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!
Q. Medical Management of mitral regurgitation?
Vasodilator therapy to reduce afterload may be beneficial in patients with chronic mitral regurgitation, but there is no evidence to suggest the same in an asymptomatic patient. In a symptomatic patient with primary mitral regurgitation, surgery should be done. Vasodilators should be used in a symptomatic patient with primary or secondary mitral regurgitation not undergoing surgery. Beta blockers, digoxine, calcium channel blockers and even amiodarone may have to be used for rate control in a patient with atrial fibrillation. Diuretics need to be given as required. Oral anticoagulants are indicated in a patient with atrial fibrillation to prevent embolic episodes though the rate of embolic episodes is low and INR in the range of 2.0-2.5 may be sufficient.
Serial Follow Up
Serial follow up will help to identify patients who develop symptoms and left ventricular dysfunction. It is important to identify early signs of left ventricular dysfunction since left ventricular dysfunction may precede symptoms and post-operative outcome depends upon the left ventricular size and function. Patients with mild mitral regurgitation with no left ventricular dilatation need to be followed once in a year. Annual echocardiograms are not indicated unless they develop new symptoms. Patients with moderate mitral regurgitation need annual evaluation including echocardiography. Patients with severe mitral regurgitation should be followed up once in six months to assess symptoms and left ventricular size and function. Even in an asymptomatic patient left ventricular end systolic dimension more than 45 mm and left ventricular ejection fraction less than 60 per cent are indications for mitral valve repair or replacement. When history is not obvious, exercise testing may be done to assess functional capacity objectively.
Emerging and New Generation By-Products Oil palm by-products are good examples of NCFR which are becoming increasingly important new feeds. This is associated with the rapidly
Explain about the Absorbed Moisture - water found in food? It is the moisture that has passed through cell walls and entered the cytoplasm of the cell. It is this form of water
When the standard free energy of a reaction is -5.7 kj/mol then at equilibrium a- there will be 10 times more products than reactants b-there will be 10000 times more product
Properties of Isozymes Isozymes differ from each other not only in the amino acid composition, they also have different electrophoretic property, thermolability, immunologi
Genome is the whole compliment of genetic material in the form of the permanently maintained DNA for the particular given organism. Its size is usually given as its total number o
Explain Healthy nutrition There is no doubt that adoption of Healthy nutrition lifestyle and the practice of good nutrition habits would help eliminate many health problems ca
In what way may we be able to take advantage of retrotransposons in human gene therapy? How would this differ from our current use of retroviruses?
In the fruit fly Drosophila, a rudimentary wing called "vestigial" and dark body color called "ebony" are inherited at independent loci and are recessive to their dominant wild-typ
Vein Grafts : At the end of ten years only 50 per cent of saphenous vein grafts are paten1 and 50 per cent of the rest may have significant atherosclerotic changes. In a
Atrio-ventricular Orifices The right and left atrio-ventricular orifices are oval apertures. The openings lie in a plane that is almost vertical with a slight downward inclinati
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: +1-415-670-9521
Phone: +1-415-670-9521
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd