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Glossary entry

Spanish term or phrase:

arritmia completa por fibrilación auricular

English translation:

atrial fibrillation

Added to glossary by Joseph Tein
Apr 2, 2011 03:56
13 yrs ago
22 viewers *
Spanish term

arritmia completa por fibrilación auricular

Spanish to English Medical Medical (general) arrhythmias
I've been seeing the ACxFA abbreviation crop up recently and have been translating it as "complete arrhythmia due to atrial fibrillation". However, when I check this phrase online, or some of its variations ("complete arrhythmia caused by atrial fibrillation" or "complete arrhythmia because of AF") I find very few or no English examples. I'm wondering, then, whether there is another less-wordy, more direct way to translate this.

(The source sentence simply says, under Antecedentes: "-ACXFA conocida desde Mayo/XX, controlada en CCEE de cardiología.") This is a discharge report for a patient with heart failure.

What's the most common English equivalent of this phrase?

Thanks for your help.
Proposed translations (English)
5 atrial fibrillation
4 Total/complete arrhythmia due to atrial fibrillation
4 chronic/persistent/sustained atrial fibrillation
4 complete arrhythmia from atrial fibrillation/complete AF(-induced) arrhythmia
References
AF refs.

Discussion

liz askew Jul 24, 2011:
See Dr Levy's contribution: http://www.proz.com/kudoz/french_to_english/medical:_cardiol...
liz askew Jul 24, 2011:
@Joseph: ACFA > persistent atrial fibrillation - ProZ.com
www.proz.com › ... › French to English › Medical: Cardiology - Cached - Block all www.proz.com results
6 May 2010 – (KudoZ) French to English translation of ACFA: persistent atrial fibrillation [cardiologie - Medical: Cardiology (Medical)].
►
ACFA > continuous atrial fibrillation - ProZ.com
www.proz.com › ... › French to English › Medical: Health Care - Cached
14 Sep 2006 – (KudoZ) French to English translation of ACFA: continuous ...
AC/FA ACFA > chronic atrial fibrillation - ProZ.com
www.proz.com › ... › French to English › Medical: Cardiology - Cached
6 Jun 2006 – (KudoZ) French to English translation of AC/FA : chronic ...
Joseph Tein (asker) Jul 24, 2011:
... continued: Even though it says "complete arrhythmia" in the Spanish source (and it sounds like French and Italian also say it like this), we don't have to translate all the words into English; the correct meaning is what we need, expressed in standard English terminology.

If you've read this far, THANK YOU for your time and attention! Any comments are appreciated, and thank you for your contributions and support :)
Joseph Tein (asker) Jul 24, 2011:
It has taken me a long time ... to close this question and understand the concept!

In searching English-language sources online I've found a multitude of terms that classify AF, and the usage of these terms has changed in the past 10 years. We find "paroxysmal," "persistent," "chronic," and "permanent" types of AF ... and recently "permanent" has become "longstanding persistent" AF. Another system uses only "intermittent" and "continuous" [http://jtcs.ctsnetjournals.org/cgi/content/full/126/6/1686]. These descriptions all refer to the duration/chronicity of the AF.

Then we have the "AC" part AC x FA. As Liz and FV found, one description is:"... porque el pulso es irregular en todo sentido, tanto en la frecuencia como en la amplitud...." Also: "En el examen físico, el pulso arterial es irregular en frecuencia y amplitud ("arritmia completa")." And: "The actual sense in French [of ‘l'arythmie complète’] is that AF results in complete irregularity of cardiac rhythm."

So, I think the issue is how to convey "complete arrhythmia." FV suggests leaving it out as redundant because AF already implies this. I'm inclined to agree because the patient's report is essentially saying he has atrial fibrillation.
ARS54 Apr 2, 2011:
...For those who know Italian:-

Semeiotica medica e metodologia clinica - Risultati da Google Libri Roberto Fogari - 1999 - Medical - 546 pagine
"Va tenuto presente che nell'**aritmia completa da fibrillazione atriale**, in cui molte sistoli ventricolari non sono abbastanza efficienti da dare un'onda ..."
www.books.google.it/books?isbn=8829915068...

In Spanish:-

http://www.google.it/search?hl=it&newwindow=1&q="arritmia co...

"...La arritmia completa debida a una fibrilación auricular es una patología muy frecuente en la población. ..."
www.tromboembolismo.com/doc/faqs.pdf

Why should it be translated differently (chronic/persistent-???
Dorland Diccionario enciclopédico ilustrado de Medicina -
"...El intervalo PR es constante, pero el intervalo RR M.- acorta con la inspiración y se alarga con ... D. t. arritmia crónica o perpetua. crónica (chronic a. ... "
www.books.google.it/books?isbn=8481747904...)?
Wendy Cummings Apr 2, 2011:
chronic/persistent I don´t know how much French you understand, but this term crops up also in as Fr>En, and the term I've always preferred is chronic/persistant atrial fibrillation. See http://www.proz.com/kudoz/french_to_english/medical:_cardiol...
Rachel Fell Apr 2, 2011:
Hi Joseph Discussion of "complete arrhythmia" here http://cardiovascres.oxfordjournals.org/content/54/2/197.ful...
ARS54 Apr 2, 2011:
Hi, Joe, :-) I think your solution is quite right; however, IMO, If you want to express the concept more directly and concisely, you could say for example *AF(-induced) complete arrhythmia* or *complete arrhythmia FROM atrial fibrillation*. Please see:-

'...CA from AF: complete arrhythmia from atrial fibrillation...'
www.linkinghub.elsevier.com/retrieve/pii/S0167527307017160

'...AF-induced atrial changes ...'
www.touchcardiology.com/files/article_pdfs/Chevalier.pdf

'...prevalence of AF arrhythmia was ..."
www.sid.ir/en/VEWSSID/J_pdf/106120080406.pdf

'...whether a greater AF arrhythmia ...'
www.chestjournal.chestpubs.org/content/137/4/869.full

'...exercise-induced atrial arrhythmias' - www.content.onlinejacc.org/cgi/content/full/43/7/1236

'...chemotherapy-induced arrhythmia, ...' - www.europace.oxfordjournals.org/content/11/12/1579.abstract...

or something about these lines.

Buon lavoro e buon w/e,

Anna Rosa

Proposed translations

109 days
Selected

atrial fibrillation

The article recommended by Liz and Rachel (http://cardiovascres.oxfordjournals.org/content/54/2/197.ext... ) clinched it for me. "Arritmia completa" is filler; it is precisely analogous to the concept of "irregularly irregular rhythm", and simply meant to describe the complete irregularity of rate/rhythm/pulse that is characteristic of AF. (It is worth noting that one of the first names of what is now recognized as AF was "delirium cordis"—you can't get more descriptive than that.)

Never come across this expression in my work, but if I did, I'd drop "arritmia completa" altogether without a second['s] thought.

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Note added at 109 days (2011-07-20 04:10:23 GMT)
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See e.g. http://escuela.med.puc.cl/paginas/cursos/tercero/integradote...
"Arritmia completa: se caracteriza porque el pulso [sic] es irregular en todo sentido, tanto en la frecuencia como en la amplitud, tal como ocurre en la fibrilación auricular que es la causa más frecuente."

If you really must keep the whole sentence (let's face it, sometimes we have no choice), then I'd use "irregularly irregular rhythm due to atrial fibrillation", but I can't see the point.
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Bom Dia, FV. Thank you for taking the time, and for your helpful input."
7 mins

Total/complete arrhythmia due to atrial fibrillation

Ver:

Resultados de la búsquedaHeart Arrhythmia Treatment, Treatment for Arrhythmia - [ Traducir esta página ]... anti-clotting drugs are given in case the patient is at the risk of stroke due to presence of a blood clot (arrhythmia due to atrial fibrillation). ...
www.medinik.com/heart-disease/heart-arrhythmia-treatment - En cachéarrhythmia | Case Studies - [ Traducir esta página ]If so, is it correct to use a stronger antiarrhythmic drug? ... - Total Arrhythmia due to Atrial Fibrillation throughout the all the RV media . ...
www.doctorsmedicalopinion.com › Search - En cachéAtrial Fibrillation at medium /high ventricular response ... - [ Traducir esta página ]Total Arrhythmia due to Atrial Fibrillation throughout the all the RV media ...
www.doctorsmedicalopinion.com › Case Studies - En cachéAtrial Fibrillation at medium /high ventricular response_2 ... - [ Traducir esta página ]Total Arrhythmia due to Atrial Fibrillation throughout the all the RV media ...
www.doctorsmedicalopinion.com › Case Studies - En cachéMostrar más resultados de doctorsmedicalopinion.com[Total arrhythmia due to atrial fibrillation. The primary care ... - [ Traducir esta página ]de CT Adell - 1993
30 Apr 1993 ... [Total arrhythmia due to atrial fibrillation. The primary care approach]. [ Article in Spanish]. Adell Cullell T, Samaniego Samaniego F, ...
www.ncbi.nlm.nih.gov/pubmed/8499546[Therapy of total arrhythmia due to atrial fibrillation and flutter]. - [ Traducir esta página ]de M Messini - 1971
30 Apr 1971 ... [Therapy of total arrhythmia due to atrial fibrillation and ...
www.ncbi.nlm.nih.gov/pubmed/4398723[Complete arrhythmia due to atrial fibrillation: decrease or slow ... - [ Traducir esta página ]de JY Le Heuzey - 2003
Presse Med. 2003 Dec 13;32(39):1828-9. [Complete arrhythmia due to atrial ...
www.ncbi.nlm.nih.gov/pubmed/14713876
Note from asker:
Hola Adriana. Thanks also to you for your prompt response to this question, and for all the references you included.
Something went wrong...
14 hrs

chronic/persistent/sustained atrial fibrillation

http://www.proz.com/kudoz/french_to_english/medical:_cardiol...

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Note added at 14 hrs (2011-04-02 18:13:08 GMT)
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Atrial Fibrillation Causes, Symptoms, Diagnosis, and Treatment on ...
Persistent: Atrial fibrillation occurs in episodes, but the arrhythmia does not convert back to sinus rhythm spontaneously. Medical treatment is required to ...
www.emedicinehealth.com › home › topics az list - Cached - Similar
Atrial fibrillation
14 Feb 2011 ... Atrial fibrillation can be intermittent and stop on its own (paroxysmal), continue for several days and require treatment (persistent), ...
www.uptodate.com/contents/patient-information-atrial-fibril... - Cached

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Note added at 14 hrs (2011-04-02 18:14:49 GMT)
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http://webcache.googleusercontent.com/search?q=cache:5GUNG8m...

Arritmia completa: se caracteriza porque el pulso es irregular en todo sentido, tanto en la frecuencia como en la amplitud, tal como ocurre en la fibrilación auricular que es la causa más frecuente.


124. Arritmia completa. La causa más frecuente es la fibrilación auricular.

--------------------------------------------------
Note added at 14 hrs (2011-04-02 18:16:05 GMT)
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http://cardiovascres.oxfordjournals.org/content/54/2/197.ext...


Spotlight on atrial fibrillation—the ‘complete arrhythmia’
The French sometimes refer to atrial fibrillation (AF) as ‘l'arythmie complète’, which literally means ‘the complete arrhythmia’. The actual sense in French is that AF results in complete irregularity of cardiac rhythm. However, AF can also be considered the ‘complete’ arrhythmia in the sense of the consummate nature of its mechanisms and determinants. There is evidence for involvement of all forms of arrhythmia mechanisms in AF, including enhanced automaticity, delayed afterdepolarizations, early afterdepolarizations and reentry. A rich and wide range of determinants have been found to be involved in the pathophysiology of AF—various forms of ionic remodeling, structural remodeling, changes in connexin function and distribution, a whole gamut of signaling systems, anatomical determinants related to the complex three-dimensional atrial structure, hemodynamic factors and the involvement of electrical activity in the great veins. Research on the mechanisms of AF, and related therapeutic developments, has exploded over the past 10 years, and the present Spotlight Issue of Cardiovascular Research is meant to express some of this effervescence.

--------------------------------------------------
Note added at 113 days (2011-07-24 21:47:45 GMT) Post-grading
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For the record Joseph, I disagree with your final choice of answer.
Note from asker:
Ciao, Liz. Thank you for your input. After studying this _for hours_ I came to the conclusion that the chronic/persistent/sustained descriptions aren't the issue here. The patient's report doesn't say anything about "persistente," "paroxística" or "permanente". I know there are at least two other KudoZ questions about this term, and one of them has a similar answer from you in it, but again I think the issue is what to do with the "arritmia completa" part. See my lengthy discussion above, and thanks again for your contribution.
Something went wrong...
7 hrs

complete arrhythmia from atrial fibrillation/complete AF(-induced) arrhythmia

'...AF-induced atrial changes ...'
www.touchcardiology.com/files/article_pdfs/Chevalier.pdf

'...prevalence of AF arrhythmia was ..."
www.sid.ir/en/VEWSSID/J_pdf/106120080406.pdf

'...whether a greater AF arrhythmia ...'
www.chestjournal.chestpubs.org/content/137/4/869.full

'...complete Atrial fibrillation (AF) Arrhythmia ...'
www.live2.evidence.nhs.uk




--------------------------------------------------
Note added at 20 ore (2011-04-03 00:08:27 GMT)
--------------------------------------------------

'Sustained/chronic/persistent AF' are not at all *synonyms* of 'complete arrhythmia'...

http://onlinelibrary.wiley.com/doi/10.1046/j.1540-8167.2003....

http://www.websters-online-dictionary.org/definitions/Arrhyt...



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Note added at 20 ore (2011-04-03 00:23:57 GMT)
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...In the French Kudoz, too: "...l'arythmie complète **par fibrillation auriculaire** (AC/FA)..."

...and, in Italian:-

http://www.google.it/search?hl=it&newwindow=1&q="fibrillazio...

Fibrillazione atriale: domande e risposte - Doctissimo -
"... dà origine a un ritmo cardiaco assolutamente irregolare, la cosiddetta aritmia completa. ... possono insorgere in caso di fibrillazione atriale cronica? ..."
www.salute.doctissimo.it/...della.../fibrillazione-atriale....

http://www.google.it/search?hl=it&newwindow=1&q="fibrillazio...

"...ricadute di **aritmia completa con fibrillazione atriale** e del flutter dopo regolarizzazione del ritmo;delle ricadute di tachicardia parossistica e ..."
www.carloanibaldi.com/terapia/schede/RITMODAN.htm

http://www.google.it/search?hl=it&newwindow=1&q="fibrillazio...



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Note added at 96 giorni (2011-07-07 23:35:13 GMT)
--------------------------------------------------

...Certo che questa question sembra essere molto problematica, :-))))))

Io in passato - per maggiore sicurezza e professionalità - mi sono anche informata c/o dei cardiologi, e nn sembravano avere dubbi...

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Note added at 115 giorni (2011-07-26 09:02:55 GMT) Post-grading
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ENCICLOPEDIA TRECCANI

[...] Aritmia completa - detta anche "delirium cordis" (delìrium ... locuz. lat. scient., propr. «delirio del cuore», usata in ital. come s. m.): nel linguaggio medico, ***disturbo del ritmo cardiaco dovuto a fibrillazione atriale***, ***caratterizzato da un completo disordine delle contrazioni cardiache e quindi dei battiti del polso***. ..."

Esiste la corrispondente (corretta e precisa secondo gli standard - che **non è solo 'AF'**) traduzione in inglese, e nulla quindi autorizza IMO il trad professionista a dare una non richiesta (e peraltro parziale) interpretazione di quanto espresso dall'autore.

Grazie a te, R.
Example sentence:

...as complete arrhythmia from atrial fibrillation appears, the risk ...

CA from AF: complete arrhythmia from atrial fibrillation; LBBB: left bundle branch ...

Reference:

http://www.eurheartj.oxfordjournals.org

http://www.linkinghub.elsevier.com

Note from asker:
Ciao Anna Rosa ... I'm working on closing this one next!
Finally! Grazie come sempre del tuo appoggio :)
Something went wrong...

Reference comments

11 hrs
Reference:

AF refs.

ATRIAL FIBRILLATION OVERVIEW

Atrial fibrillation (also called AF or a-fib) is an abnormal rhythm of the heart. It is relatively common, affecting 2.3 million adults in the United States. Most people who develop atrial fibrillation are over 65 years of age. Atrial fibrillation is more frequent in men than women, and in whites than blacks.

There are two forms of this abnormal heart rhythm:

* Intermittent (paroxysmal) atrial fibrillation, which is characterized by episodes that occur with varying frequency and last for a variable period of time before spontaneously stopping.
* Chronic or persistent atrial fibrillation, which is sustained and does not usually stop spontaneously.

http://www.uptodate.com/contents/patient-information-atrial-...

Atrial Fibrillation - A Comprehensive Overview

By Richard N. Fogoros, M.D., About.com Guide

Updated October 18, 2007
Types of AF

There are several types, depending on how long the AF lasts.

* When atrial fibrillation is always present, it is referred to as chronic or permanent atrial fibrillation.
* When the arrhythmia is usually present, such that episodes of normal rhythm are infrequent or short-lived, it is referred to as persistent atrial fibrillation.
* When a normal heart rhythm is usually present but occasional episodes of the arrhythmia occur, the patient is said to have paroxysmal atrial fibrillation.
http://heartdisease.about.com/od/atrialfibrillation/a/afib_o...

As they are not far away from the hospital and he seems stable in spite of his hypotension, he is not paced externally by the paramedics. He has a congestive heart failure and an EF (ejection fraction) of 45%. He also has a persistent/chronic atrial fibrillation.
http://ecgblog.com/?tag=atrial-fibrillation

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Note added at 113 days (2011-07-24 21:20:52 GMT) Post-grading
--------------------------------------------------

Thanks for the feedback Joseph :-)
Note from asker:
Hi Rachel. I finally put several hours of study into this, and was able to select an answer ... with everyone's support and helpful references! Thanks.
Something went wrong...
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