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Cardiac condition
ectopic pacemaker, also known as ectopic focus or ectopic foci, is a group of excitable cells that causes a premature heart beat known as an ectopic beat
Ectopic_pacemaker
Network of cells that facilitate rhythmic heart contraction
of acting as the default or "escape" pacemaker. An ectopic pacemaker also known as an ectopic focus or ectopic foci, is a group of excitable cells that
Natural_pacemaker
Cardiac arrhythmia
Ectopic beat is a disturbance of the cardiac rhythm frequently related to the electrical conduction system of the heart, in which beats arise from fibers
Ectopic_beat
Medical condition
believed that the atria had different ectopic foci that were spontaneously depolarizing, each foci acting as a pacemaker for the heart. However, the atrial
Wandering_atrial_pacemaker
Abnormal heart rhythm originating from an atrial location
ISSN 0899-5885. Poutiainen, A M (1999). "Prevalence and natural course of ectopic atrial tachycardia". European Heart Journal. 20 (9): 694–700. doi:10.1053/euhj
Atrial_tachycardia
Medical condition
activity. Hence, the ectopic pacemaker is expected to fire at a fixed rate. Therefore, on ECG, the coupling intervals of the manifest ectopic beats will wander
Parasystole
Abnormally fast heart rhythm
sometimes be distinguished by its prompt response to vagal maneuvers. Ectopic (unifocal) atrial tachycardia arises from an independent focus within the
Supraventricular_tachycardia
Skipped human heartbeat with ventricular origin
ventricular contractions: enhanced ectopic nodal automaticity, re-entry signaling, and toxic/reperfusion triggered. Ectopic enhanced nodal automaticity suggests
Premature ventricular contraction
Premature_ventricular_contraction
Fast heart rhythm associated with exacerbations of COPD
controlled by a cluster of pacemaker cells called the sinoatrial node (SA node). When different clusters of cells known as ectopic pacemakers, that are outside
Multifocal_atrial_tachycardia
Medical condition
Pacemaker syndrome is a condition that represents the clinical consequences of suboptimal atrioventricular (AV) synchrony or AV dyssynchrony, regardless
Pacemaker_syndrome
Enlargement of the heart muscle
use of a pacemaker has been advocated in a subset of individuals, to cause asynchronous contraction of the left ventricle. Since the pacemaker activates
Hypertrophic_cardiomyopathy
Medical condition
accessory pacemaker in the lower chambers will typically activate the ventricles. This is known as an escape rhythm. Since this accessory pacemaker also activates
Third-degree atrioventricular block
Third-degree_atrioventricular_block
Heart condition
preexcitation syndrome, ventricular ectopic rhythms, congenital heart disease, hyperkalemia, emphysema, mechanical shift and pacemaker-generated paced rhythm. Normal
Left_axis_deviation
Skipped beat with atrial origin
beats, in which the normal sinoatrial node fails, leaving a non-nodal pacemaker to initiate a late beat. The exact cause of PACs is unclear; while several
Premature_atrial_contraction
Medical condition
which there is a single ectopic beat, or irregular heartbeat, following each regular heartbeat. Most often this is due to ectopic beats occurring so frequently
Bigeminy
Irregular heartbeat due to abnormal conduction from the atrioventricular nerve
Junctional ectopic tachycardia (JET) is a rare syndrome of the heart that manifests in patients recovering from heart surgery. It is characterized by
Junctional ectopic tachycardia
Junctional_ectopic_tachycardia
Medical condition
evaluation, and those with LBBB and syncope or near-syncope may require a pacemaker. Some patients with LBBB, a markedly prolonged QRS (usually > 150 ms)
Left_bundle_branch_block
Medical condition
usually caused by a malfunction of the sinus node, the heart's primary pacemaker. Tachycardia-bradycardia syndrome is a variant of sick sinus syndrome
Sinus_node_dysfunction
Disorder of heart rhythm
(HB) is a disorder in the heart's rhythm due to a fault in the natural pacemaker. This is caused by an obstruction – a block – in the electrical conduction
Heart_block
Heart rate exceeding normal resting rate
Junctional tachycardia Metabolic myopathy Multifocal atrial tachycardia Pacemaker mediated Pain Panic attack Pheochromocytoma Sinus tachycardia Sleep deprivation
Tachycardia
Restriction of electrical impulse flow in the heart's bundle branches
electrical activity begins in the sinoatrial node (the heart's natural pacemaker), which is situated on the upper right atrium. The impulse travels next
Bundle_branch_block
Sudden or unexpected loss of heartbeat
electrophysiologic mechanisms underpinning ventricular fibrillations include ectopic automaticity, re-entry, and triggered activity. However, structural changes
Cardiac_arrest
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Uremic_pericarditis
Medical condition
It is important to diagnose AV-blocks precisely because unnecessary pacemaker placement in patients with pseudo-AV blocks can worsen symptoms and create
Atrioventricular_block
Inflammation of the heart's inner layer (endocardium)
artificial valves, hemodialysis, intravenous drug use, and electronic pacemakers. The bacteria most commonly involved are streptococci or staphylococci
Endocarditis
Group of medical conditions characterized by irregular heartbeat
Treatments may include medications, medical procedures such as inserting a pacemaker, and surgery. Medications for a fast heart rate may include beta blockers
Arrhythmia
Blood clot within the heart's blood vessels
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Coronary_thrombosis
Heart rate below the normal range
definitive treatment with an implanted pacemaker. In atrioventricular causes of bradycardia, permanent pacemaker implantation is often required when no
Bradycardia
Branch of medicine dealing with the heart
(TAVR) and MitraClip; and procedures for heart rhythm disorders such as pacemaker implantation, Implantable cardioverter-defibrillator (ICD) insertion,
Cardiology
Interruption of cardiac blood supply
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Myocardial_infarction
Reduction of blood flow to the heart
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Coronary_artery_disease
Medical condition
developing atrial fibrillation, tripled the risk of requiring an artificial pacemaker, and was associated with a small increase in mortality. This risk was
First-degree atrioventricular block
First-degree_atrioventricular_block
Irregular beating of the atria of the heart
Hospital [fr] noted in 1998 that the pulmonary veins are an important source of ectopic beats, initiating frequent paroxysms of atrial fibrillation, with these
Atrial_fibrillation
Narrowing of the exit of the heart's left ventricle
a suitable alternative. Conduction abnormalities requiring permanent pacemaker (PPM) implantation remain a common finding after TAVI due to the proximity
Aortic_stenosis
Failure of the heart to provide sufficient blood flow
shortness of breath. Depending on the case, an implanted device such as a pacemaker or implantable cardiac defibrillator may sometimes be recommended. In
Heart_failure
Chest discomfort due to disorder of the heart muscles
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Angina
Lower than typical heart rate
The slow heart rate may also lead to atrial, junctional, or ventricular ectopic rhythms. Bradycardia is not necessarily problematic. People who practice
Sinus_bradycardia
Medical condition of the heart
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Asystole
Elevation of the ST segment on an electrocardiogram
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
ST_elevation
Syndrome where the sinus heart rate is inexplicably faster than expected
increased intrinsic heart rate, dysfunctional neurohormonal modulation, ectopic sinus node activity, and beta-adrenergic receptor autoantibodies. Some
Inappropriate sinus tachycardia
Inappropriate_sinus_tachycardia
Enlargement of the heart
Anti-arrhythmics: to maintain normal heart rhythm.[citation needed] Pacemaker: Coordinates contractions between ventricles. In people at risk of arrhythmias
Cardiomegaly
Disease involving heart or blood vessels
a person could have surgery to replace the valve. For arrhythmias, a pacemaker can be put in place to help reduce abnormal heart rhythms and for a heart
Cardiovascular_disease
Medical condition
the rate by which the organ beats – in other words, it is the heart's "pacemaker". The electrical activity of sinus rhythm originates in the sinoatrial
Junctional_rhythm
Inflammation of the heart muscle
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Myocarditis
Post-streptococcal inflammatory disease
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Rheumatic_fever
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Left_ventricular_hypertrophy
Hematoma usually associated with traumatic brain injury
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Subdural_hematoma
Rapid quivering of the ventricles of the heart
myocardial cells. These may then act as pacemakers. The ventricles are then being stimulated by more than one pacemaker. Scar and dying tissue is inexcitable
Ventricular_fibrillation
Infection of the heart's inner surface (endocardium)
artificial valves, hemodialysis, intravenous drug use, and electronic pacemakers. The bacteria most commonly involved are streptococci or staphylococci
Infective_endocarditis
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Left_atrial_enlargement
Medical condition
beat is a delayed heartbeat originating not from the atrium but from an ectopic focus somewhere in the atrioventricular junction. It occurs when the rate
Junctional_escape_beat
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Left anterior fascicular block
Left_anterior_fascicular_block
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Permanent junctional reciprocating tachycardia
Permanent_junctional_reciprocating_tachycardia
Disease of the heart muscle
may include medication (conservative treatment) or iatrogenic/implanted pacemakers for slow heart rates, defibrillators for those prone to fatal heart rhythms
Cardiomyopathy
Depression of the ST segment on an electrocardiogram
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
ST_depression
Abnormally fast rhythm of the heart's ventricles
addition to the increased heart rate, are: A wide QRS complex (because the ectopics for the generation of the cardiac impulse originate in the ventricular
Ventricular_tachycardia
Autoimmune disease resulting in uncontrollable jerking motions
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Sydenham's_chorea
Type of abnormal heart rhythm
include beta blockers or mexiletine in long QT syndrome. Occasionally a pacemaker may be used to accelerate the heart's own sinus rhythm, and those at risk
Torsades_de_pointes
Medical condition
death. The definitive treatment for this form of AV Block is an implanted pacemaker. The impairment is usually below the AV node. Although the terms infranodal
Second-degree atrioventricular block
Second-degree_atrioventricular_block
Medical condition
after a heart attack, and reduce the risk of death in some patients. A pacemaker is a small device that's placed in the chest or abdomen to help control
Acute decompensated heart failure
Acute_decompensated_heart_failure
Chest pain due to heart muscles that is easily provoked
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Unstable_angina
Heart condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Wellens'_syndrome
Medical condition
of TTR amyloidosis. Ten to 20% of those with ATTR amyloidosis required pacemakers, usually due to high degree atrioventricular blocks. Observational cohort
Cardiac_amyloidosis
Heart block in the right ventricle
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Right_bundle_branch_block
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Viral_cardiomyopathy
Medical condition
However, definitive treatment includes the insertion of a permanent cardiac pacemaker. synd/1158 at Whonamedit? R. Adams. Cases of Diseases of the Heart, Accompanied
Adams–Stokes_syndrome
Higher than typical heart rate
WL, Lu L (2022). "Appendiceal Neuroendocrine Tumor Is a Rare Cause of Ectopic Adrenocorticotropic Hormone Syndrome With Cyclic Hypercortisolism: A Case
Sinus_tachycardia
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Pulmonary_heart_disease
Abnormal heart rhythm due to faulty electrical connections in the heart
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Wolff–Parkinson–White syndrome
Wolff–Parkinson–White_syndrome
Abnormal heart rhythm beginning in the atria
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Atrial_flutter
Hardening of the membrane surrounding the heart
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Constrictive_pericarditis
Medical diagnostic method
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
High_frequency_QRS
Condition involving an enlarged, ineffective heart
raises cardiac output and ejection fraction only at rest. Artificial pacemakers may be used in patients with intraventricular conduction delay, and implantable
Dilated_cardiomyopathy
Medical condition
as junctional tachycardia, focal junctional tachycardia, or Junctional Ectopic Tachycardia (JET). Patients' heart rates are frequently between 200 and
Automatic_tachycardia
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Pulseless_electrical_activity
Sudden temporary weakening of the heart muscle
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Takotsubo_cardiomyopathy
Rapid, irregular contraction of muscle fibers
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Fibrillation
Medical condition
heartbeat where the QRS complex is significantly wider. When the origin of the ectopic heartbeat is in the anterior fascicule then there is right axis deviation
Right_axis_deviation
Type of valvular heart disease
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Tricuspid_regurgitation
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Long_QT_syndrome
Abnormal accumulation of fluid in the pericardial cavity of the heart
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Pericardial_effusion
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Ventricular_hypertrophy
Variant of asystole
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Agonal_heart_rhythm
Excess deposition of extracellular matrix in the cardiac muscle
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Cardiac_fibrosis
Inflammation of the pericardium
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Pericarditis
When dysfunction of the kidneys or heart induces dysfunction in the other
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Cardiorenal_syndrome
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Myopericarditis
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
De_Winter_syndrome
Buildup of fluid around the heart
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Cardiac_tamponade
Medical condition
radiofrequency (RF) catheter ablation, or AV node ablation with permanent pacemaker implantation. For TIC due to atrial fibrillation, rate control, rhythm
Tachycardia-induced cardiomyopathy
Tachycardia-induced_cardiomyopathy
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Right_ventricular_hypertrophy
Abnormal growths in the heart associated with endocarditis
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Vegetation_(pathology)
Conduction abnormality in the heart
atrial pacing induces high-degree atrioventricular block, a permanent pacemaker (PPM) is recommended. If EPS is negative, long-term rhythm monitoring
Bifascicular_block
Abnormally fast heartbeat, the cause of which involves the atrioventricular node
[citation needed] Forms of junctional tachycardia include junctional ectopic tachycardia (JET) and atrioventricular nodal re-entrant tachycardia (AVNRT)
Junctional_tachycardia
Heart valve disorder
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Pulmonary_valve_stenosis
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Restrictive_cardiomyopathy
Disease in the valves of the heart
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Valvular_heart_disease
Medical condition
the sinoatrial node resumes normal pacing, or another pacemaker begins pacing. If a pacemaker other than the sinoatrial node is pacing the heart, this
Sinoatrial_arrest
Dysfunction of the heart muscles due to insufficient blood flow
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Acute_coronary_syndrome
Medical condition
fibrillation Pacemaker Ectopic pacemaker / Ectopic beat Multifocal atrial tachycardia Pacemaker syndrome Parasystole Wandering atrial pacemaker Long QT syndrome
Myocardial_rupture
ECTOPIC PACEMAKER
ECTOPIC PACEMAKER
ECTOPIC PACEMAKER
Girl/Female
Muslim
Happy, Jolly, Pleasant
Surname or Lastname
English
English : habitational name from East and West Hanney in southern Oxfordshire (formerly in Berkshire), named with Old English hana ‘cock’, ‘male bird’ + ēg ‘island’ or ‘land between streams’.
Boy/Male
Tamil
Meghmalhar | மேகமலà¯à®¹à®¾à®°
Clouds, Raag for rains
Boy/Male
Hindu
Gods beloved
Boy/Male
Muslim
Major, Eloquent, Learned, Vivid
Girl/Female
Indian
Knowledge; Information; Experience; Thought
Girl/Female
Muslim
Devotee, Lover
Boy/Male
American, British, English, Greek
Manly; Brave
Biblical
house; place of sin
Boy/Male
Gaelic
Baker.
ECTOPIC PACEMAKER
ECTOPIC PACEMAKER
ECTOPIC PACEMAKER
ECTOPIC PACEMAKER
ECTOPIC PACEMAKER
a.
Alt. of Entomical
a.
Relating to objects situated within the eye; esp., relating to the perception of objects in one's own eye.
a.
Alt. of Esopic
n.
A morbid displacement of parts, especially such as is congenial; as, ectopia of the heart, or of the bladder.
n.
Same as Ectopia.
a.
Having great tension, or exaggerated action.
a.
Pertaining to, derived from, or resembling, octane; -- used specifically, to designate any one of a group of acids, the most important of which is called caprylic acid.
a.
Alt. of Esopic
a.
Of or pertaining to building or construction; architectural.
a.
Of, pertaining to, resembling, or derived from, pectose; specifically, designating an acid supposed to constitute largely ordinary pectin or vegetable jelly.
a.
Of or pertaining to the forehead or frontal bones; frontal; as, the metopic suture.
a.
Having a tendency to prevent the development of anything, especially of a disease.
a.
Pertaining to the interior of the ear.
a.
Same as Aesopian, Aesopic.
a.
See Epizoic.
a.
Same as Aesopian.
a.
Out of place; congenitally displaced; as, an ectopic organ.
n.
A drug, as ergot, which by exciting uterine contractions promotes the expulsion of the contents of the uterus.
a.
Relieving weariness; restorative.
n.
A salt of an octoic acid; a caprylate.