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Q. Cardiac Catheterization of mitral stenosis?
Cardiac catheterization is rarely needed to diagnose mitral stenosis. An end diastolic gradient more than 5 mm Hg. across mitral valve as measured by the gradient between pulmonary artery wedge pressure and left ventricular diastolic pressure diagnoses mitral stenosis. Pressure measurements are mandatory prior to balloon mitral valvuloplasty. Heart rate and cardiac output have to be considered while evaluating pressure gradients. Mean pressure gradient as measured by cardiac catheterization closely approximate to that measured by Doppler examination. Mitral valve area is calculated using Gorlin's formula from the cardiac catheterization tracings.
Define Vigorous or vigorously active lifestyles - physical activity? These people engage regularly in strenuous work or in strenuous leisure activities for several hours. Examp
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Tricuspid Annuloplasty : Tricuspid valve is evaluated by digital palpation before connecting the patient to cardio pulmonary by pass. Functional regurgitation can be repaire
Planning of Nursing Care Prevent and control bleeding. Administer replacement therapy of factor VIII and IX as advised. Educate and support the patient and family.
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Body Fluids of Marine Teleost The body fluids of marine teleost are hypotonic to seawater, so these fishes lose water to the environment especially across the gill epithelium.
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