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.
Q. What is Biological Contaminants? You may recall reading about food borne diseases caused by the consumption of contaminated food items in the last unit. In the
Which is the plant tissue responsible for the filling of the space between other tissues? The plant-filling tissue is generically known as parenchyma. The plant parenchyma can
Which of the following structures in a vertebrate with a four-chambered heart would have blood with the highest oxygen concentration? And why? A. Arteriole end of a capillary B. Ri
Q. Explain about Metabolic diseases? Metabolic diseases, as you already know, refer to those disorders in which the various reactions in the cells are effected (production of e
Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4
What is the function, other than protection, of the ribs? The ribs help to alter the volume of the thorax during breathing movements.
Explain the Burden of Hypertension in heart diseases ? Since 1942, there have been several small and large population-based studies on Hypertension. A ineta-analysis showed an
Q. Define Mushroom Poisoning? Mushroom poisoning is caused by the consumption of raw or cooked fruiting bodies (mushrooms, toadstools) of a number of species of higher fungl.
the characteristics of flying fish belong to pisces
Explain History of Plant Classification - Ancient Greeks and Romans? Hippocrates, "The Father of Medicine" (460-377 B.C.) is reputed to have been one of Democritus 's disciples
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