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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 disease

    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 diseaseit 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 revascularizationthe 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 moreanyone, can develop coronary artery diseaseis not well assessable with angiographywithin minutes of giving a tablet of sorbitrate the redistribution of blood flow to the heart muscle is shown by the ccgsuch data was earlier not possible through non-invasive methodsccg can also be used to evaluate a drug’s effect on the heart’s function

    this is why we often see patients with 99 percent blocks moving around without chest pain or heart attackwhile angiography tells us how much water is flowing in the river, ccg tell us the quantity of blood reaching the fieldsthe most common type is coronary artery disease, which can cause heart attackit is decreased flow to the heart muscle that causes angina chest pain or heart attacknow a new device called cardiovascular cartography (ccg) is available to evaluate cardiac statuswhen this happens arteries can narrow over time and reducing blood flow to the heartit occurs when a substance called plaque builds up in the arteriesangiography does not tell us how well the body has compensated itself for the decrease in blood flow caused by the blockageswhat is more important? for the farmer the quantity of water actually reaching his crops is all that mattershe is not concerned with the how much water is there in the river
    the term “heart disease” refers to several types of heart conditionsthis compensation attributed to collaterals, pressure changes, etc
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    for ccg test the patient is "wired" to ccg device using electrodes and a highly sensitive transducer while the patient is lying down
    a high-speed computer makes all calculation and result is available within 15 minutesccg’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 treatmentccg is a technique for early detection of coronary artery disease (cad) to evaluate the functional status of the heart and plan further treatmentit is gradually being realized that blood flow to the heart muscle is all that mattersangiography measures the quantity of blockages in the heart’s blood vessels but not the amount of blood reaching the heart muscleif required the test can be repeated after a drug to see effect of mild stress on the heart
    cardiologists may become increasingly depend to diagnose heart ailments non-invasively with ccg’s 3d map heart flow mapblockages in the arteries are not the only factor deciding how much blood reaches the heart musclesbesides electrocardiogram, treadmill test, coronary ct angiography, etc

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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 jointthe 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 balanceknee pain can be a major hindrance to living an active and fulfilling life
    • faster recovery: patients typically experience a quicker return to normal activities due to the precision of the surgery and the minimally invasive techniques usedthe precise nature of the robotic surgery means less trauma to the surrounding tissues, leading to faster healingwhen conservative treatments like medication, physical therapy, and injections no longer provide relief, knee replacement surgery becomes a viable optionimplant placement: the robotic system aids in the precise placement of the knee implant, ensuring that it fits perfectly with the patient’s anatomywith his expertise, advanced technology, and patient-focused approach, dr
    the benefits of robotic knee replacement surgery
    robotic knee replacement surgery offers several advantages over traditional knee replacement techniques:
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    how does robotic knee replacement work?
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    1with over 15 years of experience and a track record of more than 12,000 successful knee and hip replacements, dranoop jhurani in jaipur offers a revolutionary solutionthe 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 preserveddon’t let knee pain hold you back—consult with dr
    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 surgerysurgical procedure: during the surgery, the robotic system provides real-time data and feedback to the surgeon

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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
    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 pipelinecommon materials include stainless steel, carbon steel, ductile iron, and various alloysrubber seats offer resilience, chemical resistance, and longevity, making them suitable for various fluids and operating conditionsthis design minimizes turbulence and pressure drop while providing efficient flow control
    operation type: decide whether manual or actuated operation is preferred based on the level of automation required, accessibility, and control system integrationepdm, nbr, ptfe) based on the fluid properties (elet’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
    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 hazardsconsider factors such as flow rate, system pressure, and compatibility with existing piping
    operation: operate the valve manually or remotely using the designated controls, following established procedures for opening, closing, and adjusting the flow as needed
    maintenance: implement a regular maintenance schedule to inspect, clean, lubricate, and replace components as necessary to ensure optimal performance and longevity
    manual or actuated operation: lug concentric butterfly valves are available in both manual and actuated configurations
    rubber seating: the valve has rubber or elastomeric seating, typically made from materials like epdm or nbr, which provide excellent sealing properties
    material construction: select valve materials compatible with the fluid being handled and the environmental conditionsa lug concentric type butterfly valve with rubber seated refers to a specific configuration of a butterfly valve commonly used in various industries, including marine applications

    usage:

    installation: properly install the lug concentric butterfly valve between flanges using appropriate gaskets and fasteners according to manufacturer specifications and industry standardsmanual valves are operated by hand, while actuated valves can be controlled remotely using pneumatic, electric, or hydraulic actuators for automated flow controltemperature, viscosity, chemical compatibility) and sealing requirements
    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
    seat material: consider the type of seat material (e

    selection considerations:

    size and pressure rating: choose a valve size and pressure rating suitable for the intended application 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 performancethis design provides easy installation and removal without needing to disconnect the entire pipeline
    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

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