This question was closed without grading. Reason: Other
Jan 22, 2014 01:07
11 yrs ago
11 viewers *
Spanish term

falla cardiaca Stevenson

Spanish to English Medical Medical: Cardiology
Hi all -

I am translating a medical report on a patient admitted via triage as an emergency case suffering from congestive heart failure.

I have never seen the term "falla cardiaca Stevenson." In addition to numerous misspellings, it actually reads as below "...falla cardiaca stevenson d de mal pronóstico y sobrevida,..."

Here is the context:

"...paciente que según por historial clinico multiples comorbildades asociadas de enfermedad coronario multivaso, cardesfibrilados, falla cardiaca stevenson d de mal pronóstico y sobrevida, que ingreso al servcio de urgencias por dolor precordial y dolor abdominal y en servcio de triage sufre de paro prescenciado..."

If anyone can shed any light on this I would be greatly appreciative!

Thanks!

Discussion

Eren Kutlu Carnì Jan 22, 2014:
I totally agree with "fvasconcellos".
Joseph Tein Jan 22, 2014:
Poorly written source Our asker has told us in previous questions that his text is chock-full of mistakes (which you can't be held responsible for, Michael). Given this, we can't be sure what the author meant by "d". Also see: http://content.onlinejacc.org/article.aspx?articleid=1132304...

There's only so much you can do with a poor source!
Stevenson profiles The cardiologist Lynne W. Stevenson has developed a classification of advanced heart failure based on four hemodynamic profiles. (A good reference: http://bit.ly/KBEVZv ). This is the only explanation that comes to mind in this context. However, these profiles are A, B, C, and L, not D. There may be some confusion with the American Heart Association/American College of Cardiology staging system for heart failure, which is A/B/C/D... or perhaps a typo for "Stevenson b"?

Reference comments

7 hrs
Reference:

a little research goes a long way...

see Figure 1

http://www.amci.org.co/userfiles/file/amci/6 falla cardiaca....

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Note added at 7 hrs (2014-01-22 08:59:11 GMT)
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2801958/

Another clinically relevant and widely used system for classifying ADHF was developed by Stevenson and colleagues.17 In contrast with the European Society of Cardiology system, this system focuses more on the severity of disease at presentation than on the cause of HF. It classifies patients on the basis of the clinical presence or absence of hypoperfusion (cold vs warm) and of congestion at rest (wet vs dry) (Fig. 2). Patients with clinical profile A (warm and dry) had a 6-month mortality rate of 11%, compared with 40% for profile C (cold and wet), which shows that these clinical profiles can have prognostic significance.
Note from asker:
Thanks for the research info!
Peer comments on this reference comment:

agree Rita Tepper
3 days 13 hrs
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