This slide will provide illustrative information regarding coronary angioplasty . It also focus on practical area knowledge of cardiac catheterization which one should focus while caring patient with coronary angioplasty.
Coronary artery bypass grafting (CABG) is a type of surgery that improves blood flow to the heart. It's used for people who have severe coronary heart disease (CHD), also called coronary artery disease.
This slide will provide illustrative information regarding coronary angioplasty . It also focus on practical area knowledge of cardiac catheterization which one should focus while caring patient with coronary angioplasty.
Coronary artery bypass grafting (CABG) is a type of surgery that improves blood flow to the heart. It's used for people who have severe coronary heart disease (CHD), also called coronary artery disease.
Angioplasty uses imaging guidance to insert a balloon-tipped catheter into a narrow or blocked blood vessel where the balloon is inflated to open the vessel and improve blood flow. It may be done with vascular stenting – the placement of a small wire mesh tube within the blood vessel to help keep it open. The procedure is much less invasive than other surgical interventions and usually does not require general anesthesia.
Mitral valve replacement is a procedure whereby the diseased mitral valve of a patients heart is replaced by either a mechanical or tissue(bioprosthetic )valve.’
Angioplasty uses imaging guidance to insert a balloon-tipped catheter into a narrow or blocked blood vessel where the balloon is inflated to open the vessel and improve blood flow. It may be done with vascular stenting – the placement of a small wire mesh tube within the blood vessel to help keep it open. The procedure is much less invasive than other surgical interventions and usually does not require general anesthesia.
Mitral valve replacement is a procedure whereby the diseased mitral valve of a patients heart is replaced by either a mechanical or tissue(bioprosthetic )valve.’
By the end of the module, you will be able to:
Define Arterio Venous Fistula and Arterio Venous Graft
Identify Complications and Management
Familiarise and use the Pre Needling Cannulation Tool
Heart bypass is one of two techniques used in the treatment of coronary heart disease. The other is angioplasty and stenting. We explain the difference.
CABGD, or heart bypass, is one of two techniques used in the treatment of CHD. The other is percutaneous coronary intervention (PCI), often called angioplasty and stenting. Both aim to improve the flow of oxygen-rich blood to the heart. The first heart bypasses were done in the 1960s, and the UK’s first coronary angioplasty was done in 1980, followed by the first coronary stent insertion in 1988.
Angioplasty is a minimally invasive method of widening a coronary artery. It uses a balloon catheter to widen the artery from within, and a stent is usually placed in the artery to keep it open. No anaesthetic is needed (although the patient may be offered sedation), and patients can often go home the same day or the next day.The number of people having heart bypass has decreased by about a third in the past 10 years, which is linked to the development of drug-eluting stents that are used during PCI. Drug-eluting stents have a polymer coating that slowly releases a drug over time to help prevent the blockage from recurring.
The recovery time for angioplasty is much quicker than heart bypass, but angioplasty is not advisable for everyone with CHD. For example, people who have triple-vessel disease are recommended to have heart bypass, and if you have diabetes, heart bypass offers better survival outcomes. Angioplasty is often used for people with less-severe coronary artery disease.
When making a decision on whether heart bypass or angioplasty is indicated, doctors have guidelines and a scoring system to help them. It’s also important to involve the patient and their family in order to determine what the best option for the patient is.
Coronary Balloon Angioplasty and Stents Procedure Information by We CareP Nagpal
Balloon Angioplasty Surgery India,Cost Balloon Angioplasty Surgery Delhi,Balloon Angioplasty Surgery Cost In India Info On Cost Balloon Angioplasty Surgery Mumbai Delhi Bangalore India,Balloon Angioplasty Surgery Center Hospitals India,Balloon Angioplasty Surgery Surgeon India,Balloon Angioplasty Surgery Doctors Mumbai India
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
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Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
Coronary angioplasty (1)
1. JAMIA MILLIA ISLAMIA
CENTER FOR PHYSIOTHERAPYAND
REHABILTATION SCIENCES
PRESENTATION OF PHYSIOTHERAPY IN CARDIOPULMONARY
CONDITIONS(BPT-402)
TOPIC:- CORONARY ANGIOPLASTY
SUBMITTED TO:- DR. JAMAL ALI MOIZ
SUBMITTED BY:- NADA ZAREEN
BPT 4TH YEAR
PRESENATION DATE:- 30.12.2020
2. Introduction
• A coronary angioplasty is minimally invasive procedure used to open
blocked or stenosed coronary arteries allowing unobstructed blood flow to
the myocardium. The blockages occur because of lipid-rich plaque within
the arteries, diminishing blood flow to the myocardium.
• The term "angioplasty" means using a balloon to stretch open a narrowed
or blocked artery.
• However, most modern angioplasty procedures also involve inserting a
short wire-mesh tube, called a stent, into the artery during the procedure.
The stent is left in place permanently to allow blood to flow more freely.
• Coronary angioplasty is sometimes known as percutaneous transluminal
coronary angioplasty (PTCA). The combination of coronary angioplasty
with stenting is usually referred to as percutaneous coronary intervention
(PCI).
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4. Stent
• A stent is a tiny, metal mesh tube that is placed with a catheter and
permanently embedded within the artery wall to prop open and prevent it
from collapsing.
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5. • Types of Stents
• Bare metal stents (BMS) – While some arteries can be successfully treated
with bare metal stents, other arteries held open with bare metal stents may
have an increased rate of re-narrowing due to growth of scar tissue in the
stent.
• Drug-eluting stents (DES) – These stents were developed to combat the re-
narrowing that developed after bare metal stent implantation. These stents
are coated with medications that are slowly released to minimize the body's
ability to form scar tissue around the stent. The medication is delivered
directly to the site of the artery blockage.
• Bioabsorbable (also known as Bioresorbable) stents – Not yet approved
by the U.S. Food and Drug Administration, but approved for use in Europe
and in clinical trials in the United States, these stents are absorbed into the
body after the artery wall has healed. In addition to other possible benefits,
these stents may eliminate the need for to medications to prevent blood clots
(thromboses) from forming in the stent.
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6. Indications
• Acute ST-elevation myocardial infarction (STEMI)
• Non–ST-elevation acute coronary syndrome (NSTE-ACS)
• Unstable angina.
• Stable angina.
• Anginal equivalent (eg, dyspnea, arrhythmia, or dizziness or syncope)
• High risk stress test findings.
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7. Contraindication
• Critical left main coronary stenosis without collateral flow from a native
vessel or previous bypass graft to the left anterior descending artery
• Coagulopathy
• Hypercoagulable states
• Diffusely diseased vessels without focal stenoses
• A single diseased vessel providing all perfusion to the myocardium
• Total occlusion of a coronary artery
• Stenosis < 50%
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8. Preparation of patient
• past history
• laboratory tests include
• Prothrombin time
• Partial thromboplastin time
• serum electrolytes,
• Blood urea nitrogen test and creatinine
• BP and pulse rate is monitored before and during the procedure
• Chest x ray and EKG
• The patient is required to be well hydrated.
• cessation of anticoagulants if possible. Also, common medications
including NSAIDs, or ACEIs can be held to prevent worsening renal
insufficiency. The diabetes medication metformin is held prior to cardiac
catheterization to avoid worsening renal insufficiency and lactic acidosis.
• Fluids and food are restricted 6 to 8 hours before the procedure.
• When cases are performed via radial artery access, patients are often
given intra-arterial calcium channel blocker, nitroglycerin, and heparin to
prevent vasospasm.
• explain the procedure and its associated risks and complications to the
patient to obtain a signed informed consent.
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9. Procedure
• At the start of the procedure local anaesthetic is given to numb the area in
the groin or wrist where a catheter (a fine, flexible, hollow tube) is then
passed into an artery.
• The catheter is then guided to the heart and into a coronary artery until its
tip reaches a narrow or blocked section through guide wire. At the tip of the
catheter is a small inflatable balloon and a small tube of stainless steel
mesh, called a stent.
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10. • A special dye (contrast) is injected into the catheter so that coronary
artery can be seen on an x-ray screen. This helps show where the narrow
areas or blockages in the arteries are, and how severe they are. It's normal
to feel a hot flushing sensation when the dye is injected.
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11. • The balloon on the end of the catheter is then gently inflated so that it
squashes the fatty deposits (the atheroma) against the artery wall, widening
the artery.
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12. • As the balloon is inflated, the stent in place on the balloon expands so that
it acts as a scaffold and holds open the artery. The balloon is deflated and
removed, leaving the stent in place.
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13. Risks
• Bleeding from the blood vessel where the catheter was placed.
• Damage to blood vessels from the catheter.
• An allergic reaction to the dye given during the angioplasty.
• An arrhythmia (irregular heartbeat).
• The need for emergency coronary artery bypass grafting during the
procedure (two-four percent of people). This may occur when an
artery closes down instead of opening up.
• Damage to the kidneys caused by the dye used.
• Heart attack (three-five percent of people).
• Stroke (less than one percent of people).
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14. Complications of stents
1. Restenosis
• There is a chance that the artery will become narrowed or blocked again in
time, often within six months of angioplasty. This is called restenosis.
2. Blood Clots
• Recent studies suggest that there is a higher risk of blood clots forming in
medicine-coated stents compared to bare metal stents (nonmedicine-coated).
The Food and Drug Administration (FDA) reports that medicine-coated
stents usually don't cause complications due to blood clots when used as
recommended.
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15. Postoperative care
• Discharge from the hospital is usually 12 to 24 hours after the catheter is
removed. Many patients are able to return to work within a few days to a week after a
procedure.
• Medications: antiplatelets, statins,blood pressure medications (beta blockers, ACE inhibitors)
• Watch for infection where the catheter was inserted. Watch out for the area becoming warm or
red and for any drainage.
• Watch for and any bleeding where the catheter was inserted and any change in color or pain or
a warm feeling in that area.
• Drink plenty of water.
• Don’t lift heavy objects.
• Avoid strenuous exercise.
• Healthy diet
• Quit smoking
• Be physically active
• Lose weight if obese or over weight
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