)
neutral  Harald Moelzer (medical-translator): The German term does not refer to the 'left atrial P wave' per se but to a specific anomaly of it called "p sinistroatriale" which is "P-sinistrocardiale" in English --- please check my refs
1 hr
agree  raptisi: Sinister, ergo left
2 hrs
  -> Thank you, raptisi.
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3 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5
P mitrale, bifid P waves, WNPW (wide notched P waves), broad notched P waves


Explanation:
...some more options to choose from ;-)

Bifid P waves (known as P mitrale) indicate left-atrial abnormality - e.g. dilatation or hypertrophy.
https://en.wikipedia.org/wiki/P_wave_(electrocardiography)

P-mitrale: broad, notched P waves in II and AVF (greater than 2.5 millimeters wide or 100 milliseconds duration)
http://www.cardiology.org/tools/ecg_abnormalities/LAEK.htm



Anne Schulz
Germany
Local time: 23:20
Specializes in field
Native speaker of: German
PRO pts in category: 373

Peer comments on this answer (and responses from the answerer)
neutral  Harald Moelzer (medical-translator): "...often erroneously called P-mitrale..." http://medical-dictionary.thefreedictionary.com/P-sinistroca... "...Thus, P-sinistrocardiale may be a more appropriate term" https://en.wikipedia.org/wiki/Mitral_valve_stenosis
33 mins
  -> vielleicht "erroneously, aber immerhin "often" (etwa 16000x in terms of G-hits, vs. 1370 – darunter etliche nicht-englische – für P sinistrocardiale ;-)
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