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trans myocardial laser re vascularisation tmlr patients who have severe angina and diffuse coronary artery disease with no graftable vessels are
technique careful re-opening of sternum and release of steinum from the underlying adhesion is done femoral artery and vein are exposed for going
late recurrence of artgirza this is a reflection of progress of disease in the native coronary arteries distal to the grafts or narrowing or blockage
hypertension is one of the commonest disease states encountered in medical practice it is one of the simplest to diagnose and to treat if one
kidney disease the target bp in chronic kidney disease is set at 13080 this will retard the progression of renal function the drugs
early recurrence of angina soon after the patient resumes activities is either due to inadequate 1evascula1isation or acute graft closure in the
thiazide diuretics have been accepted as the primary foundation of antihypertensive therapy the basis of this choice is that apart from their primary
once the decision to start drug treatment of hypertension is made the aim should be to provide 24 hour bp control with agents that would encourage
great importance is being given to life style modifications because of definite benefits observed in patients who follow this life style changes have
raised blood pressure is a major risk factor for cardiovascular disease the higher the blood pressure the higher the risk of stroke coronary heart
results of cabg in most centres where this operation is routinely conducted the mortality is 1-2 per cent in high-risk group of patients this may go
elderly is the treatment of hypertension different in elderly generally the target for treatment should be at lower levels in the elderly this is
list of conditions requiring rapid treatment of hypertension1 cardiacbull acute aortic dissection bull acute left ventricular failure bull
hypertensive emergencies should be treated within one hour hypertensive urgencies may be treated more slowly the term accelerated malignant
hypertensive emergencies are one of the important categories of hypertension and characterized by severe elevations in bp that are complicated by
central nervous system hypertension is one of the leading causes of cerebrovascular disease it has been associated with accelerated age related
echocardiography lv hypertrophy can be identified using m-mode and 2 d imaging indications of myocardial ischemic states and systolic functions can
ecg myocardial ischemia is indicated by t-wave inversionsleft ventricular hypertrophy lvh criteriar in avl gt13 mmr voltage in l1 s iii gt25 mms v1
high blood pressure makes your heart work harder and over time can damage blood vessels throughout your body if the blood vessels in your kidneys are
pulses careful examination of both upper and lower limb pulses is useful in detecting coarctation and other arterial stenosis the carotid arteries
the purpose of examining the abdomen should be for detection of renal artery bruit and abnormal kidney masses like kidney tumours and polycystic
comparison of cabg and angioplasty results of six major randomized clinical trials of multi vessel angioplasty vs cabg are now available the
the complications that occur in the heart due to hypertension are left ventricular hypertrophy diastolic dysfunction and cardiac failure there is
any elevation in bp is accompanied by increased risk of cardiovascular and cerebrovascular events and renal damage the most
use of beta-blockers in some centres patients are routinely put on beta-blockers after cabg european coronary artery surgery study showed that