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.
Types of Mechanism - Stress Condition Plants have evolved a variety of mechanisms to withstand stress conditions. In many cases we can precisely define the way plants enable t
What are plankton, nekton and benthos? Plankton, nekton and benthos are the three groups into which aquatic living beings may be separated. The plankton is formed by the alg
Minerals : Bromine Food Source Brominated flour Nutritional Functional role Not known to be essential to humans. Dough improver: KBrO 3 impr
'Absolute food safety' is the assurance that damage or injury from use of a substance is impossible. Normal 0 false false false EN-US X-NON
Effects of long term malnutrition The effects of long term malnutrition are more severe in children. Children do not have sufficient amounts of carbohydrates and fats in
What is frog central nervous system Consider Neuron B in the frog central nervous system whose plasma membrane has a newly discovered ligand-gated ionotropic receptor, named th
Active instruments -This category of instruments actively engage a restorative , enabling a specific dislodgment force to potentially lift off the prosthesis -These devices
Variety of Locomotion A number of animals are sendentary, remaining attached to some substratum. These animals may move parts of their body but this does not result in the mov
Question 1 Discuss various methods of blood collection in a laboratory. Add a note on collection of blood by using vacutainers. Make a table indicating the color of vacutainer tub
Pulmonary Stenosis : The obstruction may be valvar, infundibular or supra valvar.
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