Glossary entry

Italian term or phrase:

evoluzione ECG di tipo q

English translation:

Q-wave progression on ECG

Added to glossary by Joseph Tein
Jan 11, 2020 06:42
4 yrs ago
2 viewers *
Italian term

evoluzione ECG di tipo q

Italian to English Medical Medical (general) cardiology - ECG results
This is from a hospital discharge report of a patient admitted for an STEMI.

"Il decorso e' stato caratterizzato da lenta lisi del sintomo, *evoluzione ECG di tipo q* con persistenza di onda lesionale, picco CK MB 150 ng/ml ... etc."

How do we translate this "evoluzione ECG di tipo q"? I'm guessing it's something about Q-wave progression, but I really don't know what it means.

Thanks again for your help!
Change log

Jan 20, 2020 06:29: Joseph Tein changed "Edited KOG entry" from "<a href="/profile/578038">Joseph Tein's</a> old entry - "evoluzione ECG di tipo q"" to ""Q-wave development on ECG""

Discussion

Anne Schulz Jan 12, 2020:
Hi Joseph, "Evolution of myocardial infarction" primarily quotes the title of the reference webpage. While I would agree with "evolution" (since "progression" often implies getting worse, whereas your text is about a 'natural' sequence of events), I am not native enough to tell what the difference, if any, would be for a US medic. So, don't feel obliged to use evolution just because I typed the word :-))
Joseph Tein (asker) Jan 12, 2020:
Grazie Ciao Cedric and Liz. Thanks for your comments, and Felice Anno Nuovo to both.

(I like "progression" better than "evolution" as well, Cedric, although I find some references that appear written by native English speakers using "evolution".)

However: see what Anne writes; she uses "evolution." I can't do any better than that!
liz askew Jan 11, 2020:
www.scst.org.uk › resources › ECG_Reporting_Guidelines_2019
ECG 3. Report 3. Sinus rhythm at 70 beats per minute. Right axis deviation. Dominant R wave in V1. Q wave in V1 and V2. Poor R wave progression with R=S in.
Cedric Randolph Jan 11, 2020:
BTW Happy New Year
Cedric Randolph Jan 11, 2020:
evoluzione = progression Hi Joe,
evoluzione means 'progression' in Italian as well as 'evolution'. This is pretty basic and clearly you know this because this is your answer. Federico's is also technically correct, though we don't use this much as native speakers in this context, since the upshot is negative. NS of English see evolution as an affirmative process, whereas progression is a common description used for disease.

Proposed translations

+1
26 mins
Selected

Q-wave evolution of the EKG

Some patients with acute myocardial infarction presenting without significant ST segment elevation develop a Q-wave infarction which may be referred to as "Q-wave evolution".
Example sentence:

we assessed the frequency, the electrocardiographic predictors and the short-term implications of a Q-wave evolution.

Peer comment(s):

agree Anne Schulz : "development of a Q-wave on ECG" may be an option if there are doubts about "evolution"
1 day 7 hrs
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4 KudoZ points awarded for this answer. Comment: "Ciao, mate. Thanks again for trying to help me. Hope you're OK down there."
1 day 4 hrs

myocardial infarction Evolution

.
Note from asker:
Answers with explanations and examples are more helpful and convincing.
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Reference comments

3 hrs
Reference:

Evolution of myocardial infarction

There is no Q-wave present in the very early stages of MI, which are characterized by ST-segment changes. Q-waves only start to evolve after the acute phase. They are a sign of myocardial necrosis and scarring rather than hypoxia, and they only develop if the infarction involves full thickness of myocardium (transmural infarction).

The "tipo Q" ECG is the subacute/chronic presentation of transmural myocardial infarction. The "tipo ST" ECG is the presentation of non-transmural MIs.

see https://sites.google.com/site/ekgsmadesimple/g-myocardial-in...
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