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!
What is Septal Ablation (TASH/PTSMA) ?
This is a nonsurgical interventional treatment. The septal myocardium supplied by 1st septal branch of left anterior descending artery is destroyed by alcohol, by percutaneous technique.
It creates limited myocardial infarction and reduces LV outflow obstruction. It reduces mitral incompetence and improves relaxation. Improvement occurs in almost 90 per cent.
However there is some concern about 2 complications viz. Heart block which needs pacing in a few patients. There is a theoretical concern that myocardial scar that follows infarction might lead to ventricular arrhythmias. It is therefore a preferred option in patients who already have a pacemaker.
ICD in place or where surgery is contraindicated because of other medical conditions. It is however being widely used in select centres.
ICD Implantation
It is used as a method of secondary prevention for cardiac arrest or history of sustained hemodynamically unstable ventricular tachycardia. For primary prevention, it is used with history of sudden death in family with history of sustained ventricular tachycardia.
Surgical
Septal Myotomy/Myectomy (Fig 5.8) it is widely used. About 5 gms. of hypertrophied septum are removed using a tranaortic approach (Morrow procedure). It gives sysmptomatic relief in almost 70-90 per cent of patients. It should be preferred in younger patients and in whom septal ablation has failed. Occasionally mitral valve replacement or suture plication of anterior mitral leaflet are also employed.
Population Density - Biological Stress You are aware of what might follow an uncontrolled growth of human population. There will be competition for common consumables and for
Hydroxyapatite coating Hydroxyapatite coating has been recommended for clinical use. These implants are superior with respect to the degree and rate of fixation in the bone as
OBJECTION OF CELL THEORY (REASONS OF DISCARTION) (i) Living organism are composed of various types of cells and their product but members of monera & protista don't have
This constitutes about 2.4% of the body weight of man viz. Brain-1400 gram Spinal nerve-150 gram Spinal cord-30 gram Cranial nerve-10 gram C.S.F. is altogether not present in
classification schemes and characterisitics used for this.
In detail , how does the body maintains the blood calcium ion homeostasis ( including the description of negative feedback system, organs and hormones involved) What is osteoporosi
Why do we need a family of proteins for cell adhesion (what is the advantage of having a family of proteins?)
Interaction of insect hormones in the process of metamorphosis The organs and the hormones usually included in metamorphosis of insects. This is since despite the fact that t
Explain Food Applications of gum karaya The water absorbing and water-holding capacity of Karaya, together with an excellent acid compatibility made it suitable for its use
Explain National Programmes Targeting Infants and Preschoolers? Infants and preschoolers are the vulnerable sections of the society. To give them due coverage, some national p
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