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Diagnostic and Therapeutic Procedures

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Procedure
Description
cardiac catheterization (CC)   Passage of a catheter into the heart through a vein or artery to provide a comprehensive evaluation of the heart  
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electrocardiogram (ECG, EKG)   Graphic line recording that shows the spread of electrical excitation to different parts of the heart using small metal electrodes applied to the chest, arms, and legs  
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Holter monitor test   ECG taken with a small portable recording system capable of storing up to 24 hours of ECG tracings  
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stress test   ECG taken under controlled exercise stress conditions  
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nuclear   ECG that utilizes a radioisotope to evaluate coronary blood flow  
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cardiac enzyme studies   Blood test that measures troponin T, troponin I, and creatinine kinase (CK-MB)  
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lipid panel   Series of tests (total cholesterol, high density lipoprotein, low density lipoprotein, and triglycerides) used to assess risk factors of ischemic heart disease  
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angiography   Radiographic imaging of the heart and blood vessels after injection of a contrast dye  
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coronary   Angiography to determine the degree of obstruction of the arteries that supply blood to the heart  
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digital subtraction   Angiography in which 2 radiographic images are obtained, the 1st 1 w/out contrast material and the 2nd one after a contrast material has been injected, and then compared by a computer that digitally - the images of soft tissues, bones, and muscles  
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aortography   Radiological examination of the aorta and its branches following injection of a contrast medium via a catheter  
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echocardiography (ECHO)   Noninvasive diagnostic method that uses ultrasound to visualize internal cardiac structures and produce images of the heart  
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Doppler ultrasound   Noninvasive adaptation of ultrasound technology in which blood flow velocity is assessed in different areas of the heart  
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magnetic resonance imaging (MRI)   Noninvasive technique that uses radiowaves and a strong magnetic field, rather than an x-ray beam, to produce multiplanar cross-sectional images of blood vessels  
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multiple-gated acquisition(MUGA)   Nuclear procedure that uses radioactive tracers to produce movie-like images of the structures of the heart, including the myocardium and the mitral and tricuspid valves  
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phonocardiography phon/o:   Imaging technique that provides a graphic display of heart sounds and murmurs during the cardiac cycle  
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scintigraphy   Diagnostic test that uses radiation emitted by the body after an injection of radioactive substances to create images of various organs or identify body functions and diseases  
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thallium study (resting)   Scintigraphy procedure that uses injected radioactive thallium and records the uptake of the isotope with a gamma camera to produce an image  
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sclerotherapy   Injection of a chemical irritant (sclerosing agent) into a vein to produce inflammation and fibrosis that destroys the lumen of the vein  
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venography   Radiography of a vein after injection of a contrast medium to detect incomplete filling of a vein, which indicates obstruction  
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cardioversion   Procedure to restore normal rhythm of the heart by applying a controlled electrical shock to the exterior of the chest  
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embolization embol: plug -izaton: process (of )   Technique used to block blood flow to a site by passing a catheter to the area and injecting a synthetic material or medication specially designed tom occlude the blood vessel  
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angioplasty   Procedure that alters a vessel through surgery or dilation of the vessel using a balloon catheter  
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coronary artery bypass graft (CABG)   Surgical procedure that uses a vessel graft from another part of the body to bypass the blocked part of a coronary artery and restore blood supply to the heart muscle  
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percutaneous transluminal coronary angioplasty (PTCA) per-: through   Dilation of an occluded vessel using a balloon catheter under fluoroscopic guidance  
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biopsy   Removal of material from an occluded vessel using a specially designed catheter fitted with a cutting or grinding device  
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arterial   Removal and examination of a segment of an arterial vessel wall to confirm inflammation of the wall or arteritis, a type of vasculitis  
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catheter ablation   Destruction of conduction tissue of the heart to interrupt the abnormal conduction pathway causing the arrhythmia, thus allowing normal heart rhythm to resume  
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commissurotomy   Surgical separation of the leaflets of the mitral valve, which have fused together at their “commissures” (points of touching)  
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atherectomy ather: fatty plaque   Removal of material from an occluded vessel using a specially designed catheter fitted with a cutting or grinding device  
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laser ablation   Procedure used to remove or treat varicose veins  
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ligation and stripping   Tying a varicose vein (ligation) followed by removal (stripping) of the affected segment  
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open heart surgery   Surgical procedure performed on or within the exposed heart, usually with the assistance of a heart-lung machine  
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pericardiocentesis   Puncturing of the pericardium to remove excess fluid from the pericardial sac or to test for protein, sugar, and enzymes or determine the causative organism of pericarditis  
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thrombolysis thromb/o: blood clot   Destruction of a blood clot using anticlotting agents called clot-busters, such as tissue plasminogen activator  
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intravascular   Infusion of a thrombolytic agent into a vessel to dissolve a blood clot  
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valvotomy   Incision of a valve to increase the size of the opening; used in treating mitral stenosis  
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venipuncture   Puncture of a vein by a needle attached to a syringe or catheter to withdraw a specimen of blood; also called phlebotomy  
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