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Both global and regional systolic function are to be checked. Global measures include ejection fraction, stroke volume, end systolic volume. (For measurement of systolic function using M-mode and 2D echocardiography refer to the section on Echocardiography.) In diastolic dysfunction there is generally presence of left ventricular hypertrophy. The transmitral flow is studied by pulsed Doppler. In normals the early filling velocity (E-wave) is larger than the velocity during atrial contraction (A-wave) and the descent is fast. In diastolic dysfunction there are in general 2 types of patterns. When relaxation is impaired the E-wave becomes smaller and its deceleration time is prolonged and the A-wave becomes taller. With restrictive physiology the E-wave becomes taller and the deceleration time is shorter and the A-wave is smaller. There are also abnormalities in the pulmonary venous flow patterns.
Issues to be addressed by counsellor while counselling a diabetic patient The following issues should also be addressed while counselling a diabetic patient and their family me
why lymph is called the middel man of the body
Aortic Allograft (Homograft) : In the earlier years fresh antibiotic preserved aortic allografts were tried. As the shelf life is limited, availability of all sizes at all t
Role of Government in Health Care Provision The government intervenes in the health sector with a general view of improving the health status of the people. In general governm
Define Mobilization of bone calcium and phosphorous? It is now firmly established that vitamin D 3 is metabloized first in the liver to 25-hydroxyvitamin D (25 OH- D) (calcicl
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Describe the Timing of Surgery and Intervention For Various Congenital Heart Diseases ? The timing of surgical or trans-catheter intervention for congenital heart disease (CHD
When ATP gives energy to the cellular metabolism it loses one of its phosphates and ADP reappears. ADP can also lose more phosphates and produce AMP (adenosine monophosphate) o
State the concespts of soil- pedology and edaphology In the last two centuries of scientific study, two concepts or approaches to the study of soil have evolved. One called p
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