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Q. What is Cardiac Catheterization?
Routine cardiac catheterization is not necessary in patients with mitral regurgitation. It may be done when there is discrepancy between clinical findings and non invasive tests or preoperatively to do coronary angiography before mitral valve replacement in a patient in whom associated coronary artery disease is a possibility. Pressure tracings may show a prominent ‘v' wave in pulmonary capillary wedge tracings but this in neither a sensitive nor specific finding even in a patient with severe mitral regurgitation as height of ‘v' wave depends upon left atrial compliance.
Exercise hemodynamics may provide additional information. Left ventricular angiography may give a qualitative assessment of mitral regurgitation but this is not an objective method. Quantification of mitral regurgitation has been attempted by measuring forward cardiac output by Fick's method and stroke volume by left ventricular angiogram, but this is highly erroneous. However, left ventricular angiogram gives information about left ventricular size, function, severity of mitral regurgitation and regional wall motion abnormalities.
Cleft Palate Well you have now learnt about the cleft lip and now let us discuss and understand what is cleft palate. Cleft palate (CP) is midline fissure of the palate that
Q. How to investigate mitral regurgitation by Chest Radiogram? Enlarged left atrium is obvious on chest X-ray and it may occupy most of the cardiac silhouette in patients with
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