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.
study of phenomena of apical dominance
Determination of Nicotinic acid The chemical methods of assay are based on colour reactions of pyridine. Nicotinic acid and nicotinamide are converted by cyanogen bromide into
Explain the Precautions for Use of Light Microscope? 1. Clean the lens system properly. 2. Use xylol only when necessary. 3. Never lower the body tube while looking throu
WHAT IS MEGASPOROGENESIS?wHERE IT OCCUR?hOW IT OCCURS?
Q. Sunlight used for sterilization? It possesses appreciable bactericidal activity under natural condition. The action is primarily due to content of the ultraviolet rays; howe
what type of gametes would be produced from genotype AA, Bb, AABb and someone who is heterozygous for 3 traits
If 15% of the nucleotides in a DNA molecule contain guanine, what percentage of the nucleotides having each of the other three bases? Describe your reasoning. As guanine and cy
Define Isotope Dilution Method? The measurement of total body water (TBW) is based on the principle of hydrometry. You must be aware that water is the most abundant substance i
Q. Can you explain Secondary Metabolites? Secondary metabolites or secondary plant products are those macromolecules that lack nitrogen and arc of restricted occurrence and the
Define the Utilization of Most Probable Number Techniques? The MPN technique (multiple tube technique) can be used to determine the presumptive coliform count in the food. The
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