This question was closed without grading. Reason: Answer found elsewhere
Jul 14, 2020 11:53
4 yrs ago
41 viewers *
French term

pas de signe de *surcharge*

French to English Medical Medical (general) cardiology
This comes up in a cardiologist letter/report about one of his patients :
It reads as follows (in part) :
'Electrocardiogramme : Rythme sinusal a 75/min, pas de signe ischemique, pas de signe surcharge. Pas de troiuble de la conduction. QT corrige 424 ms.
Though I have been explained the meaning of 'surcharge' in this context, I am still looking for a correct rendering.
Any help would be appreciated.
Nicole
Proposed translations (English)
4 +4 no signs of overload
Change log

Jul 14, 2020 11:53: Yana Dovgopol changed "Vetting" from "Needs Vetting" to "Vet OK"

Jul 14, 2020 11:53: Yana Dovgopol changed "Kudoz queue" from "In queue" to "Public"

Votes to reclassify question as PRO/non-PRO:

Non-PRO (2): mchd, Yvonne Gallagher

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Discussion

Michael Barnett Jul 19, 2020:
Reference to A. Borgeat. A. BORGEAT, M.D.
Service d'Anesthésiologie-Réanimation, Hospital CantonalCH-1700 Fribourg, Switzerland
Thus the reference is a translation, or written by a non-native English speaker.
liz askew Jul 19, 2020:
but look here:
acute pulmonary oedema following administration of ornithine ...www.bjanaesthesia.org.uk › article › pdf
PDF
hospital stay was uneventful. Serial***ECG showed no signs of ischaemia, right or left ventricular overload**** and no rhythm or conduction disturbances. Blood tests ...
by A BORGEAT - ‎1990 - ‎Cited by 15 - ‎Related articles
liz askew Jul 19, 2020:
So, what did you use in the end, otherwise how are we to know for future examples???
nicole GELISTER Jul 19, 2020:
on the advice of a British medical doctor I did not use the word 'overload' as this is not a term they would use in their 'daily' work. THank you anyway.
liz askew Jul 14, 2020:
and
(PDF) ECG Basics | Ahmed Shehadah - Academia.eduwww.academia.edu › ECG_Basics
96 Chapter 4 – ECG signs of overload of cardiac chambers. ... The most important difference is in the Ito current generating early rapid repolarisation, which is ... Genetic disorders of ion channels, the so-called 'channelopathies” are subject ... left ventricle gets forward) and in left ventricular hypertrophy and late transition is ...
liz askew Jul 14, 2020:
see:
https://www.e-cardiogram.com/hypertrophie/

ECG. Les signes sont spécifiques mais peu sensibles, comparés aux méthodes modernes d’imagerie. Néanmoins, l’ECG garde sa place compte tenu de sa disponibilité, de son coût et des renseignements pronostics indépendants qu’il procure.

–> L’hypertrophie/dilatation atriale associe de façon variable une augmentation d’amplitude, de durée et une déviation axiale de l’onde P du côté de l’« hypertrophie » (cf. HAD, HAG).

–> L’hypertrophie/dilatation ventriculaire associe de façon variable une augmentation d’amplitude, de durée et une déviation axiale des complexes QRS du côté de l’hypertrophie et **des troubles particuliers de repolarisation appelés « signes de surcharge » (cf. HVG, HVD et Surcharge ventriculaire)**.
Anne Schulz Jul 14, 2020:
FWIW, I can find many reliable sources using "overload" in context with ECG changes, on the web. What alternative does the medical doctor suggesting that "overload" is NOT used in this context propose?
Suzie Withers Jul 14, 2020:
Overload? Disclaimer: I'm not a medical translator, but "overload" seems to be a term that is used in English, although it is usually qualified with one of "systolic", "ventricular", "atrial" or "pressure" vs "volume", so not sure which would fit here, or if overload can be used on its own.

Just suggesting as a line of enquiry, not a final answer, as I am not qualified in this domain

Proposed translations

+4
43 mins

no signs of overload

https://www.google.com/search?sxsrf=ALeKk00qvObTkgrS9uq65YyN...

--------------------------------------------------
Note added at 43 mins (2020-07-14 12:37:16 GMT)
--------------------------------------------------

Significance of left atrial overload by electrocardiogram in the ...link.springer.com › ...
7 Dec 2019 - Moreover, not so few patients fall in the category of “indeterminate”. This is ... Table 6 showed that ECG signs of LA overload well indicated the ...

ECG at a Glance - Google Books Resultbooks.google.co.uk › books
The ECG signs depend of the size of the shunt and the pulmonary artery pressure: ... Moderate; left ventricular volume overload leads to ECG left ventricular ... syndrome); the ECG shows evidence of RVH alone with no ECG evidence of LVH; ...
Peer comment(s):

agree Suzie Withers : Yes, I thought it was this but not a medical translator so didn't want to propose it
18 mins
agree writeaway : It's a basic translation of surcharge even in non-medical contexts
1 hr
agree nicole GELISTER : I am told by a medical doctor that 'overload' is not used in this sentence. I do know the word 'surcharge'. Thank you anyway.
1 hr
but it is used in relation to ECGs, so why not in this sentence?
agree SafeTex : Not my field but the reference looks good and Google hits abound
1 hr
neutral Michael Barnett : I'm not sure about this one. He may have meant "hypertrophy". Your own reference uses it. RVH and LVH refer to right and left ventricular hypertrophy, respectively.//It's not a term I see in English, day to day. The EKG changes are similar to hypertrophy
1 day 13 hrs
sure, but there is a big difference between "surcharge" and "hypertrophie ventriculaire" in terms on vocab.
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Reference comments

5 days
Reference:

Following through liz's reference

https://www.e-cardiogram.com/hypertrophie/ :
L’hypertrophie/dilatation ventriculaire associe de façon variable une augmentation d’amplitude, de durée et une déviation axiale des complexes QRS du côté de l’hypertrophie et des troubles particuliers de repolarisation appelés « signes de surcharge » (cf. HVG, HVD et Surcharge ventriculaire).


Clicking on link "HVD" – https://www.e-cardiogram.com/hypertrophie-vd-1-diagnostic/
Signes de surcharge ventriculaire droite (ST descendant et/ou ondes T négatives dans les dérivations précordiales droites V1-V3 et/ou frontales inférieures) (cf. Cardiopathie arythmogène du ventricule droit ou HTAP).

On distingue trois types électriques d’HVD de mécanisme différent et de sévérité décroissante :
Le Type A produit une grande onde R monophasique ou un aspect qR en V1 qui correspond à une surcharge barométrique importante avec hypertrophie concentrique du VD...
Le Type B réalise un aspect rS, avec des petites ondes R dans l’ensemble des dérivations précordiales de V1 à V6,...
Le Type C réalise un aspect rSR’ avec R’ ≥ 8 mm et se voit essentiellement dans les surcharges volumétriques..., (où r représente l’activation septale, S l’activation pariétale des ventricules et R’ l’activation terminale de la partie basale du ventricule droit hypertrophié). Le diagnostic différentiel est donc un bloc de branche droit.


Clicking on link "HVG" – https://www.e-cardiogram.com/hypertrophie-vg-1-diagnostic/ :
L’hypertrophie/dilatation du VG prolonge et retarde les vecteurs de dépolarisation ventriculaire gauche et s’accompagne de troubles secondaires de repolarisation (cf. Surcharge ventriculaire gauche) qui s’expliquent par la perte de capacité des cellules épicardiques à se repolariser avant les cellules endocardiques (en raison de l’épaisseur du muscle et des conditions d’ischémie relative).


Clicking on link "ventriculaire" – https://www.e-cardiogram.com/indice-dhvg-1-generalites/ :
Indice d’HVG :
Indices de voltage combinés :
Score de Framingham : (RVL > 11 mm) ou (RDI + SDIII > 25 mm) ou (SV1/2/3 > 25 mm) + (RV4/5/6 > 25 mm) ou (SV1-2 + RV5-6 > 35 mm) ou surcharge ventriculaire (1 point par item)
Indices indirects qui renforcent la présomption d’HVG :
Surcharge ventriculaire (remodelage). Il s’agit d’une anomalie assez » spécifique » de la repolarisation ou » strain pattern « . Le strain pattern est parfois seul le signe en faveur d’une HVG


Searching for "Framingham index", e.g. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2856691/ confirms "strain pattern" :
Framingham ECG score (presence of a strain pattern and at-least one of the following voltage criteria – RI + SIII ≥ 2.5 mV, SV1/V2 + RV5/V6 ≥ 3.5 mV, the S wave on the right precordial lead ≥ 2.5 mV and the R wave on the left precordial lead ≥ 2.5 mV)


Strain pattern may therefore be the term you are looking for, but it's an ambiguous choice since your text only gives "signe surcharge". This could refer to the set term of "signe de surcharge" in the sense of repolarisation changes in left ventricular hypertrophy, as quoted in liz's reference – but couldn't it also be "evidence of 'surcharge'" with surcharge being used in the general sense of surcharge barometrique/volumetrique (pressure/volume overload, syn. systolic/diastolic overload)?
Being placed in contrast and supplement to "signe ischemique", without any other specific comments on left or right ventricular or atrial changes, I'd be surprised if "signe surcharge" referred to a specific repolarisation pattern.
Peer comments on this reference comment:

agree nicole GELISTER : that is what the source text said, but I cannot give the whole report here .
3 hrs
agree Michael Barnett : Perhaps "surcharge" is being used for what we would usually call "hypertrophy with strain". The EKG description that I read from other sources appears to be identical. In English, "overload" would more commonly be seen on an echo, referring to dilatation.
3 hrs
Perhaps – but we will never know since the asker chose not to share the explanation she received of "surcharge", nor the specific concerns of her British doctor friend or the solution she found elsewhere :-(
agree liz askew : Thanks for this reference, good for the future.
30 days
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