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

Define the bioavailability of vitamin k, Define the Bioavailability of Vita...

Define the Bioavailability of Vitamin K? Very little is known about the bioavailability of the K vitamins from different foods.  It has been estimated that the efficiency of ab

What is its function of cardia, Q. What is the route of the ingested food f...

Q. What is the route of the ingested food from swallowing until the duodenum? Until reaching the duodenum the food enters the mouth, passes the pharynx, passes the stomach and

Define liposuction - surgical management for obesity, Define Liposuction - ...

Define Liposuction - surgical management for obesity? Liposuction is a cosmetic surgical procedure different from bariatric surgery. It involves aspiration of subcutaneous fat

Fensom and spanner electroosmotic flow hypothesis, Fensom and Spanner Elect...

Fensom and Spanner Electroosmotic Flow Hypothesis In electroosmosis the ions flow across a membrane in response to electrical gradient. Ions pull along water and other content

Explain clinical analysis, Explain Clinical analysis Clinical analysis...

Explain Clinical analysis Clinical analysis:  This analysis includes a complete physical examination and a medical history. The physical examination begins with the patient's

What is the function of the immune system, What is the function of the immu...

What is the function of the immune system? The immune system performs exact defense against agents, the antigens, that are foreign or harmful to the body. Exogenous antigens

What is normal bone physiology, What is normal bone physiology An insig...

What is normal bone physiology An insight into the normal bone physiology and its adaptation by modeling and remodelling process to functional stresses is also of importance. I

Explain about the thermoplastic extrusion, Explain about the Thermoplastic ...

Explain about the Thermoplastic Extrusion? This is a major technique used for vegetable proteins at present. Thermoplastic extrusion leads to dry fibrous and porous granules or

Dimensions of the cells, On a given microscope, the numerical aperture of t...

On a given microscope, the numerical aperture of the objective is 1.5. The microscope is provided with a filter that selects a wavelength of 500 nm. What is the limit of resolution

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