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Medical Terminology: Get Connected! Second Edition Suzanne S. Frucht Chapter 7 Cardiology Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Learning Objectives 7.1 DESCRIBE the medical specialty of cardiology. 7.2 UNDERSTAND the functions of the cardiovascular system. 7.3 DEFINE cardiology-related combining forms, prefixes, and suffixes. 7.4 IDENTIFY the organs treated in cardiology. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Learning Objectives 7.5 BUILD cardiology medical terms from word parts. 7.6 EXPLAIN cardiology medical terms. 7.8 USE cardiology abbreviations. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Introduction to Cardiology • Cardiovascular system consists of: – Heart – Blood vessels • Heart – Composed of cardiac muscle tissue – Contracts to push blood through blood vessels Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Introduction to Cardiology • Three types of blood vessels – Arteries Carry blood away from heart – Veins Carry blood toward heart – Capillaries Oxygen and nutrients are delivered here Carbon dioxide and wastes are picked up Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology • Cardiologists diagnose and treat diseases and conditions of the cardiovascular system Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology • Cardiovascular technologists – Allied health professionals – Perform variety of procedures Electrocardiography Echocardiography Exercise stress testing Cardiac catheterization – These techs assist with cardiac cath procedures which are done by a physician Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology • Examples of conditions include: – – – – Coronary artery disease Cardiac arrhythmias Hypertension Heart valve disease Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology • Examples of conditions include: – – – – Myocardial infarctions Congestive heart failure Congenital heart defects Peripheral vascular disease Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Combining Forms • angi/o vessel • atri/o atrium • aort/o aorta • cardi/o heart • arteri/o artery • coron/o heart • arteriol/o arteriole • embol/o plug • ather/o fatty substance, plaque • isch/o to hold back • phleb/o vein Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Combining Forms • sphygm/o pulse • steth/o chest • vas/o blood vessel • vascul/o blood vessel • thromb/o clot • valv/o valve • valvul/o • ven/o vein valve • varic/o • ventricul/o ventricle dilated vein • venul/o venule Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Additional Combining Forms • cutane/o skin • my/o muscle • electr/o electricity • pulmon/o lung • esophag/o esophagus • son/o Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. sound Suffix Review • • • • • • • -ac -al -ar -ary -dynia -eal -ectomy • -emia • -genic • -gram pertaining to pertaining to pertaining to pertaining to pain pertaining to surgical removal blood condition producing record • -graphy • • • • • -ia -ic -ism -itis -logist • -logy • -lysis • -lytic Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. process of recording condition pertaining to state of inflammation one who studies study of to destroy destruction Suffix Review • -manometer • • • • -megaly -ole -oma -ose • -osis • -otomy instrument to measure pressure enlarged small tumor, mass pertaining to abnormal condition cutting into • -ous • -pathy • -plasty • • • • -rrhaphy -rrhexis -sclerosis -scope Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. pertaining to disease surgical repair suture rupture hardening instrument for viewing Suffix Review • -spasm • -stenosis • -tic • -ule involuntary muscle contraction narrowing pertaining to small Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Prefix Review • a– without • per– through • brady– slow • peri– around • endo– within • poly– many • hyper– excessive • tachy– fast • hypo– below, • trans– across • ultra– excess insufficient • inter– between • intra– within Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.1 Comparative structure of arteries, capillaries, and veins Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.2 The cardiovascular system. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.3 Structures of the heart. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Building Cardiology Terms For each cardiology term introduced on the next few slides, write the completed term in your textbook (pg 105). Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Angi/o • Combining form meaning vessel • Does not indicate what type of vessel – Refers to either blood or lymphatic vessel – May be artery, vein, or capillary Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Angi/o • Build a term meaning: – record of a vessel – vessel tumor – involuntary muscle spasm in a vessel angiospasm angi/o + -spasm Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. angiogram angioma Aort/o • Combining form meaning aorta • Largest blood vessel in body • Carries oxygenated blood from left ventricle to body Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Aort/o • Build a term meaning: – pertaining to the aorta – surgical repair of the aorta Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. aortic aortoplasty Arteri/o • Combining form meaning artery • Carry blood away from heart and toward capillary bed • Arteries to lung carry deoxygenated blood • Arteries to body carry oxygenated blood Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Arteri/o • Build a term meaning: – ruptured artery arteriorrhexis – pertaining to an artery arterial – small artery arteriole arteri + -ole Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.4 Artery. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Arteriol/o • Combining form meaning arteriole • Smallest arteries • Carry blood from artery to capillary bed • Build a term meaning: – pertaining to an arteriole arteriolar Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Ather/o • Combining form meaning fatty substance, plaque • Soft, yellow, fatty deposits • Build up along inner wall of blood vessels • Each deposit is called a plaque Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Ather/o • Build a term meaning: – hardening of plaque – surgical removal of plaque Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. atherosclerosis atherectomy Atri/o • Combining form meaning atrium • Upper chambers of heart • Receive blood returning to heart – Left atrium receives blood from lung – Right atrium receives blood from body Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Atri/o • Build a term meaning: – pertaining to between the atria interatrial – pertaining to the atrium and ventricle atrioventricular atri/o + ventricul + -ar Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardi/o • Combining form meaning heart • Composed of cardiac muscle tissue • Contracts to push blood through blood vessels • Divided into left and right halves by septum • Upper chambers are atria • Lower chambers are ventricles Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardi/o • Build a term meaning: – involuntary heart muscle spasm – pertaining to around the heart pericardial – heart pain cardiodynia Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.5 Heart. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Coron/o • Another combining form meaning heart • Build a term meaning: – pertaining to the heart Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. coronary Embol/o • Combining form meaning plug, embolus • Mass floats through blood vessels – Broken off piece from clot – Mass of fat – Bacteria • Plugs up a smaller blood vessel – Cuts off circulation Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Embol/o • Build a term meaning: – condition of having an embolus embolism embol + -ism Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Isch/o • Combining form meaning to hold back • Used to indicate the stoppage of blood flow • Build a term meaning: – condition of blood being held back ischemia Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Phleb/o • Combining form meaning vein • Carry blood toward heart • Receive blood from capillary bed • Vein from lungs carry oxygenated blood • Veins from body carry deoxygenated blood Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Phleb/o • Build a term meaning: – record of a vein – process of recording a vein Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. phlebogram phlebography Figure 7.6 Vein. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. -sclerosis • Suffix meaning hardening • Used in cardiovascular system to mean: – Blood vessel hardened and inflexible – Due to plaques along vessel wall • Build a term meaning: – hardening of an artery arteriosclerosis Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Steth/o • Combining form meaning chest • Build a term meaning: – instrument to view chest stethoscope steth/o + -scope Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Thromb/o • Combining form meaning clot • Refers to blood clot forming in blood vessel • May partially or completely block blood flow Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Thromb/o • Build a term meaning: – pertaining to a clot thrombotic – inflammation of vein with clots thrombophlebitis – destruction of a clot thrombolysis Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Valv/o • Combining form meaning valve • Flap-like structures – Close tightly to prevent backflow of blood – Insures that blood only flows forward • Four valves in heart • Also found in veins Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Valv/o • Build a term meaning: – small valve valvule Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Valvul/o • Another combining form meaning valve • Build a term meaning: – inflammation of a valve valvulitis valvul + -itis Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Varic/o • Combining form meaning dilated vein, varicosity • Most common in superficial leg veins • Caused by blood pooling due to: – ineffective veins – pregnancy – occupation requiring long periods of standing Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Varic/o • Build a term meaning: – pertaining to a varicosity varicose Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Vascul/o • Combining form meaning blood vessel • Build a term meaning: – pertaining to the heart and blood vessels cardiovascular Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Vas/o • Another combining form meaning blood vessel • Build a term meaning: – involuntary muscle contraction of a blood vessel vasospasm vas/o- + -spasm Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Ven/o • Another combining form meaning vein • Build a term meaning: – pertaining to within a vein – intravenous intra- + ven + -ous Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Ventricul/o • Combining form meaning ventricle • Larger, lower heart chambers • More muscular – Generates force to pump blood – Left ventricle pumps blood to body – Right ventricle pumps blood to lungs Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Ventricul/o • Build a term meaning: – pertaining to between the ventricles interventricular Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Venul/o • Combining form meaning venule • Smallest veins – Receives blood from capillaries – Takes blood to larger veins • Build a term meaning: – pertaining to a venule venular Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation aneurysm Localized widening of artery due to weakness in arterial wall; may develop in any artery, but common sites are abdominal aorta and cerebral arteries angina pectoris Severe chest pain caused by myocardial ischemia arrhythmia Irregular heartbeat auscultation Listening to sounds within body, such as heart or lungs, by using stethoscope Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.7 Illustration of a large aneurysm in the abdominal aorta that has ruptured. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation bacterial endocarditis Inflammation of inner lining of heart (the endocardium) caused by bacteria; may result in visible accumulation of bacteria called vegetation blood pressure (BP) Measurement of pressure exerted by blood against walls of blood vessel bradycardia Abnormally slow heart rate below 60 beats per minute (bpm) cardiac arrest Complete stoppage of all heart activity, both electrical signals and muscle contractions Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation cardiac catheterization Passage of thin tube (catheter) through veins or arteries leading into heart; used to detect heart abnormalities, to collect cardiac blood samples, and to determine pressure within heart cardiac enzymes Complex proteins released by heart muscle when it is damaged; taken by blood sample to determine amount of heart disease or damage; most common cardiac enzymes are creatine kinase (CK), glutamic oxaloacetic transaminase (GOT), and lactate dehydrogenase (LDH) Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation cardiopulmonary resuscitation (CPR) Combination of external compressions to sternum and rescue breathing to maintain blood flow and air movement in and out of lungs during cardiac and respiratory arrest congenital septal defect (CSD) Birth defect in wall separating two chambers of heart allowing blood to pass between two chambers; there can be atrial septal defect (ASD) or ventricular septal defect (VSD) Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation congestive heart failure (CHF) Condition that develops when heart muscle is not able to pump blood forcefully enough, reducing blood flow to body; results in weakness, dyspnea, and edema coronary artery bypass graft (CABG) Open-heart surgery in which blood vessel, often leg vein, is grafted to route blood around occluded coronary artery coronary artery disease (CAD) Chronic heart disease caused by arteriosclerosis or atherosclerosis of coronary arteries; also called arteriosclerotic heart disease (ASHD) Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.8 Illustration of a triple coronary artery bypass graft; one end of the vein grafts is connected to the aorta, and the other end is grafted into coronary arteries after the location of the blocked area. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.9 Formation of an atherosclerotic plaque within a coronary artery that may lead to coronary artery disease, angina pectoris, and myocardial infarction. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation deep vein thrombosis (DVT) Formation of blood clots in deep veins; usually occurs in legs; pieces of clot may break away forming emboli defibrillation Using instrument called defibrillator to give electrical shock to heart for purpose of converting arrhythmia back to normal heartbeat; also called cardioversion Doppler ultrasonography Imaging technique using ultrasound to create moving image; utilized to evaluate blood flow through blood vessels, movement of heart valves, and movement of heart muscle during contraction Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.10 An emergency medical technician positions defibrillator paddles on the chest of a supine male patient. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation electrocardiography Diagnostic procedure that records electrical activity of heart; used to diagnose damage to heart tissue from coronary heart disease or myocardial infarction endarterectomy Surgical removal of inner lining of artery in order to remove plaques fibrillation Abnormal quivering or contractions of heart fibers; occurrence within fibers of ventricle of heart may result in cardiac arrest and death; emergency equipment to defibrillate, or convert heart to normal beat, is necessary Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation heart murmur Abnormal heart sound such as soft blowing sound or harsh click; may be soft and heard only with stethoscope or so loud it can be heard several feet away heart transplantation Replacement of diseased or malfunctioning heart with donor’s heart heart valve prolapse Cusps or flaps of heart valve are too loose and fail to shut tightly, allowing blood to flow backward (regurgitation) through valve when heart chamber contracts; most commonly occurs in mitral valve, but may affect any heart valve Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation heart valve stenosis Cusps or flaps of heart valve are too stiff and unable to open fully, making it difficult for blood to flow through; condition may affect any of heart valves but most often affects mitral valve Holter monitor Portable ECG monitor worn by patient for period of few hours to few days to assess heart and pulse activity as person goes through activities of daily living; used to assess patient who experiences chest pain and unusual heart activity during exercise and normal activities Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.11 Patient being set up with Holter monitor; electrodes placed on chest are connected to small monitor that he will wear. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation hypertension (HTN) Blood pressure above normal range; usually systolic pressure above 140 mmHg or diastolic pressure above 90 mmHg hypotension Decrease in blood pressure; can occur in shock, infection, cancer, anemia, or as death approaches implantable cardioverter defibrillator (ICD) Electrical device implanted in chest cavity with electrodes to heart; applies shock to heart to stop potentially life-threatening arrhythmias such as fibrillation Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation infarct Area of tissue necrosis (death) that develops from ischemia intravascular thrombolytic therapy Treatment for clots occluding blood vessel; drugs, such as streptokinase (SK) or tissue plasminogen activator (tPA), are injected into blood vessels to chemically dissolve clots; commonly referred to as clot-busters myocardial Infarct of heart muscle caused by occlusion of infarction (MI) one or more of coronary arteries; symptoms include angina pectoris and shortness of breath; also referred to as heart attack Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.12 External and cross-sectional view of an infarct caused by a myocardial infarction. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation myocardial ischemia Loss of blood supply to heart muscle tissue of myocardium due to occlusion of coronary artery; may cause angina pectoris or myocardial infarction occlusion Blockage of blood vessel or other hollow structure; may be caused by thrombus, plaque, or embolus Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.13 Illustration of an embolus floating in an artery. The embolus will eventually lodge in an artery that is smaller than it is, resulting in occlusion of that artery. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation pacemaker Electrical device that artificially stimulates contraction of heart muscle; treatment for bradycardia percutaneous transluminal coronary angioplasty (PTCA) Method for treating coronary artery narrowing; balloon catheter is inserted into coronary artery and inflated to dilate narrow blood vessel Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.14 Placement of a pacemaker under the skin between the heart and shoulder. Electrode wires then run to the heart muscle. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation peripheral Disease of blood vessels away from central vascular disease region of body, most typically in legs; (PVD) symptoms include pain, numbness, and impaired circulation sphygmomanometer Instrument for measuring blood pressure; also referred to as blood pressure cuff stent Stainless steel tube placed within blood vessel or duct to widen lumen; may be placed in coronary artery to treat myocardial ischemia due to atherosclerosis Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.15 Using a sphygmomanometer to measure blood pressure. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.16 The process of placing a stent in a blood vessel: (A) catheter is used to place a collapsed stent next to an atherosclerotic plaque; (B) stent is expanded; © catheter is removed, leaving the expanded stent behind. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation stress test Method for evaluating cardiovascular fitness; patient is placed on treadmill or bicycle and then subjected to steadily increasing levels of work; EKG and oxygen levels are taken while patient exercises; test is stopped if abnormalities occur on EKG tachycardia Abnormally fast heart rate greater than 100 beats per minute (bpm) transesophageal echocardiography (TEE) Specialized echocardiography procedure in which patient swallows ultrasound head in order to better visualize internal cardiac structures, especially cardiac valves Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Vocabulary Term Explanation varicose veins Swollen and distended veins, most commonly in legs venipuncture Puncture into vein to withdraw blood or inject medication or fluids Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Figure 7.17 Varicose veins develop when their valves fail to control blood flow, which allows more than the normal amount of blood to collect in superficial leg veins. Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Abbreviations ACG angiocardiography AV, A-V atrioventricular AF atrial fibrillation BP blood pressure AS aortic stenosis, arteriosclerosis bpm beats per minute ASCVD arteriosclerotic cardiovascular disease CABG coronary artery bypass graft ASD atrial septic defect CAD coronary artery disease ASHD arteriosclerotic heart disease cath catheterization Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Abbreviations CC cardiac catheterization CSD congenital septal defect CCU coronary care unit CV cardiovascular CHD congestive heart disease DVT deep vein thrombosis CHF congestive heart failure ECG electrocardiogram CK creatine kinase ECHO echocardiogram CP chest pain EKG electrocardiogram CPR cardiopulmonary resuscitation Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Abbreviations GOT glutamic oxalocetic transaminase LVH left ventricular hypertrophy HR heart rate MI myocardial infarction HTN hypertension mmHg millimeters of mercury ICD implantable cardioverter defibrillator MS mitral stenosis ICU intensive care unit MVP mitral valve prolapse IV intravenous NSR normal sinus rhythm LDH lactate dehydrogenase Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Abbreviations P pulse PTCA percutaneous SOB transluminal coronary angioplasty shortness of breath PVC premature ventricular TEE contraction transesophageal echocardiogram PVD peripheral vascular disease tPA tissue-type plasminogen activator V Fib ventricular fibrillation SA, S-A sinoatrial SGOT SK streptokinase serum glutamic oxaloacetic transaminase Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Cardiology Abbreviations VSD ventricular septal defect VT, V-tach ventricular tachycardia Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved. Combining Forms Match Up 1. coron/o a. heart 2. embol/o b. vein 3. phleb/o c. plug 4. steth/o d. chest 5. thromb/o e. clot Copyright © 2017, 2014, 2012 Pearson Education, Inc. All Rights Reserved.