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careful palpation of the upper and lower limb pulses would make one suspect coarctation as the cause of hypertension the lower limb pulses are weak
anti lipid drugs the current thinking is that it is very important to keep lipid levels low it helps in preventing atherosclerotic changes in
anti platelet drugsin the early years of cabg patients used to be put on aspirin and persantin dipyridamole persantin is not routinely prescribed now
adrenal causes of hypertension are1 excess of aldosterone production in primary aldosteronism the diagnosis may be suspected when persistent
renal parenchymal disease is the commonest cause of secondary hypertension hypertensive and diabetic nephropathy and chronic glomerulonephritis
risk factor modification even after cabg patients are at risk of progression of native coronary artery disease and development of lesions in the
diet pre-operatively patients are on low calorie low fat diet however in the immediate post-operative period strict dieting is not advisable
advice on discharge patients are allowed to go home on 8th or 9th day it could be even earlier after off pump coronary artery surgery opcab they
types of hypertension are as followsessentialhypertension is called essential when no apparent cause is suspected or detected this accounts for
palpate the radial or brachial artery pulsation while inflating the cuff to a level of 30 mm hg above the point at which the brachial or radial
chest and leg wound complications the patients under going cabg are usually elderly obese and nearly a quater of them are diabetic so sonic of
precautions it is a common observation that bp recordings are variable when taken by different individuals to decrease this variability it is
table gives the current classification of hypertension as recommended by jnc vii the classification is based on the mean of two or more seated
chest complications many of the patients undergoing coronary artery bypass surgery have risk factors for post-operative lung complications these
high blood pressure hypertension has gained considerable significance because it will eventually damage end organs like the heart brain kidneys and
diabetes mellitus management after open heart surgery diabetic patients undergoing coronary artery bypass surgery who are on oral hypoglycemic
atrial arrhythmias atlial fibrillation is the most common rhythm abnormality after cabg paroxysmal atrial tachycardia and atrial flutter are
ventricular arrhythmias these include premature ventricular contractions pvc ventricular tachycardia vt and ventricular fibrillation vt at times
peri operative myocardial infarction peri operative myocardial infarction is diagnosed by the appearance of fresh q waves non-q myocardial
role of endarterectomy endarterectomy is done as a semi open technique 5-10mm long incision is made on the outer layers of the coronary artery
total arterial re-vascnlarisation in total arterial re-vascularisalion tar end of the right internal mammary artery rima or radial arlery ra is
influence of diabetes mellitus diabetes causes micro vascular obstructive disease in heart kidney retina and peripheral nerves scrupulous rather
influence of lv function lv functions whether normal or impaired is important while selecting a patient for cabg and for long-term results of
acute complications of ptca the incidence of complications after ptca that require emergency surgery has reduced considerably in the present era
acute myocardial infarction with haemodynamic deterioration these patients may require urgent insertion of intra aortic balloon pump iabp