Q4. Answer - (d)
- Perform PMBV for patients (symptomatic) with severe mitral stenosis (MVA < 1.5 cm2), favorable valve morphology and absence of contraindications such as left atrial thrombus or significant mitral regurgitation (Class I).
- Asymptomatic patients with MVA < 1.5 cm2, pulmonary hypertension (systolic pulmonary pressure >50 mm Hg at rest or >60 mm Hg with exercise), and favorable valve morphology should also be considered for PMBV (Class I).
- Patients with calcific mitral stenosis who are at high risk for surgical commissurotomy should be considered for PMBV when advanced heart failure (NYHA Class III-IV) and severe mitral stenosis (MVA < 1.5 cm2) are present (Class IIa).
- Similar patients who are at lower risk for surgical commissurotomy may also be considered for PMBV (Class IIb).
- Symptomatic patients (NYHA class II-IV) with milder stenosis (MVA >1.5 cm2) and pulmonary hypertension may be considered for PMBV (Class IIb).
- Asymptomatic patients with MVA less than 1.5 cm2 with new atrial fibrillation may also be considered for PMBV (Class IIb).
Q5. Answer – (a)
Q6. Answer – (c)
If u need explanation of any question or have doubt just post in the comments and i will add the explanation.
Note: only a member of this blog may post a comment.