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!
Echocardiographic evaluation should be performed in all patients with clinically suspected IE, including those with negative blood cultures. Not only is TEE the preferred approach in patients with clinically suspected IE in whom TTE is suboptimal it is also the procedure of choice for imaging the pulmonic valve, patients with PVE (especially at the mitral site) and patients who are at high risk for intracardiac complications or those with sign of persistent or invasive infection despite adequate antimicrobial therapy.
The sensitivity of TTE for the detection of vegetations in NVE is less than 65 per cent, although its specificity is excellent. In contrast, in proven NVE the sensitivity for vegetation detection of TEE was 90 to 100 per cent, and in clinically suspected NVE, it ranged from 82 to 94 per cent. In patients with PVE, TTE is limited by the shadowing effect of the mitral valve prosthesis. The sensitivity of TEE for detecting vegetations in PVE, involving mechanical or bioprosthetic devices ranged from 80 to 96 per cent, whereas that of TTE was from 36 to 16 per cent. Despite the sensitivity of TEE in detecting vegetations in patients with proven IE, echocardiography does not itself provide a definite diagnosis. Vegetations and valve dysfunction may be demonstrated, but determination of causality requires clinical or direct anatomical and microbiological confirmation. Infectious vegetation cannot be distinguished from marantic lesions, nor can vegetations be distinguished from thrombus or pannus on prostheses. Further more, it is usually not possible to distinguish active from healed vegetations in NVE. Thickened valves, ruptured chordae or valve calcifications and nodules may be mistaken for vegetations, indicating the specificity limitations of echocardiography.
Q. What are the kinds of leukocytes and how are they classified into granulocytes and agranulocytes? The kinds of lymphocytes are leukocytes, neutrophils, monocytes, basophils
Name the hormones produced by (a) the testes, (b) the ovaries. (a) The testes produce testosterone. (b) The ovaries produce oestrogen and progesterone.
What are the typical vegetation and the typical fauna of the deserts? The predominant fauna of the desert ecosystems is formed by reptiles, like snakes and lizards, terrestrial
Structure of Blastula The structure of blastula turns into modified in several animal groups. The changes are related to the amount of yolk deposited in the egg, as you will s
Explain the Coenzyme in enzyme catalyzed reactions? Thiamin functions as the coenzyme thiamin pyrophosphate (TPP) in the inetabolism of carbohydrates and branched- chain amino
D i a g no s i s Diagnosis, the key for successful management of the disease problem, refers to identification of the cause of a disease. The process of diagnosis requir
The major concentration of noradrenergic (and adrenergic) cell bodies is found in locus ceruleus a nucleus in the reticular formation. The axons of these neurons project through t
Q. What are the major orders of placental mammals? What are a few representative species and distinguishing features of each of those orders? The orders into which placental ma
What are the cells responsible for the production of antibodies? The cells that make antibodies, i.e., the cells of the humoral immune system, are the B lymphocytes (B cells).
Explain the Diet Counseling for a successful weight reduction programme? As discussed above diet counseling is a very important aspect of a successful weight reduction programm
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