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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
uncomplicated q wave mi cabg has very little place in cases of uncomplicated q wave myocardial infarction however the place of urgent surgery
acute myocardial infarction patients with acute non-q myocardial infarction may need urgent intervention as indicated for cases of unstable
unstable angina it is indicative of important reversible myocardial ischaernia that needs urgent evaluation and treatment medical management
single vessel disease svd they do well on medical treatment or with angioplasty however if proximal lad is significantly blocked and lima can be
double vessel disease dvd percutaneous intervention with stetting is usually advised for these patients however if it is left main equivalent
triple vessel disease tvd patients with triple vessel disease and impaired left ventricular function do badly on medical treatment they are
left main coronary artery disease lmcad stenosis of 50 per cent or more of the left main coronary artery is an indication if or surgery results of
indications for coronary artery bypass surgery the modalities of treatment for coronary artery disease iuc 1 medical 2 angioplasty and stenting
gastro epiploic arterygea is seldom used now patency has been reported as 94 per cent at one year 88 per cent at five years and 83 per cell1 at ten