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Glossary entry

Italian term or phrase:

T difasica-negativa in inferiore

English translation:

negative and biphasic T wave in the inferior

Added to glossary by Joseph Tein
Oct 23, 2010 20:33
13 yrs ago
1 viewer *
Italian term

T difasica-negativa in inferiore

Italian to English Medical Medical: Cardiology ECG
From the emergency admission record of an 82-year old patient with a history of NSTEMI, CABG, IMA, first-degree AVB, and many other abbreviations:

" ... sottoslivellamento di ST in lateral alta, *T difasica-negativa in inferiore*, alterazioni gia' segnalate nell' ultimo tracciato del xxx."

I understand that this is a finding in the inferior leads of the ECG, but will appreciate help with how to phrase the whole thing.

Ciao e grazie!
Proposed translations (English)
3 negative and biphasic T wave in the inferior
4 +1 biphasic negative T waves in the inferior leads

Discussion

Lionel_M (X) Dec 5, 2010:
No Problem Joseph !
You can ask ProZ to reassign point to Lirka; they can do it.
Joseph Tein (asker) Dec 5, 2010:
Ho sbagliato! I meant to select lirka's answer, but clicked in the wrong place. Lionel ... you can be a gentleman and say Thank You to lirka :) for the points ... thank you both for your input!
Lirka Nov 2, 2010:
with Anne please see my answer to Joseph in the comment box
Panagiotis Andrias (X) Oct 25, 2010:
totalmente d' accordo con Anne... / se si potesse in qualche modo vedere il tracciato, la resa sarebbe certamente accurata...
Anne Schulz Oct 25, 2010:
Ambiguous wording I am not sure about the Italian use, but the English term 'biphasic negative' (and corresponding German, FTM) is not clear. A biphasic wave has, by definition, a negative portion, and the distinction between normal and pathological is in most cases whether the negative or the positive portion of the biphasic T-wave comes first. 'Biphasic negative' could then indicate a biphasic T-wave in some inferior leads and a negative (inverted) T-wave in others, or biphasic T-waves with a terminal negative portion (pathological variant), or biphasic T-waves with a negative beginning (usually less significant).

Proposed translations

3 hrs
Selected

negative and biphasic T wave in the inferior

USC ECG Learning Center » ECG Glossary - [ Traduci questa pagina ]
In lead V1, biphasic P wave with a large and wide terminal portion (1 box ... Mean QRS axis is >-30°; Possible causes include: LBBB, LVH, inferior wall MI, etc. ... Recent MI: Abnormal Q waves, isoelectric ST segments, inverted T waves. ...
ekgreview.com/glossary/ - Copia cache - SimiliConsultantlive.com | T-Wave Inversions: Sorting Through the Causes ... - [ Traduci questa pagina ]
30 Dec 2006 ... The T wave is the ECG manifestation of ventricular ... deeply inverted T waves or biphasic T waves in the precordial leads ... The T-wave findings in these patients are typically shallow inversions in the inferior leads. ...
www.consultantlive.com/...diseases/.../44299 - Copia cacheECG A Methodical Approach | Doctor | Patient UK - [ Traduci questa pagina ]
13 May 2009 ... In V1, T may be upright, inverted biphasic or flat. ... A broader complex and inverted T waves are usual. ... II, III, and aVF are inferior leads. The V leads will show if it is anterior-septal with early V leads ...
www.patient.co.uk › PatientPlus - Copia cache - SimiliThe Normal Electrocardiogram - [ Traduci questa pagina ]
24 Nov 2008 ... However, when the QRS axis is near +90 degrees, the septal q wave may be more obvious in the inferior leads (II, ... Normally, aVR shows a negative QRS complex. ... V2 may show a biphasic or inverted T wave under normal circumstances. A small, low-amplitude wave frequently follows the T wave and is ...
www.americanheart.org/presenter.jhtml?... - Copia cache - Simili

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Note added at 3 ore (2010-10-24 00:20:41 GMT)
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Micro EKG - Mad Scientist Software - [ Traduci questa pagina ]
The increased voltage is best seen in the “inferior” leads — those that see electrical ... A biphasic P wave indicates left atrial enlargement if the downward portion of ... nor by evidence of RVH (right axis, inverted T wave in V1), ...
www.madsci.com/manu/ekg_hypr.htm - Copia cache - SimiliConsultantlive.com | T-Wave Inversions: Sorting Through the Causes ... - [ Traduci questa pagina ]
30 Dec 2006 ... The T wave is the ECG manifestation of ventricular ... deeply inverted T waves or biphasic T waves in the precordial leads ... The T-wave findings in these patients are typically shallow inversions in the inferior leads. ...
www.consultantlive.com/...diseases/.../44299 - Copia cacheThe Normal Electrocardiogram - [ Traduci questa pagina ]
24 Nov 2008 ... However, when the QRS axis is near +90 degrees, the septal q wave may be more obvious in the inferior leads (II, ... Normally, aVR shows a negative QRS complex. ... V2 may show a biphasic or inverted T wave under normal circumstances. A small, low-amplitude wave frequently follows the T wave and is ...
www.americanheart.org/presenter.jhtml?... - Copia cache - Simili
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4 KudoZ points awarded for this answer. Comment: "Ciao lirka ... trying to catch up on / close out some old questions that have been lingering in the closet. Sometimes the answers make a lot more sense after a few months have passed! In any case, thanks again. "
+1
18 hrs

biphasic negative T waves in the inferior leads

Ciao Joseph,

From my personal experience, hence no references :):)


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Note added at 9 days (2010-11-02 19:52:48 GMT)
--------------------------------------------------

Hi Joseph,

As usual, Anne is very thorough in her answer. I completely agree with her explanation. Biphasic T waves can of two types: those with terminal negativity or with terminal positivity ( also called 'T wave with up-down deflection' and down-up deflection, respectively). T wave terminal negativity is more significant and specific for coronary artery disease. So, with a little bit of guessing, I believe that they are referring to a biphasic T wave with terminal negativity or up-down deflection. But since the source text is indeed ambiguous/imprecise, you may want to make the translation a bit ambiguous as well and say biphasic negative T wave, and noone can accuse you of over-translation or incorrect interpretation ( of the poor source text, but nevertheless).
Note from asker:
Hi Lirka, Since I know nothing (sadly) about ECG readings ... what do you think about Anne's comment? Do you think your answer still applies?
Peer comment(s):
neutral Lionel_M (X) : singular Lirka (wave)
17 hrs
agree Anne Schulz : If it were German or English (biphasisch-negativ/biphasic-negative), I would guess the same - terminal negativity (no singular, though ;-)
12 days
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