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 are the conditions favouring the outbreak of Staphylococcal food poisoning? • Botulism is caused by the bacteria Clostridium botulinum. • All low acid foods can s
LIVE R (HEPAR) - Largest gland of body. Weighing 1.6 kg. Form 1/40 of the body weight. Bio-chemical laboratory. Bussiest part in whole river of life. Dark reddish brown
Q. Show the pH range of natural honey? The pH of natural honey ranges from 3.4 to 6.1. Acidity of honey is primarily due to presence of acids such as gluconic acid, pyruvic a
When the Balance Sheet column totals don't agree on the first attempt work backward through the process used in preparing the work sheet exclusively take the following steps until
The fragility of erythrocytes The fragility of erythrocytes is impaired in the absence of NADPH generation due to the deficiency of glucose-6-phosphate dehydrogenase thereby ca
VASCULA R TISSUES (= FLUID TISSUES) - The vascular tissues are of two types: blood and lymph.
Two gene loci, A and B, assort independently, and alleles A and B are dominant over alleles a and b. Indicate the probability of producing: An aB phenotype from a cross AaBb x AaBB
Explain Ketoconazole It is now seldom used. The other azoles have fewer adverse effects and are usually preferred. Ketoconazole remains an option for treatment of infections w
What are the forces that facilitate to make water to flow within the xylem from the roots to the leaves? Water enters the roots because of the root pressure and a water column
What is Phylum Annelida - Segmented Worms? Members of this Phylum are commonly known as the segmented worms. The body of a segmented worm is made of many individual ring-like s
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