Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
Q. Can you explain Balloon Valvuloplasty?
Whenever feasible valvuloplasty is the treatment modality of choice. One has to make sure that the valve is suitable and expertise to do the procedure is available. Surgical stand by is desirable. Immediate and long term results are directly related to pliability of the valve. With a pliable valve better valve area can be achieved and chance of immediate severe mitral regurgitation is less. A thorough trans thoracic echocardiography is mandatory prior to performing the procedure. Similarly in those with atrial fibrillation and in those with left atrial diameter more than 4 cm. trans esophageal examination (TEE) should be done to rule out the presence of any left atrial thrombi. TEE is also helpful in assessing the degree of associated mitral regurgitation if any. Patient with left atrial appendage clot may be given oral anticoagulants and followed closely over next few months till the clot dissolves and then go for balloon valvuloplasty. Such a strategy may or may not be useful for left atrial clots as they may or may not dissolve with oral anti coagulants.
Higher valve scores and presence of commissural fibrosis and calcification may lead to sub optimal result and acute complications during the procedure. Mitral restenosis is a possibility after balloon valvuloplasty and the time taken for restenosis is dependent upon the initial pliability of the valve and the valve area achieved. Calcific valves tend to restenose early. Patients should continue with penicillin prophylaxis and have a periodic echocardiographic evaluation after balloon valvuloplasty. If symptoms recur repeat balloon valvuloplasty or valve replacement may be done. Complications of the procedure include local vascular complications, vasovagal episodes, cardiac perforation and tamponade, acute mitral regurgitation, embolic complication due to missed left atrial thrombi and very rarely infective endocarditis. In terms of simplicity and costs balloon valvuloplasty is superior to surgical commissurotomy and all patients should be first considered for balloon valvuloplasty.
Describe the meaning of Electrical Stimulation Brain stimulation has been used to map connections in the brain and to elicit changes in behaviour. Much of the pioneering work o
Aerotolerant anaerobes are incapable of aerobic respiration, but can nevertheless grow in the presence of air. Many lactic acid bacteria fall into this category. They can only gene
Q. Do the amine and the carboxyl groups attached to central carbons participate in the union between amino acids? Yes. The nitrogen of the amine group of one amino acid binds t
Types of hypertension are as follows: Essential Hypertension is called essential when no apparent cause is suspected or detected. This accounts for almost 90 per cent of pati
write down the division of cryptogamae and phanerogamae
Define about the Carbohydrates? In the previous unit we have studied about the energy requirements. You now know that energy must be supplied regularly to individuals through t
What are the pancreatic tissues involved respectively in the exocrine and endocrine secretions? What are their respective hormones and enzymes? The exocrine secretion of the pa
Water Logging Over saturation of soil with water is called water logging. If for any reason, the water-table rises close to the ground surface it is bad for plants and soil fer
what should i write in conclusion
Megaloblastic Anaemia Megaloblastic anaemia refers to the abnormal development of red cells i.e. megaloblasts in the bone marrow. Etiology It is due to lack of f
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +91-977-207-8620
Phone: +91-977-207-8620
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd