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Jan 17, 2023 13:53
1 yr ago
43 viewers *
French term

décharge

French to English Medical Medical (general)
Patient being treated following internal bleeding from ruptured external iliac artery. Patient has had transfusions, iliac artery stents inserted and is on antibiotics:

"Épisode de tachycardie ventriculaire mal tolérée avec dégradation hémodynamique et décharge plus frissons, réduite par CORDARONE en intraveineux plus supplémentation potassique plus supplémentation en sulfate de magnésium et remplissage."

I know "décharge" has been asked about before but I can't work out what it means in this context. The closest I could come was that the patient was laying down (off their feet as suggested here https://www.proz.com/kudoz/french-to-english/medical/550906-... but I'm not sure this is right.
Proposed translations (English)
4 +1 diminished/altered (or problem in the) ventricular ejection
3 +2 [electrical] discharge

Discussion

abe(L)solano Jan 17, 2023:
Voilá "qui retrouve une alteration importante de la FEVG"
Emily Gilby (asker) Jan 17, 2023:
Interesting what you say about ejection fraction, this is mentioned a bit further in the case report, occurring a couple of weeks after the "décharge": Réalisation de l'échographie cardiaque post TAVI qui retrouve une altération importante de la FEVG à 25 - 30%, déjà connue, avec une hypokinésie diffuse du ventricule gauche avec dyskinésie septale."
Sue Davis Jan 17, 2023:
I wonder if dégradation could apply to décharge also in which case I would agree with Abe's suggestiion of diminished ejection fraction.
abe(L)solano Jan 17, 2023:
Cordarone is used to normalize heart function, so I think it is a diminished ejection fraction, due to the context.
abe(L)solano Jan 17, 2023:
Thanks! yes, now I see it but no, I don't think that entry is helpful here.
See also "décharge" here:
https://fr-m.iliveok.com/health/diagnostic-de-linsuffisance-...
"...qui permet de déterminer la vitesse du flux sanguin, la pression dans les cavités cardiaques, la présence et le volume de la décharge sanguine pathologique."
Guess it's either blood loss or diminished ejection volume.
Emily Gilby (asker) Jan 17, 2023:
Sounds plausible, thank you. Let me try and put the link here and see if it works: https://www.proz.com/kudoz/french-to-english/medical/550906-...
abe(L)solano Jan 17, 2023:
I can't access the Kudoz reference you cite, but I think in this case "décharge" = perte du sang

Proposed translations

+1
2 hrs
French term (edited): décharge (ventriculaire)
Selected

diminished/altered (or problem in the) ventricular ejection

Given the context, reading the sentence and then the extra info on the report (alteration FEVG), it's very probable that they are taking about "décharge ventriculaire":
https://www.youtube.com/watch?v=XSZNYrTIEs4
https://www.cardio-online.fr/Actualites/A-la-une/Door-to-Unl...
La décharge ventriculaire gauche avec une reperfusion retardée chez des patients avec un STEMI sans choc cardiogénique est-elle faisable, et « secure » pour les patients ?

I do believe now they mean "dégradation hemodynamique (ET DE LA) décharge...." (diminished ejection).

https://www.studocu.com/en-au/document/edith-cowan-universit...
MODULE 3 NNS2106: Pathophysiology & Pharmacology II
HEART FAILURE
“The failure of the heart to maintain cardiac output atrequired levels because of diminished ventricular ejection by either the left or right ventricles or both."






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Note added at 2 horas (2023-01-17 16:49:35 GMT)
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Bcs of course, the main problem was a ventricular tachycardia.

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Note added at 3 horas (2023-01-17 17:04:37 GMT)
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More examples in French

https://static.s123-cdn-static-d.com/uploads/1297416/normal_...
La décharge gauche
"En cas de dysfonction ventriculaire gauche très sévère,
la décharge ventriculaire peut être insuffisante."

https://www.academie-medecine.fr/wp-content/uploads/2016/03/...
"La décharge ventriculaire gauche va participer favorablement au traitement"

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Note added at 1 día 34 minutos (2023-01-18 14:27:49 GMT) Post-grading
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You're welcome. And I do believe it's the right term - 'unloading' being employed when a device is used to correct heart's dysfunction.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9502778/
Cheers!
Peer comment(s):
agree Corinne Jeannet
14 hrs
Merci !!
neutral liz askew : I fail to see how you reach this conclusion:)
1 day 17 hrs
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "This fits, thank you"
+2
19 mins

[electrical] discharge


Medical Flashcards
Chegg ·
https://www.chegg.com › flashcards › deck
Pulseless Ventricular Tachycardia/Ventricular Fibrillation refractory to ... the SA node increases its rate of electrical discharge and this, in turn, ...

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Note added at 23 minutes (2023-01-17 14:16:38 GMT)
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https://www.chegg.com/flashcards/medical-2dc3442e-88f2-4903-...

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Note added at 3 heures (2023-01-17 17:10:15 GMT)
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2015 ESC Guidelines for the management of patients with ...
Oxford University Press ·
https://academic.oup.com › article
by SG Priori · 2015 · Cited by 4367 — Patients presenting with monomorphic VT and haemodynamic instability ... ****of left ventricular dysfunction before and after discharge***.

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Note added at 3 heures (2023-01-17 17:11:57 GMT)
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ignore last reference.

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Note added at 3 heures (2023-01-17 17:17:56 GMT)
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hi

I have also found "unloading", see:


Unloading the Left Ventricle Before Reperfusion in Patients ...
AHA Journals ·
https://www.ahajournals.org › doi › full
by NK Kapur · 2019 · Cited by 186 — We report that LV unloading using the Impella CP device with a ... Ventricular tachycardia or fibrillation was observed in 20% (5/25) versus ...

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Note added at 3 heures (2023-01-17 17:18:32 GMT)
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La décharge ventriculaire avec Impella durant 30 minutes ...
businesswire.com ·
https://www.businesswire.com › ...
·
Translate this page
Impella décharge ventriculaire from www.businesswire.com
17 Sept 2022 — La décharge ventriculaire avec Impella durant 30 minutes avant une ICP est associée à une réduction de l'étendue de l'infarctus chez les ...

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Note added at 3 heures (2023-01-17 17:20:20 GMT)
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Left ventricular unloading with IABP in patients undergoing ...
ResearchGate ·
https://www.researchgate.net › publication
Left ventricular unloading with IABP in patients undergoing ventricular tachycardia ablation with ECMO support · Abstract · No full-text available · Citations (5) ...


So, FWIW, I am leaning towards the latter answer.

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Note added at 3 heures (2023-01-17 17:23:04 GMT)
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Acute cardiac unloading
Wikipedia ·
https://en.wikipedia.org › wiki › Acute_car...
Acute cardiac unloading is any maneuver, therapy, or intervention that decreases the power expenditure of the ventricle and limits the hemodynamic forces ...

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Note added at 3 heures (2023-01-17 17:24:32 GMT)
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What is the Difference Between “Venting” and “Unloading”?
HeartRecovery ·
https://www.heartrecovery.com › faq-v...
16 Apr 2020 — Ventricular unloading refers to a reduction in left ventricular pressure and volume. By reducing pressure and volume, wall stress is reduced ...

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Note added at 1 jour 19 heures (2023-01-19 09:50:46 GMT) Post-grading
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Impact of Gender and Ischaemic Time in Anterior STEMI ...
Interventional Cardiology Review ·
https://www.icrjournal.com › ...
However, pre-clinical work has demonstrated that mechanically unloading the left ventricle (LV) and delaying reperfusion reduces IS. The STEMI Door-To-Unload ...
Peer comment(s):
agree Bourth : 'Electrical discharge' is the conclusion i was working towards, unless it's a funny way of saying baisse de tension..
8 hrs
but my answer is "unloading"!
agree Sue Davis : I now think this is most likely
21 hrs
Something went wrong...
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