For children with heart conditions and their families

Glossary

Glossary

 

This list of terms explains some of the words, phrases and abbreviations you may

hear. If you are unsure about the meaning of anything, ask the person who wrote it, your GP or Cardiac Liaison Nurse.

A

Abscess – a localised collection of infected liquid called pus.

Acidosis – loss of the normal balance of body chemistry resulting from poor heart

action and poor blood supply to parts of the body.

Anaemia – reduction in the red blood cell count.

Anaesthesia – the state produced by an anaesthetic

Anaesthetic – a chemical that produces loss of consciousness.

Analgesic – a chemical substance that produces freedom from pain.

Aneurysm – a ballooning of the wall of a blood vessel or of the heart.

Angiography – a procedure to see blood vessels using x-ray by first injecting a dye

Angioplasty – stretching of a narrow artery by a balloon catheter.

Anomalous – wrong

Anomaly – something wrong

Aortic arch – topmost part of the aorta from which the head, neck and arm arteries

arise.

ARP - anticipated recovery pathway

Artery – a blood vessel that carries blood away from the heart.

Ascites – fluid in the abdomen.

Asystole – stoppage of heart action.

Atheroma – damage to the lining of arteries producing narrowing and reduction of

blood flow onto which clots may form.

Atresia – blocked/missing/never formed.

Autopsy – examination of the body after death.

Autograft- using the body’s own tissue

B

Banding – an artificial narrowing of the lung artery with a ‘band’ or string to reduce

blood flow.

Bifurcation – division into two.

Bicuspid – having two cusps

Biopsy – removal of a small piece of tissue.

Blalock-Taussig shunt – operation to join left or right subclavian artery to pulmonary

artery.

Blood pressure – the pressure of blood within the vessels.

BNO - Bowels not opened

Terms BO - Bowels opened

BP - Blood pressure

Bronchomalacia – softening of the cartilage supporting the two bronchi

Bronchus (plural is bronchi) – main airway to each lung.

Bundle of His – part of the system of conducting nerves in the heart

C

Caesarian – a surgical operation to removed the baby from the uterus through the wall

of the abdomen

Capillaries – very fine blood vessels through whose walls food, oxygen, waste products,

carbon dioxide are filtered to and from the body tissues.

Carbon dioxide – waste gas produced as a by-product of body activity.

Cardiac – to do with the heart.

Cardiac output – the amount of blood pumped by the heart per minute.

Cardiomyopathy – disease of the heart muscle.

Cardioplegia – a chemical solution used to protect heart muscle during open heart

surgery.

Cardiopulmonary bypass – a pump and an oxygenator to maintain blood supply to the

body while the heart’s action is stopped.

Cardioversion – shocking a heart into a normal rhythm

Cholesterol – a fatty chemical found particularly in animal fat.

Chordae tendonae – fibrous cords that support the mitral and tricuspid valves.

Chorea – spontaneous abnormal purposeless movements.

Chromosomes – in every cell, DNA bonded to proteins that carry genes

Chronotrope – to increase heart rate

Circulation – the system of heart, veins and arteries for getting oxygen and nutrients in

the blood to the organs, and carrying deoxygenated blood back

Chyle – a fluid containing a lot of fat within the lymphatic system.

Clinical governance –regular review by hospital clinicians and managers to maintain

ethical standards.

Clubbing – rounded swelling of the ends of the fingers or toes.

Coil – a device used for blocking blood vessels

Collaterals – natural additional blood vessels to help overcome a blockage.

Conducting – carrying an electrical signal

Conduit – artificial tube.

Congenital – present at birth

Congenital Heart Disease, Condition, Defect - abnormality of the heart present at birth.

Congestion – too much fluid in a part of the body.

Consolidation – part of lungs becoming airless.

Convulsion – a fit.

Coronary arteries – the blood supply to the heart muscle.

Coroner – an official who inquires into unnatural death eg sudden, unexpected or

those related to procedures or operations.

Corrective – to return the circulation to normal.

CPAP – constant positive airway pressure, a way of keeping small airspaces open.

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Cyanosis – blue colouration of skin and lips due to lower amount of oxygen in the

capillaries.

D

Defibrillator – a machine using electrical shock to treat abnormalities of heart rhythm.

Descending aorta – the aorta beyond the aortic arch

Dialysis – a method of washing out waste products.

Diaphragm –muscle of breathing that separates the chest from the abdomen.

Diastole – resting phase of heart action.

Diastolic blood pressure – the lower of the blood pressure readings, produced as the

heart relaxes

Doppler – the use of sound waves to assess speed and direction of blood flow.

Drain – a tube used to move fluid or air from the body.

Drip – a means of getting food and drugs into a vein.

Duct – a tube carrying fluid or blood.

Ductus arteriosus – a blood vessel part of the embryo’s circulation, carrying blood from

the pulmonary artery to the aorta. Should close shortly after birth.

Dysphagia – difficulty with swallowing.

Dyspnoea – breathlessness.

E

ECG – electrocardiogram: recording of the electrical activity of the heart.

Echocardiogram – a picture of the heart and blood vessels using reflected high

frequency sound waves.

ECMO – Extra Corporeal Membrane Oxygenation: a heart lung machine – which may

be used to rest the heart and lungs.

-ectomy – removal

EEG - electro-encephalogram – recording electrical activity of the brain

EF - Ejection Fraction – percentage of blood pumped from the ventricle

Electrocardiogram – recording of the electrical activity of the heart.

Electrodes – fine wires that carry electrical activity from or into the heart.

Embolus – an abnormal substance within the blood stream such as clot or air.

Embryo – the developing baby within the womb.

Endocarditis – inflammation of the endocardium

Endocardium – smooth lining on the inside of the heart and its valves.

F

Failure – inability of the organ to cope with demands.

Failure to thrive – poor or no weight gain

Fainting – temporary loss of consciousness

Familial – runs in families.

Femoral – related to the leg.

Fetal – of the fetus – the baby before birth

Fibrillation – disorganised heart contractions.

Flutter – abnormally fast regular beating usually of the atrium.

Fetus – sometime spelt ‘foetus’ – developing baby within the womb.

G

Gastrostomy - a hole created so that food can be fed directly into the stomach

Gene – an inherited characteristic, a part of a chromosome.

H

Haematoma – a localised collection of blood outside a vessel.

Haemoglobin – the chemical carried in red cells that carries oxygen, carbon dioxide

and gives colour to the blood..

Haemolysis – destruction of red cells.

Haemoptysis – blood coughed up from lungs.

Haemorrhage – a leak of blood from blood vessels.

Hb – haemoglobin

Heart block – disturbance in heart rhythm so that the ventricles beat more slowly then

the atriums, described as first degree, second degree or complete

Heart-lung machine, Heart-lung bypass machine – oxygenates and pumps blood

around the body while heart operations are carried out.

Heterograft – (also called Xenograft) – using a tissue from another species

Homograft (also called allograft) – using tissue from another human.

Hyper – too much.

Hypertension – elevated blood pressure.

Hyperthermia – very high temperature

Hypo – too little.

Hypoplastic – underdeveloped

Hypotension – low blood pressure.

Hypothermia – very low temperature.

I

Idiopathic – cause unknown.

Immunisation – a method of increasing patient’s defence against infection.

Incompetence – leaking.

Infant – less than one year.

Infarct – death of tissue related to blocking of the blood supply.

Infective endocarditis – acquired heart disease

Infra – below.

Infusion – fluid or medication given slowly into a vein.

Inotrope – a drug used to increase heart muscle function

Intra – within.

Intravenous infusion (IV) - giving drugs or fluids directly into a vein.

Intubation – passage of a tube into the windpipe to assist with breathing.

Ischaemia – reduction in organ function as a result of reduced blood supply.

-itis – infection.

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Invasive test, invasive procedure – the skin needs to be penetrated

IVs - intravenous infusions

J

Jaundice – yellow colouring of skin and eyes as a result of liver dysfunction or red cell

breakdown.

Juxta – nearby

K

Keloid – a hard lumpy scar from excess fibrous tissue.

L

Leucocyte – white blood cell that fights infection.

Lines - intravenous and intra-arterial cannulae

Lobe – part of an organ.

Lymph – body fluid running in channels, drains fluid and particularly fats from the

bowel back into the circulation.

M

Macro – large

Mediastinum – space in the chest between the lungs, heart and great vessels.

Micro – small

Monocusp – a single cusp from a donor valve.

Murmur – noise produced by blood flow in the heart and vessels.

N

Nasogastric – from nose to stomach

NBM - nil by mouth

Needle phobia - fear of injections

Neonate – baby in the first month of life.

NG - nasogastric

NGT – nasogastric tube

NO - Nitric oxide

Node – area of specialised cell that controls the rhythm of the heart.

Non-invasive test, non-invasive procedure – does not need to penetrate the skin

NPU - not passed urine

Nucleus – central part of most cells and contains the chromosomes.

Nutrients – those parts of food which are used by the body for repair and growth

O

O2 - oxygen

Obs – observations

Oedema – extra fluid accumulating in the tissue.

Oesophagus – gullet

OHS

Oliguria – too little urine.

- ology – the study of.

- ostomy – a hole.

- otomy – an incision.

OPD – outpatient department

Outpatients – a department of a hospital your child may visit without being admitted to

the hospital.

Oximeter – a machine to measure oxygen.

Oxygen – part of the air that is needed by all animal cells for normal working.

Oxygenator – an artificial machine that delivers oxygen into the blood.

P

Pacemaker – electrical control of the speed of the heart – either natural or artificial.

Paediatric – old spelling of pediatric

Palliation – a procedure to improve the patient’s condition.

Palpitation – an uncomfortable sensation of heart beat which may be slow, fast,

irregular or regular.

Parasympathetic nerves – nerves to the heart that slow heart rate.

Parenteral – medicines or fluids given by injection.

Paresis – paralysis.

PCU – Pediatric Cardiac Unit: part of a hospital which specialises in treating children

with heart conditions

PDA - Patent ductus arteriosus

Pediatric – sometimes spelt ‘paediatric’ – word to describe science of medical

problems in children.

Pediatric cardiologist – doctor specialising in children’s heart conditions

Peri – nearby.

Pericardium – lining bag in which the heart sits.

Peritoneum – membrane lining the inside of the abdomen.

Phrenic nerve – nerve that supplies the diaphragm.

Physiological – functioning normally.

Placenta – organ inside the uterus that supplies the developing baby with nourishment

and removes waste products.

Plasma – liquid part of the blood.

Platelets – small particles in the blood which are important for blood clotting.

Pleura – covering layer of the lungs and the inside of the chest.

Pneumothorax – air outside the lung and within the chest cavity.

Polycythaemia – increased number of red blood cells.

Precordium – part of the chest in front of the heart.

Prenatal diagnosis – finding out about the baby’s condition before birth

Procedure – another word for operation or treatment or invasive test

Prognosis – an estimation of outlook for the patient’s particular problem.

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Prophylaxis – prevention.

Prosthetic – artificial.

PU - passed urine

Pulmonary – of the lungs.

Pulse – the arterial beat from forward blood flow produced by the heart contraction.

Pulse oximeter – a device for measuring oxygen in the blood

Pus – liquid produced by infection.

Pyrexia – high temperature.

R

Radiograph – photograph of part of the body using x-rays.

Radio-isotope – a substance uses radioactivity for diagnostic purposes.

Re-entry circuit -continual electrical reactivation of part of the heart

Regurgitant – backward flow –leaking.

Renal – pertaining to kidneys.

Resuscitation –treatment to stimulate the heart or breathing

S

Sac – bag.

Saline – salt solution usually the same strength as body fluid.

Saphenous – a vein in the leg.

Sats – short for oxygen saturation

Sclerosis – hardening of tissue.

Scoliosis – curvature of the spine.

Sedation – drugs used to reduce nervousness and increase calm, reduced level of

consciousness

Semilunar – crescent shaped, relates to the aortic or pulmonary valve leaflets.

Septectomy – removal of a septum.

Septicaemia – an infection of the blood stream.

Septostomy – a hole created in the septum.

Septum – a dividing structure.

Shock – severe failure of the circulation with cessation of normal body action.

Shunt – a natural or artificial tube used to increase blood supply to the lungs.

Side effects - ways in which a medicine can affect the patient, other than the way

intended.

Sign – an abnormality found on examination.

Sphygmomanometer – instrument for measuring blood pressure.

Stenosis – narrowing in the vessel or valve.

Stent – an expandable metal tube used to enlarge narrow vessels

Sternum – breast bone.

Stillbirth – birth of a baby who has died

Stridor – noisy breathing.

Stroke – loss of function related to blockage or bursting of blood vessel supplying part

of the brain

Sub – below.

Subclavian – below the clavicle.

Supra – above.

Suture – fine string used to sew two parts together.

SVT – Supra Ventricular Tachycardia – a fast heart beat starting in the atrial chambers

Sympathetic nerve – nerves to the heart that increase the heart rate.

Symptom – an indication of a medical condition

Syncope – loss of consciousness related to lack of blood flow to the brain.

Syndrome – a collection of abnormalities that together produce a recognisable pattern.

Systole – the period of contraction of the ventricles.

Systolic blood pressure – the top of blood pressure measurement taken when the

heart is contracting.

T

Tachycardia – rapid heart rate.

Tachypnoea – rapid breathing.

Tamponade – obstruction to filling of the heart by pressure from a surrounding

collection of fluid.

Thoracic duct – vessel carrying lymph drainage from bowel through the chest to the

subclavian vein.

Thoracotomy – an operation on the chest.

Threshold – lowest level of stimulus that will produce a response.

Thrill – vibration that can be felt, produced by abnormal blood flow.

Thrombolysis – dissolving a clot in a blood vessel with drugs.

Thrombosis – clot formation.

Thrombus – clot

Toxic – an illness related to a poisonous by-product usually infection.

Trachea – windpipe.

Tracheomalacia – softening of the cartilage that supports the windpipe.

Tracheostomy – a small tube inserted through a hole in the windpipe to assist

breathing.

U

Umbilical – tube that connects the placenta to the developing baby before birth.

Umbrella – a catheter device to block abnormal blood vessel

Unifocalisation – bringing separate vessels together

V

Vaccine – a liquid of weak or killed micro-organisms, or their proteins that that can be

used to prevent diseases.

VAD – ventricular assist device to support the heart

Vagus nerve – nerve supply to the body and bowel, stimulation of which slows the

heart rate.

Valve – structure which opens and closes to allow blood flow in one direction only

Valvoplasty – stretching of a narrow valve often with a balloon catheter.

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Valvotomy – cutting or stretching of a narrow valve.

Vascular – relating to blood vessels.

Vasodilator – a drug to open up blood vessels

Vegetation – lumpy areas on a heart valve caused by infection and blood clot.

Vein (vena) – thin walled blood vessel carrying blood towards the heart.

Viral – caused by a virus

Vitamin k – helps blood to clot and is suppressed by warfarin, an anticoagulant

X

Xenograft – tissue from another species

X-ray- a test using rays to see the more solid structures inside the body