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

Psychosocial problems, PSYCHOSOCIA L PROBLEMS  - 1 .       Accidental...

PSYCHOSOCIA L PROBLEMS  - 1 .       Accidental injury - Automobile accidents are no. 1 killers of adolescents, as they drive often fast. 2 .       Depression - I

Horse diseases-equine encephalomyelitis, Equine encephalomyelitis Encep...

Equine encephalomyelitis Encephalomyelitis or inflammation of the brain tissue and the spinal cord, can be brought about by different viruses. Eastern-, Western- and Venezuelan

Name the corrosion resistant metals, Name the corrosion resistant metals ...

Name the corrosion resistant metals Most of the corrosion resistant metals or alloys used for implants have a layer of oxides on their surface. The thin (approximately 5 nm) la

What factor cause the measurement to change, During gym class Sally noticed...

During gym class Sally noticed that her friend Melissa always ran faster than her. Sally knew that they exercised equally, so she wondered what could cause Melissa to run so fast.

Homework, The Waldorf family was caught in a fire but escaped. Unfortunatel...

The Waldorf family was caught in a fire but escaped. Unfortunately, the father and daughter suffered burns. The father had second-degree burns on his entire chest, abdomen, and bot

Explain the eligibility of cardiac rehabilitation, Explain the eligibility ...

Explain the eligibility of Cardiac rehabilitation ? Cardiac rehabilitation services are prescribed for patients who: 1) Have had a myocardial infarction. 2) Have had coronary b

Define about the photometry - colorimetry, Define about the Photometry - co...

Define about the Photometry - colorimetry? Photometry is the measurement of the luminous intensity light or the amount of luminous light falling on a surface from such a source

Explain the identification of fungi and yeasts, Explain the Identification ...

Explain the Identification of Fungi and Yeasts? In this we learnt about different staining techniques used to visualize bacterial cell morphology. What about identification tec

Is there a larval stage in echinoderms, Q. Is there a larval stage in echin...

Q. Is there a larval stage in echinoderms? In echinoderms embryonic development is indirect, with ciliated larvae.

Protein necessity, Proteins necessity They are called as body builde...

Proteins necessity They are called as body builders. The proteins are used in various metabolic pathways and body building. They help in repairing the tissues of the b

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