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CARDIACSURGERY, cardiogenic shock, vulvular disease, MYOCARDIAL INFARCTION…

- - - - hx of px CABG
  - - - AGE
        
        PX HERART OPERATION
        
        SEX
        
        LEFT V .E.F
        
        PERSENTAGE TENOSIS OF LT MAIN CAD
- - - - CABG
        
        Saphenous vein graft
        
        internal mammary graft
        
        off - P ump CABG
- - - - increase pressure behind valve
        
        decrease forward blood flow
  - - - increase pressure and volume behind valve
- - - - Lt Atrium ---to Lt Vent ---DECREASE
        
        decrease forward blood LTAT ------to LT vent
        
        decrease CO
        
        BLOOD BACKED BEHIND THE STENONIC VAVLVE
        
        Lt Atriun dilation
        
        increse Lt Atrium pressure -------
        
        1 more item...
  - - - thikining \ stretching of leaflet
        
        backward of blood flow
        
        decrease CO
        
        blood regurgitation into Atrium ---- during Systole
        
        Lt Ven hypertrophy
        
        left vent volume overload
        
        1 more item...
    - - RH fever
        
        fusion of cusped
        
        decrease valve size
        
        obstruction of LT Vent out flow
        
        decrease CO
        
        Lt Vent hypertrophy
        
        1 more item...
      - Aortic insufficiency
        
        RH fever , aneurism of Ascending Aorta
        
        blood regurgitation back ward
        
        from Aorta -----lt vent during vent diastole
        
        decrease CO
        
        Lt vent pressure increase
        
        valve reconstruction
        
        valve replacement
        
        percutaneous balloon valvuloplasty
        
        done if patient is high risk
        
        transcatheter native aortic valve replacement
        
        1 more item...
- - - - ANTI ARYTHMIAS DRUG
        
        PCI , AND CABG