Angiogram Images of the coronary arteries produced by angiography.

Angiography

The gold standard for evaluating and defining coronary artery disease. A small catheter is inserted through the skin into an artery in the groin or arm and then advanced using a fluoroscope (special x-ray viewing instrument) to the opening of the coronary arteries where a small amount of radiographic contrast is injected. Angiography identifies the exact location and severity of coronary artery disease.

Arteriosclerosis

Diseases characterized by thickening and loss of elasticity of the arterial walls.

Atherosclerosis

A type of arteriosclerosis in which fatty material is deposited along the walls of arteries. Over time this fatty material thickens, hardens and may eventually block the arteries.

Cancer

An abnormal growth of cells which tend to proliferate in an uncontrolled way and, in some cases, to metastasize (spread).

Carcinoembryonic antigen (CEA)

CEA is a protein found in many types of cells but associated with tumors.

Cardiovascular disease (CVD)

CVD includes all diseases of the circulatory system, including coronary artery disease, heart failure, stroke and diseases of the arteries.

Carotid intima-media thickness (CIMT)

CIMT, measured by B-mode ultrasound, measures the thickness of the first two inner layers of the carotid artery wall. CIMT is an independent predictor of heart attack and stroke.

Colonoscopy

A procedure in which a long, flexible viewing tube (a colonoscope) is threaded through the rectum for the purpose of inspecting the entire colon and rectum and, if there is an abnormality, taking a biopsy of it or removing it.

Computed tomography (CT) scan

A CT scan is an x-ray procedure that uses the help of a computer to produce a detailed picture of a cross-section of the body.

Coronary artery disease (CAD)

CAD is a narrowing of the coronary arteries that supply blood and oxygen to the heart muscle.

Coronary calcium

Calcium deposits, which lead to plaque build-up, in the coronary arteries.

C-reactive protein (CRP)

CRP is a protein in the blood that increases with inflammation from certain conditions.

Double contrast barium enema (DCBE)

DCBE is a series of x-rays of the colon and rectum taken after the patient is given an enema, followed by an injection of air. The barium outlines the intestines on the x-rays, allowing many abnormal growths to be visible.

Fecal occult blood testing (FOBT)

FOBT is a test to check for hidden blood in the feces. Fecal occult blood may be due to a number of causes. The source of the bleeding may be anywhere in the gastrointestinal tract.

Framingham Global Risk

Framingham is a landmark study begun in 1948 in which 12,000 residents of the town of Framingham, MA were enrolled in a study designed to gather medical data. Through this study, major risk factors for heart disease were identified, including blood cholesterol, blood pressure and diabetes.

Genomics

The study of genes and their function.

Homocysteine

An aminco acid that is produced by the body, usually as a byproduct of consuming meat. Elevated levels of homocysteine in the blood appear to be associated with elevated risk of cardiovascular disease.

Mammography

An x-ray of the breast with the breast in a device that compresses and flattens it.

Myocardial infarction (MI) A heart attack, which is the death of heart muscle from the sudden blockage of a coronary artery by a blood clot.

Nipple aspirate fluid (NAF)

NAF, which contains proteins, is secreted in the mammary ducts of the breast. Most breast cancers originate in the mammary ducts.

Polyp

A mass of tissue that develops on the inside wall of a hollow organ, as within the colon or rectum. Polyps may be benign, pre-malignant or malignant.

Positron emission tomography (PET)

PET is a highly specialized imaging technique that uses short-lived radioactive substances to produce three-dimensional colored images of those substances functioning within the body.

Sensitivity Refers to the proportion of people with disease who have a positive test result (true positive rate).

Sigmoidoscopy

Inspection of the rectum and lower colon using a thin lighted tube called a sigmoidoscope.

Specificity Refers to the proportion of people without disease who have a negative test result (true negative rate).

Spectrophotometer

An instrument for measuring the relative intensities of light in different parts of a spectrum.

Sputum cytology

The examination of sputum under a microscope. If a tumor is centrally located and has invaded the airways, this procedure may allow visualization of tumor cells for diagnosis.

Sterol

A family of fat-like compounds that includes cholesterol.

Stress test

A test that detects ischemia, or lack of blood flow to the heart muscle.

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