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!
What is Septal Ablation (TASH/PTSMA) ?
This is a nonsurgical interventional treatment. The septal myocardium supplied by 1st septal branch of left anterior descending artery is destroyed by alcohol, by percutaneous technique.
It creates limited myocardial infarction and reduces LV outflow obstruction. It reduces mitral incompetence and improves relaxation. Improvement occurs in almost 90 per cent.
However there is some concern about 2 complications viz. Heart block which needs pacing in a few patients. There is a theoretical concern that myocardial scar that follows infarction might lead to ventricular arrhythmias. It is therefore a preferred option in patients who already have a pacemaker.
ICD in place or where surgery is contraindicated because of other medical conditions. It is however being widely used in select centres.
ICD Implantation
It is used as a method of secondary prevention for cardiac arrest or history of sustained hemodynamically unstable ventricular tachycardia. For primary prevention, it is used with history of sudden death in family with history of sustained ventricular tachycardia.
Surgical
Septal Myotomy/Myectomy (Fig 5.8) it is widely used. About 5 gms. of hypertrophied septum are removed using a tranaortic approach (Morrow procedure). It gives sysmptomatic relief in almost 70-90 per cent of patients. It should be preferred in younger patients and in whom septal ablation has failed. Occasionally mitral valve replacement or suture plication of anterior mitral leaflet are also employed.
DK is a year old female who was born after a normal pregnancy and delivery. At 17 months of age DK showed signs of speech delay, increased lethargy and vomiting up to four times p
Prosthodontic considerations In order to achieve good results, understated features should always be examinated. 1. Smile Line: A high smile line increases the esthetic
Define Assessment of Selenium Status? Blood glutathione (GSH) peroxidase activity is directly related to blood selenium up to a level of 1.27 μmoles/L. Beyond this point, the a
Unified Cell Theory The present unified cell theory states that All living things are composed of either a single Cell or of the cells and cell products. The cell is a m
Hydrocele A hydrocele is a painless water-filled cyst found in front of the testis.It is brightly translucent and cannot be emptied by pressure of a 'flap valve' at its jun
Discuss about xeno-transplanation Most defects / diseases treated by xeno-transplanation are not genetic in origin so the therapy will have no impact on gene pool in terms of c
Membrane proteins are classify as either integral (intrinsic) or peripheral (extrinsic) depending on how tightly they are linked with membrane. The Integral membrane proteins are s
What is a community? What is the difference between the concepts of community and population? A community is a set of the populations of living beings that live in the same reg
Polymorphism in Lysosomes Polymorphism, i.e. existence of a structure in more than one form, is an important feature of lysosomes. Several different forms of lysosomes have been
Synapse Nervous System Structural feature of unique importance in the nervous tissue is the synapse. A synapse is the anatomical site at which axon terminal processes of one
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: +91-977-207-8620
Phone: +91-977-207-8620
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd