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Movimiento (de cliente)
a igualdad de ofertas
Dec 19, 2023 16:13
5 mos ago
23 viewers *
Spanish term

contractilidad hipokinesia segmentaria inferior y lateral baja hacia la punta

Spanish to English Medical Medical: Cardiology Echocardiogram
I realize this exceeds the 9-word question limit, but grammatically it does appear to be all one term:

"Se observa ventriculo izquierdo ligeremenete aumentado en tamaño no se observan disminucion en ***crontactilidad hipokinesia segmentaria inferior y lateral baja hacia la punta***, no se observan segmentos adelgazados o aumento de la refringencia."

As you can see, the text is very poorly drafted, with plenty of typos and insufficient/erroneous punctuation, so perhaps I'm parsing this wrong and it should instead be "no se observan disminucion en crontactilidad [o?] hipokinesia segmentaria inferior y lateral baja hacia la punta".

From what purports to be an 'ecocardiogrma [sic] modo M, "D, TDI y Doppler pulsado color y codificacion en color' (?!) performed in a Mexican private clinic.

Any informed comments will be much appreciated.
Proposed translations (English)
4 +2 Comma is missing!> No evidence of reduced [global] LV contractility, but there is hypokinesia...
4 +1 [there is no reduced] contractility or mild inferior and lateral segmental hypokinesis towards the
2 ...contractility reduction [is] observed. Mild lower and lateral segmentary hypokinesia towards tip
References
see

Discussion

Robert Carter (asker) Dec 26, 2023:
Hi Chema, thanks for your input. That's exactly what I was trying to parse, i.e., whether it made sense to put an "or" or a "but" in between those ideas (I eventually copped out and stuck a semicolon in there!), but it's heartening to know that someone with your level of medical expertise also had to just guess in the end too. I'm mystified as to how a hospital can let someone with such poor communication skills write up a report like this—it was an absolute mess from start to finish!

I also want to thank everyone who contributed to this question, and apologise for disappearing until now. I don't know what's happening with the site notifications as I received no notifications of updates to this question until a couple of days ago when I was asked to rate the answers. I had initially checked back myself shortly after posting it and saw Gabriel's response, but I had no other notifications about the question.
Chema Nieto Castañón Dec 22, 2023:
Hola, Robert.
Creo que lo que intenta expresar el original es que no se observa una disminución de la contractilidad aunque sí se objetive una hipoquinesia segmentaria inferior y lateral baja hacia la punta. Esto es, no se observa una disminución global de la contractilidad si bien sí se objetiva una hipoquinesia pero muy localizada.

"(...) no se observa disminución en contractilidad -[salvo por] hipokinesia segmentaria inferior y lateral baja hacia la punta-, (...)"

I am afraid I am just guessing though.

Proposed translations

+2
19 hrs
Selected

Comma is missing!> No evidence of reduced [global] LV contractility, but there is hypokinesia...

...in the inferior and lateral segments towards the apical aspect (or apex).

In essence, you are missing a comma (or semicolon) between "contractilidad" and "hipokinesia".

I other words, there is no global left-ventricular contractility issue, but there IS segmental hypokinesia in the specified locations...

Hope I cleared it up for you.
Note from asker:
Thank you, Lirka, this makes more sense to me now.
Peer comment(s):
neutral liz askew : but it states "no se observan" in the plural
1 hr
Yes, it is plural, but it does not make sense medically.
agree Chema Nieto Castañón
1 day 12 hrs
Thanks, Chema!
agree Z-Translations Translator
61 days
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Selected automatically based on peer agreement."
39 mins

...contractility reduction [is] observed. Mild lower and lateral segmentary hypokinesia towards tip

Going by the actual text, a rough translation could be:
Left ventricle slightly enlarged, no contractility reduction [is] observed. Mild lower and, lateral segmentary hypokinesia towards the tip (towards the bottom area of the heart?)
I also agree that the original text is poorly written, so there is a lot of guesswork involved.
In broad terms, it seems the providers find the patient's left ventricle slightly enlarged, however, the heart's capacity to contract is not being affected. In addition, they seem to observe slow movements of the heart (Hypokinesia) towards the (presumably) bottom and lateral area of the heart, following a downward trajectory (located towards the bottom end of the heart)
Hope this helps, at least somewhat.

Note from asker:
Thank you, Gabriel.
Peer comment(s):
neutral liz askew : it should read "segmental" and "apex" and "hypokinesis"
3 hrs
Something went wrong...
+1
4 hrs

[there is no reduced] contractility or mild inferior and lateral segmental hypokinesis towards the

apex



Takotsubo cardiomyopathy in cancer patients - Cardio-Oncology
biomedcentral.com
https://cardiooncologyjournal.biomedcentral.com › ta...
Segmental wall motion abnormalities: mild anterior, septal, apical, inferior and lateral wall hypokinesia. non-obstructive CAD. 50% (2 weeks). Survived. [38].

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Note added at   4 godz. (2023-12-19 20:29:52 GMT)
--------------------------------------------------

p.s. I am not sure about "baja" = mild

if there isn't any segmental hypokinesis, then surely they wouldn't mention "baja"

could there be something missing?

e.g.

LISTSERV - ARRITMIAS Archivos - LISTSERV.REDIRIS.ES
rediris.es
https://listserv.rediris.es › cgi-bin
·
Translate this page
... ****+hipocinesia difusa y baja Fey ***con necrosis miocítica difusa y marcada en la biopsia endomiocárdica Dr. Raimundo Barbosa Barros http://cardiolatina.com ...

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Note added at   4 godz. (2023-12-19 20:30:17 GMT)
--------------------------------------------------

Perhaps I shouldn't have put "4", but hope this helps you solve the riddle

--------------------------------------------------
Note added at   4 godz. (2023-12-19 20:31:22 GMT)
--------------------------------------------------

especially as "mild" is usually translated as "leve":)

--------------------------------------------------
Note added at   4 godz. (2023-12-19 20:33:46 GMT)
--------------------------------------------------


A 63-Year-Old Man With Palpitations, Dizziness, and Severe ...
acc.org
https://www.acc.org › Patient-Case-Quizzes
21 Apr 2016 — He underwent transthoracic echocardiography that revealed an EF of 25-30% with severe global left ventricular (LV) hypokinesis and, most ...

so, I am going to amend my answer

[no reduced] contractility or inferior and lateral segmental hypokinesis with low ejection fraction towards the apex





--------------------------------------------------
Note added at   21 godz. (2023-12-20 13:58:47 GMT)
--------------------------------------------------

hi,
I think I have confused myself here!

forget low ejection fraction


there is a "pared lateral baja" of the LV, so they must mean this.

Anyway, perhaps you can work it out now

--------------------------------------------------
Note added at   21 godz. (2023-12-20 13:59:30 GMT)
--------------------------------------------------

A New Terminology for Left Ventricular Walls and Location of ...
ahajournals.org
https://www.ahajournals.org › circulationaha.106.624924
...**** low lateral walls****. The infarct is caused by occlusion of the LAD proximal to both the initial septal and diagonal branches. Lateral Myocardial Infarction.



--------------------------------------------------
Note added at   21 godz. (2023-12-20 14:09:54 GMT)
--------------------------------------------------

Finally,


there is no reduced contractility or inferior and low lateral wall segmental hypokinesis/hypokinesia towards the apex
Note from asker:
Thanks, Liz, a bit difficult, but I'm grateful to you for taking the time to puzzle over this one.
Peer comment(s):
agree Adrian MM. : https://www.proz.com/kudoz/spanish-to-english/medical-cardio...
7 mins
I don't think my initial answer is correct, see my latest comments
Something went wrong...

Reference comments

3 hrs
Reference:

see

https://www.ahajournals.org/doi/pdf/10.1161/01.CIR.82.3.913

--------------------------------------------------
Note added at   3 godz. (2023-12-19 20:03:32 GMT)
--------------------------------------------------

it should be

"reduced contractility"


https://research-information.bris.ac.uk/en/publications/mech...

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Note added at   3 godz. (2023-12-19 20:06:28 GMT)
--------------------------------------------------

FWIW I think it should read


.....se observan disminucion en contractilidad, hipokinesia segmentaria inferior y lateral baja hacia la punta, no se observan segmentos adelgazados o aumento de la refringencia...

--------------------------------------------------
Note added at   4 godz. (2023-12-19 20:35:16 GMT)
--------------------------------------------------

Acute Heart Failure in a 39-Year-Old Man - AAFP
aafp.org
https://www.aafp.org › pubs › afp › issues
by D Ashby · 2020 · Cited by 1 — Young age; markedly reduced ejection fraction and global hypokinesia on echocardiogram. Viral myocarditis, Recent viral infection, chest pain ...



--------------------------------------------------
Note added at   4 godz. (2023-12-19 20:35:35 GMT)
--------------------------------------------------

seems hypokinesis/hypokinesia are both used
Something went wrong...
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