Indications for surgery, Biology

Assignment Help:

Indications

1) Symptomatic patient with normal LV function (ejection fraction 2 0.5 at rest). If they are in class In or IV NYHA, surgery is recommended. In this group of patients, if they are in class I or 2 symptoms, the decision-milking is are difficult. Exercise testing may help in deciding about surgery.

2) Symptomatic patients with left ventricular dysfunction-the ventricular dysfunction can be graded as mi1d)to moderate (ejection fraction 0.25-0.49 and LV end systolic dimension 50 to $5 mms). If the ejection fraction is (less than 9.25) and end systolic dimension is more than 60mms, surgery should-not 'be delayed as results of medical management are worse.

3) Asympomatic patients-aortic valve replacement in asymptomatic with AR is a controversial topic. If the ejection fraction is I 0.5, generally surgery's recommended. At times an asymptomatic patient may, have -normal left ventricut rejection fraction but the ventricles may be severely dilated (end diastolic dimension > 75mms and end systolic dimension > 55mms). Such patients are in danger of sudden death and should be treated surgical File. or more for angina with or without coronary LV dysfunction at rest (ejection fraction 0.25 to 0.49) surgery of aorta or Other heart valves LV Function (EF 2 0.5) with stable LV size and systolic function On several studies and stable exercise tolerance (ejection fraction =- 0.5) but with severe LV dilatation

(end diastolic dimension > 75mm or end systolic

dimension > 55mms)

 


Related Discussions:- Indications for surgery

HIV VIRUS, what is the structure of hiv virus?

what is the structure of hiv virus?

Oxidative phosphorylation occurs in the inner membrane, In  eukaryotes,  th...

In  eukaryotes,  the electron  transport  and oxidative phosphorylation occurs in the inner membrane of mitochondria.  These processes re-oxidize the FADH 2 and NADH   which comes

Define tests for the presence of exoenzymatic activity, Define Tests for th...

Define Tests for the Presence of Exoenzymatic Activity? Microorganisms require various micro- and macro-nutrients for energy production and growth. These are obtained from the

Fatty Acids, How can I construct a fat molecule whose fatty acid tails are ...

How can I construct a fat molecule whose fatty acid tails are 4 carbon atoms long

Classification of agro-industrial byproducts, Classification of agro-indust...

Classification of agro-industrial byproducts Based on their nutrient content agro-industrial byproducts can be divided into: 1.  Feed low in fiber and low in protein. These ar

Steroids, STEROIDS They are a group of tetracyclic lipid derivative...

STEROIDS They are a group of tetracyclic lipid derivatives which have a nucleus of cyclopentano-perhydrophenanthrene  with phenanthrene part made of 3 hexane rings whil

Zoonoses disease- colibacillosis, Colibacillosis Colibacillosis is caused ...

Colibacillosis Colibacillosis is caused by different strains of Escherichia coli. The disease mainly affects children and travelers. Organisms grow in gut and produce toxin. It ma

Calliphora vicina larvae grow at different rates, Calliphora vicinia l...

Calliphora vicinia larvae grow at different rates on different body tissues The problem which was approached in this experiment is to measure the growth rate of the

Evolution , What benefits led to natural selection of a two-circuit pump f...

What benefits led to natural selection of a two-circuit pump function of the heart a) One circuit to go from the heart to the body and one from the heart to the lungs b) One cir

What event marks the beginning of the menstrual cycle, What event marks the...

What event marks the beginning of the menstrual cycle? What is the blood concentration of FSH, LH, estrogen and progesterone in this phase of the cycle? By convention the menst

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

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!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd