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one may find leucocytosis with predominant polymorphonuclear cellular response in patients of arf in presence of acute some throatthroat culturewhen
minor criteriathese are arthralgia fever prolonged pr interval raised esr and c-reactive protein levels in some cases abdominal pain and epistaxis
this is a rare manifestation seen in less than 5 per cent of arf patients it is erythematous macular evanescent non-pruritic rash with pale centre
these are found in about 3-6 per cent of cases of arf these nodules are typically subcutaneous firm painless freely movable 05-2 cm size and their
it is found in around 20 per cent cases of arf and it is a late manifestation occurring even 3 months after gas pharyngeal infection chorea is
it is the most common occurring in 75 per cent cases of arf manifestation of arf it involves large joints it is typically fleeting in character
the american heart association aha has recommended the revised jones criteria as a guide for arf diagnosis the same have been approved by who study
even though association between gas pharyngitis and the arf is fairly well established the exact pathogenic mechanisms are not clearly understood
m protein of rheumatogenic gas has distinct structural characteristics that are akin to human heart tissue particularly sarcolemmal membrane proteins
the epidemiology of acute rheumatic fever arf is closely connected with that of group-a beta haemolytic streptococcal pharyngitis both have a maximum
rheumatic fever is an immunologically mediated connective tissue disorder following throat infection with group-a streptococci gas it is
surgery for coronary artery disease stenotic coronary artery disease cad is caused by the thickening and narrowing of the coronary arteries
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