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Anyone above 40 years or having these risk factors should undergo annual cardiac checkare you at risk of heart attack- sibia medical centre
heart disease is the leading cause of death in india
increasing age, smoking, eating unhealthy foods, not getting enough exercise, high cholesterol, high blood pressure or diabetes can increase risk for heart diseasenow a new device called cardiovascular cartography (ccg) is available to evaluate cardiac statusangiography does not tell us how well the body has compensated itself for the decrease in blood flow caused by the blockagesccg is a technique for early detection of coronary artery disease (cad) to evaluate the functional status of the heart and plan further treatment
for ccg test the patient is "wired" to ccg device using electrodes and a highly sensitive transducer while the patient is lying downangiography measures the quantity of blockages in the heart’s blood vessels but not the amount of blood reaching the heart muscleit is gradually being realized that blood flow to the heart muscle is all that mattersthe most common type is coronary artery disease, which can cause heart attacksuch data was earlier not possible through non-invasive methodsit is decreased flow to the heart muscle that causes angina chest pain or heart attackccg can also be used to evaluate a drug’s effect on the heart’s functionhe is not concerned with the how much water is there in the river
the term “heart disease” refers to several types of heart conditionswhen this happens arteries can narrow over time and reducing blood flow to the heart
the ccg heart blood flow map has a positive predictive accuracy of over 90 per cent and a negative accuracy of over 80 per cent in detecting heart disease
cardiologists may become increasingly depend to diagnose heart ailments non-invasively with ccg’s 3d map heart flow mapit is often used to evaluate, plan and study progress of non-invasive, non-surgical treatments such as artery clearance, chelation therapy, ozone therapy, external counter pulsation, extracorporeal shockwave myocardial revascularizationccg’s painless mapping of the heart blood flow is an important tool to detect coronary heart disease early, to evaluate extent of disease or to know the effectiveness of a treatmentis not well assessable with angiographythe records obtained include details such as the amount of blood pumped for every beat of the heart, pressure, volume and time relationship, relative oxygen demand, and much moreblockages in the arteries are not the only factor deciding how much blood reaches the heart musclesif required the test can be repeated after a drug to see effect of mild stress on the heartbesides electrocardiogram, treadmill test, coronary ct angiography, etcwithin minutes of giving a tablet of sorbitrate the redistribution of blood flow to the heart muscle is shown by the ccg
this is why we often see patients with 99 percent blocks moving around without chest pain or heart attackanyone, can develop coronary artery diseasewhat is more important? for the farmer the quantity of water actually reaching his crops is all that mattersthis compensation attributed to collaterals, pressure changes, etcit occurs when a substance called plaque builds up in the arterieswhile angiography tells us how much water is flowing in the river, ccg tell us the quantity of blood reaching the fields
a high-speed computer makes all calculation and result is available within 15 minutes
(sibiamedicalcentreIndia
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This accurate placement reduces the risk of complications and increases the longevity of the implant
• improved longevity of the implant: accurate placement of the implant reduces the risk of complications and increases the lifespan of the artificial joint
• less pain: the minimally invasive nature of robotic surgery means less damage to surrounding tissues, resulting in reduced post-operative pain
how does robotic knee replacement work?
the robotic knee replacement procedure involves several steps:
1with over 15 years of experience and a track record of more than 12,000 successful knee and hip replacements, drwhen conservative treatments like medication, physical therapy, and injections no longer provide relief, knee replacement surgery becomes a viable optiondon’t let knee pain hold you back—consult with drthis model helps the surgeon plan the implant's exact size, position, and orientation
• faster recovery: patients typically experience a quicker return to normal activities due to the precision of the surgery and the minimally invasive techniques used
what is robotic knee replacement surgery?
robotic knee replacement surgery is an advanced procedure that utilizes robotic technology to enhance the precision and accuracy of the surgery
conclusion
if you are suffering from severe knee pain and considering robotic knee replacement surgery by drthis precision leads to better outcomes, including reduced pain, quicker recovery, and improved joint functionjhurani provides the highest standard of care, helping patients regain their mobility and live pain-free liveswith his expertise, advanced technology, and patient-focused approach, drjhurani is a leading name in orthopedic care in rajasthan and central indiathe robotic system assists the surgeon in planning and executing the surgery with a high degree of control, ensuring that the knee implant is placed with optimal alignment and balanceanoop jhurani today and take the first step towards a healthier, more active futuresurgical procedure: during the surgery, the robotic system provides real-time data and feedback to the surgeonthe robotic arm assists in removing the damaged bone and cartilage with unparalleled accuracy, ensuring that only the damaged parts are removed and the healthy tissue is preservedpre-surgery planning: before the surgery, a detailed 3d model of the patient’s knee is created using advanced imaging techniquesanoop jhurani has pioneered robotic knee replacement surgery, offering patients a cutting-edge solution for their knee problemspost-surgery recovery: after the surgery, patients typically experience less pain and a quicker recovery compared to traditional knee replacement methods
the benefits of robotic knee replacement surgery
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emergency response: establish protocols for responding to valve failures, leaks, or other emergencies, including shutdown procedures, isolation measures, and contingency plans to mitigate risks and minimize disruptions
selection considerations:
size and pressure rating: choose a valve size and pressure rating suitable for the intended application and operating conditionsthis design minimizes turbulence and pressure drop while providing efficient flow control
standards compliance: ensure the selected valve complies with relevant industry standards and certifications for quality, performance, and safety, such as ansi, api, iso, and marine classification societies’ requirements
material construction: select valve materials compatible with the fluid being handled and the environmental conditions
monitoring: periodically monitor the valve’s operation and condition for signs of leakage, wear, or malfunction, and take corrective action as required to prevent downtime or safety hazards
operation type: decide whether manual or actuated operation is preferred based on the level of automation required, accessibility, and control system integrationlet’s break down its features, considerations for selection, and how it’s typically used:
features:
concentric design: like other concentric butterfly valves, this type features a design where the stem passes through the center of the disc, ensuring a uniform seal around the circumference
lug style: the valve body has lugs (also known as ears or tabs) on the valve’s periphery, allowing it to be bolted directly between flanges in the pipelinethis design provides easy installation and removal without needing to disconnect the entire pipeline
rubber seating: the valve has rubber or elastomeric seating, typically made from materials like epdm or nbr, which provide excellent sealing propertiesa lug concentric type butterfly valve with rubber seated refers to a specific configuration of a butterfly valve commonly used in various industries, including marine applicationsepdm, nbr, ptfe) based on the fluid properties (erubber seats offer resilience, chemical resistance, and longevity, making them suitable for various fluids and operating conditions
bidirectional sealing: similar to other concentric butterfly valves, this type can seal bidirectionally, allowing it to be installed in either direction without affecting its performancecommon materials include stainless steel, carbon steel, ductile iron, and various alloysconsider factors such as flow rate, system pressure, and compatibility with existing piping
by considering these factors and following best practices for selection, installation, and maintenance, lug concentric butterfly valves with rubber seating can effectively control flow and provide reliable performance in marine applications and other industrial settings
operation: operate the valve manually or remotely using the designated controls, following established procedures for opening, closing, and adjusting the flow as neededmanual valves are operated by hand, while actuated valves can be controlled remotely using pneumatic, electric, or hydraulic actuators for automated flow control
seat material: consider the type of seat material (e
manual or actuated operation: lug concentric butterfly valves are available in both manual and actuated configurations
maintenance: implement a regular maintenance schedule to inspect, clean, lubricate, and replace components as necessary to ensure optimal performance and longevitytemperature, viscosity, chemical compatibility) and sealing requirements
usage:
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