décharge

English translation: diminished/altered (or problem in the) ventricular ejection

13:53 Jan 17, 2023
French to English translations [PRO]
Medical - Medical (general)
French term or phrase: décharge
Patient being treated following internal bleeding from ruptured external iliac artery. Patient has had transfusions, iliac artery stents inserted and is on antibiotics:

"Épisode de tachycardie ventriculaire mal tolérée avec dégradation hémodynamique et décharge plus frissons, réduite par CORDARONE en intraveineux plus supplémentation potassique plus supplémentation en sulfate de magnésium et remplissage."

I know "décharge" has been asked about before but I can't work out what it means in this context. The closest I could come was that the patient was laying down (off their feet as suggested here https://www.proz.com/kudoz/french-to-english/medical/550906-... but I'm not sure this is right.
Emily Gilby
United Kingdom
Local time: 13:24
English translation:diminished/altered (or problem in the) ventricular ejection
Explanation:
Given the context, reading the sentence and then the extra info on the report (alteration FEVG), it's very probable that they are taking about "décharge ventriculaire":
https://www.youtube.com/watch?v=XSZNYrTIEs4
https://www.cardio-online.fr/Actualites/A-la-une/Door-to-Unl...
La décharge ventriculaire gauche avec une reperfusion retardée chez des patients avec un STEMI sans choc cardiogénique est-elle faisable, et « secure » pour les patients ?

I do believe now they mean "dégradation hemodynamique (ET DE LA) décharge...." (diminished ejection).

https://www.studocu.com/en-au/document/edith-cowan-universit...
MODULE 3 NNS2106: Pathophysiology & Pharmacology II
HEART FAILURE
“The failure of the heart to maintain cardiac output atrequired levels because of diminished ventricular ejection by either the left or right ventricles or both."






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Note added at 2 horas (2023-01-17 16:49:35 GMT)
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Bcs of course, the main problem was a ventricular tachycardia.

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Note added at 3 horas (2023-01-17 17:04:37 GMT)
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More examples in French

https://static.s123-cdn-static-d.com/uploads/1297416/normal_...
La décharge gauche
"En cas de dysfonction ventriculaire gauche très sévère,
la décharge ventriculaire peut être insuffisante."

https://www.academie-medecine.fr/wp-content/uploads/2016/03/...
"La décharge ventriculaire gauche va participer favorablement au traitement"

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Note added at 1 día 34 minutos (2023-01-18 14:27:49 GMT) Post-grading
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You're welcome. And I do believe it's the right term - 'unloading' being employed when a device is used to correct heart's dysfunction.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9502778/
Cheers!
Selected response from:

abe(L)solano
France
Grading comment
This fits, thank you
4 KudoZ points were awarded for this answer



Summary of answers provided
4 +1diminished/altered (or problem in the) ventricular ejection
abe(L)solano
3 +2[electrical] discharge
liz askew


Discussion entries: 7





  

Answers


2 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +1
décharge (ventriculaire)
diminished/altered (or problem in the) ventricular ejection


Explanation:
Given the context, reading the sentence and then the extra info on the report (alteration FEVG), it's very probable that they are taking about "décharge ventriculaire":
https://www.youtube.com/watch?v=XSZNYrTIEs4
https://www.cardio-online.fr/Actualites/A-la-une/Door-to-Unl...
La décharge ventriculaire gauche avec une reperfusion retardée chez des patients avec un STEMI sans choc cardiogénique est-elle faisable, et « secure » pour les patients ?

I do believe now they mean "dégradation hemodynamique (ET DE LA) décharge...." (diminished ejection).

https://www.studocu.com/en-au/document/edith-cowan-universit...
MODULE 3 NNS2106: Pathophysiology & Pharmacology II
HEART FAILURE
“The failure of the heart to maintain cardiac output atrequired levels because of diminished ventricular ejection by either the left or right ventricles or both."






--------------------------------------------------
Note added at 2 horas (2023-01-17 16:49:35 GMT)
--------------------------------------------------

Bcs of course, the main problem was a ventricular tachycardia.

--------------------------------------------------
Note added at 3 horas (2023-01-17 17:04:37 GMT)
--------------------------------------------------

More examples in French

https://static.s123-cdn-static-d.com/uploads/1297416/normal_...
La décharge gauche
"En cas de dysfonction ventriculaire gauche très sévère,
la décharge ventriculaire peut être insuffisante."

https://www.academie-medecine.fr/wp-content/uploads/2016/03/...
"La décharge ventriculaire gauche va participer favorablement au traitement"

--------------------------------------------------
Note added at 1 día 34 minutos (2023-01-18 14:27:49 GMT) Post-grading
--------------------------------------------------

You're welcome. And I do believe it's the right term - 'unloading' being employed when a device is used to correct heart's dysfunction.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9502778/
Cheers!

abe(L)solano
France
Specializes in field
Native speaker of: Native in SpanishSpanish
PRO pts in category: 20
Grading comment
This fits, thank you

Peer comments on this answer (and responses from the answerer)
agree  Corinne Jeannet
14 hrs
  -> Merci !!

neutral  liz askew: I fail to see how you reach this conclusion:)
1 day 17 hrs
Login to enter a peer comment (or grade)

19 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +2
[electrical] discharge


Explanation:

Medical Flashcards
Chegg ·
https://www.chegg.com › flashcards › deck
Pulseless Ventricular Tachycardia/Ventricular Fibrillation refractory to ... the SA node increases its rate of electrical discharge and this, in turn, ...

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Note added at 23 minutes (2023-01-17 14:16:38 GMT)
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https://www.chegg.com/flashcards/medical-2dc3442e-88f2-4903-...

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Note added at 3 heures (2023-01-17 17:10:15 GMT)
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2015 ESC Guidelines for the management of patients with ...
Oxford University Press ·
https://academic.oup.com › article
by SG Priori · 2015 · Cited by 4367 — Patients presenting with monomorphic VT and haemodynamic instability ... ****of left ventricular dysfunction before and after discharge***.

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Note added at 3 heures (2023-01-17 17:11:57 GMT)
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ignore last reference.

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Note added at 3 heures (2023-01-17 17:17:56 GMT)
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hi

I have also found "unloading", see:


Unloading the Left Ventricle Before Reperfusion in Patients ...
AHA Journals ·
https://www.ahajournals.org › doi › full
by NK Kapur · 2019 · Cited by 186 — We report that LV unloading using the Impella CP device with a ... Ventricular tachycardia or fibrillation was observed in 20% (5/25) versus ...

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Note added at 3 heures (2023-01-17 17:18:32 GMT)
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La décharge ventriculaire avec Impella durant 30 minutes ...
businesswire.com ·
https://www.businesswire.com › ...
·
Translate this page
Impella décharge ventriculaire from www.businesswire.com
17 Sept 2022 — La décharge ventriculaire avec Impella durant 30 minutes avant une ICP est associée à une réduction de l'étendue de l'infarctus chez les ...

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Note added at 3 heures (2023-01-17 17:20:20 GMT)
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Left ventricular unloading with IABP in patients undergoing ...
ResearchGate ·
https://www.researchgate.net › publication
Left ventricular unloading with IABP in patients undergoing ventricular tachycardia ablation with ECMO support · Abstract · No full-text available · Citations (5) ...


So, FWIW, I am leaning towards the latter answer.

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Note added at 3 heures (2023-01-17 17:23:04 GMT)
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Acute cardiac unloading
Wikipedia ·
https://en.wikipedia.org › wiki › Acute_car...
Acute cardiac unloading is any maneuver, therapy, or intervention that decreases the power expenditure of the ventricle and limits the hemodynamic forces ...

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Note added at 3 heures (2023-01-17 17:24:32 GMT)
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What is the Difference Between “Venting” and “Unloading”?
HeartRecovery ·
https://www.heartrecovery.com › faq-v...
16 Apr 2020 — Ventricular unloading refers to a reduction in left ventricular pressure and volume. By reducing pressure and volume, wall stress is reduced ...

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Note added at 1 jour 19 heures (2023-01-19 09:50:46 GMT) Post-grading
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Impact of Gender and Ischaemic Time in Anterior STEMI ...
Interventional Cardiology Review ·
https://www.icrjournal.com › ...
However, pre-clinical work has demonstrated that mechanically unloading the left ventricle (LV) and delaying reperfusion reduces IS. The STEMI Door-To-Unload ...

liz askew
United Kingdom
Local time: 13:24
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 3189

Peer comments on this answer (and responses from the answerer)
agree  Bourth: 'Electrical discharge' is the conclusion i was working towards, unless it's a funny way of saying baisse de tension..
8 hrs
  -> but my answer is "unloading"!

agree  Sue Davis: I now think this is most likely
21 hrs
Login to enter a peer comment (or grade)



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