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and to a pulse generator (battery) at the other. The pulse generator is placed under the skin like a pacemaker. Lead less pacemakers Unlike most of the pacemakers that are placed in the patient’s chest with leads running to the heart, leadless pacemaker is implanted directly into the patient’s heart. A few advantages are: z Less invasive - It is placed in the heart via a vein in the leg, thus no chest incision, scar or bump that results from conventional pacemakers. z Self-contained - It eliminates potential medical complications arising from a chest incision and from wires running from a conventional pacemaker into the heart.

The TAVI procedure is generally done by puncturing the femoral artery in the groin. A patient’s experience with TAVI may be comparable to an angiogram in terms of down time and recovery and it will just require a shorter hospital stay.

z Small – It is around 90% smaller than conventional pacemakers, about the size of a large vitamin capsule.

delivers a fully collapsible replacement valve to the degenerated valve site through a catheter. Once the new valve is expanded, it pushes the old valve leaflets out of the way and the tissue in the replacement valve takes over the job of regulating blood flow.

TAVI- Transcatheter Aortic valve implantation

Conclusion

As age progresses, the aortic valve of the heart (the opening through which blood comes out of heart) may have degenerative

Though I have made a small effort in enlisting a few of the newer advances in cardiology, I would like to emphasise that the basic compassionate clinical examination of the patient doesn’t have a substitute. The ever emerging field of medicine has no limits. All these new investigatory tools and technologies are meaningful only after a proper clinical diagnosis.

URIC ACID

I would like to echo certain great words of my teachers here. “The greatest diagnostic tool lies between the ears. Diseases do not read the text book which I read”. Every patient has to be considered unique and cannot be generalized on the basis of what I have read. The ideal patient experience merges excellent medical care, high quality outcomes, compassion and empathy that address the emotional needs of patients. The field of Cardiology has undergone rapid changes in the last few years. We have more potent drugs, development of new diagnostic techniques, and evolution of stent technology with more complex coronary anatomy being treated percutaneously. New valve therapies for high risk patients have emerged and likely to evolve further. It can be said that the future looks bright and there is so much too look forward to.

Agappe’s unique Uricase-TOPS method of Uric Acid ensures reproducible result with high linearity of 25 mg/dL & long shelf life of 20 months makes it the preferred brand. changes resulting in shrinkage of its opening (Aortic stenosis).Conventionally, it was treated only by surgical replacement of the diseased valve with an artificial valve by surgically opening the chest. The TAVI procedure is generally done by puncturing the femoral artery in the groin. A patient’s experience with TAVI may be comparable to an angiogram in terms of down time and recovery and it will require a shorter hospital stay (average 3-5 days). It

TECHAGAPPE

APRIL-JUNE 2018

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Techagappe 15th edition (April - June 2018) E-book  

Agappe Diagnostics Limited is the first Indian IVD company publishing an International Diagnostic News Journal “Techagappe” for the public t...

Techagappe 15th edition (April - June 2018) E-book  

Agappe Diagnostics Limited is the first Indian IVD company publishing an International Diagnostic News Journal “Techagappe” for the public t...

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