Trueeeeeeeeeeeeeeeeeeeeeeeeeeeeeee
There are two approaches used when inserting a pacemaker; the epicardial approach and the transvenous approach. Epicardial approach involves the opening the chest cavity and placing a lead on epicardial sac of heart while the transvenous approach involves accessing a vein and inserting an electrode into the vein. Epicardial approach for inserting pacemakers are divided based on approach to heart thoracotomy, upper abdominal or endoscopic.
The Option D is correct.
- After enzymatic reaction, nothing happens with enzyme and it remain unchanged.
During an enzyme catalyzed reaction the enzyme bonds with a specific substrate at the active site. This is called an enzyme-substrate complex. The substrate is converted into a specific product, but the enzyme remains unchanged. Enzymes accelerate reactions by factors of at least a million.
