séquelle antérieure étendue

Denise Pavao (asker) Nov 4, 2018:

Hi Michael,

Thank you so much for your advice and for sharing your expertise in this area.

Michael Barnett Nov 4, 2018:

Extensive anterior sequelae Hi Denise,

I would translate it quite literally. The signs of an infarction are extensive, not necessarily the infarction itself. The two usually go hand in hand, but sometimes the medical test looks worse than the actual disease and visa versa. The text is obviously intended for a professional reader. Let him draw his own conclusions.

Denise Pavao (asker) Nov 4, 2018:

@ Michael:
Thank you for your additional comments!
So... does the fact of having Q waves in most of the anterior leads equal evidence of an "extensive" anterior infarction? (As Anne put it, "the former mirrors the latter.") If that is the case, is it then acceptable to use "sequela of an extensive anterior infarction."?

Michael Barnett Nov 3, 2018:

Sequela. Spellcheck not working?

Michael Barnett Nov 3, 2018:

Sequellae This is fairly weird. I have a look at proz,com once every four months or so, and I stumble across my name...

Clearly, all sorts of things can happen to a patient as the result of a myocardial infarction, but as far as the EKG is concerned the "sequalae" are very limited. Scar tissue forms in the myocardium causing so-called Q-waves on the EKG. This change is so characteristic that t is virtually idiomatic to call it "the sequella". By "etendue" I assume he means Q waves in most of the anterior leads, likely V1 through at least V4.

Other EKG sequalae are possible, such as prolonged ST elevation from aneurism formation but that would be a relatively unusual event that would merit special mention on the report.

Regards to Anne. :-)

Denise Pavao (asker) Nov 2, 2018:

Thank you all for your comments.

Matthew, thanks additionally for this information, which is definitely beyond my knowledge level in this area. All I can do is to translate the report as it is written, but I appreciate your corroboration of my translation of this term from a linguistic point of view.

Matthew Chaney Nov 2, 2018:

I would agree with your interpretation of"séquelle antérieure étendue" meaning "sequelae of an extensive anterior infarction" from a liguistic point of view.
From a clinical point of view this does not make sense (not the translation, the report) since a RBBB can distort the ECG to a degree that it is not evaluatable for signs of a current or past infarction.
example normal:https://ecglibrary.com/norm.php
example old anterior MI: https://m1.healio.com/~/media/learningsites/learntheheart/as...
example RBBB: https://m2.healio.com/~/media/learningsites/learntheheart/as...
Note that the leads to evaluate an old anterior would be primarily V1-2 (up to V4 and possibly I, II, aVF).

Anne Schulz Nov 2, 2018:

I can't tell from own experience if séquelle necessarily refers to post-infarction sequelae, but Michael Barnett is certainly a reliable source. If so, it doesn't really make a difference whether extensive is related to the ECG sequelae or to the infarction, because the former mirrors the latter.

liz askew Nov 2, 2018:

FWIW, I think you're right. See:
campus.cerimes.fr/cardiologie-et-maladies.../evaluations.pdf
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avec un souffle systolique irradiant dans l'aisselle gauche. On note ... Bloc de branche, séquelle de l'infarctus antérieur par atteinte du tissu de conduction infra-.