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Impact Des Facteurs De Risque Cardio Vasculaire Et Des Comorbidites Cliniques Sur Le Pronostic De Linsuffisance Cardiaque Systolique Stable
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Book Synopsis Impact des facteurs de risque cardio-vasculaire et des comorbidités cliniques sur le pronostic de l'insuffisance cardiaque systolique stable by : Caroline Le Goffic
Download or read book Impact des facteurs de risque cardio-vasculaire et des comorbidités cliniques sur le pronostic de l'insuffisance cardiaque systolique stable written by Caroline Le Goffic and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte: La stratification des patients est un enjeu majeur de la prise en charge de l'insuffisance cardiaque systolique. Elle permet au praticien d'orienter vers la transplantation ou l'assistance les patients les plus sévères. L'objectif de notre travail est d'étudier l'impact pronostique de paramètres cliniques (facteurs de risque cardiovasculaire et comorbidités) chez des patients stables porteurs d'une dysfonction systolique du ventricule gauche. Méthode: Nous avons inclus rétrospectivement les patients porteurs d'une insuffisance cardiaque avec dysfonction et/ou dilatation ventriculaire gauche, bénéficiant d'un traitement médical optimal et hospitalisés pour bilan pronostique au CHRU de Lille entre janvier 1991 et décembre 2012. Chaque patient a été évalué sur le plan clinique Ils ont également bénéficié d'un électrocardiogramme, d'une échocardiographie et d'une épreuve d'effort métabolique. Les patients étaient classés selon l'étiologie de la cardiopathie. Le critère de jugement principal était la survie sans transplantation cardiaque urgente ou assistance ventriculaire gauche. Résultats: Sur les 2264 patients ayant bénéficié d'un bilan pronostique entre 1991 et 2012, l'étiologie était ischémique chez 1012 patients (44,7%) et non ischémique chez 1230 patients (54,3%). On dénombrait 796 décès cardiovasculaires et 209 décès non cardiovasculaires. En analyse multivariée, les facteurs prédictifs indépendants de mortalité globale sont l'âge, la FEVG, le stade NYHA de la dyspnée, la présence d'une artérite oblitérante des membres inférieurs ou d'une pathologie pulmonaire, l'étiologie ischémique, un rythme en fibrillation atriale et l'IMC. Ces facteurs sont prédictifs de mortalité globale et de mortalité cardio vasculaire. Conclusion: En plus des paramètres de pronostic bien connus (âge, étiologie, NYHA, FEVG, fibrillation atriale), notre étude a mis en évidence deux puissants paramètres indépendants de pronostic, la présence d'une pathologie respiratoire et pour la première fois à notre connaissance dans cette population, la présence d'une artérite oblitérante des membres inférieurs. Des études complémentaires sont nécessaires pour définir puis valider un score clinique simple qui nous permettrait une stratification rapide des patients en consultation.
Book Synopsis Sarcoidosis and Other Granulomatous Disorders by : David Geraint James
Download or read book Sarcoidosis and Other Granulomatous Disorders written by David Geraint James and published by . This book was released on 1985 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: This concise reference offers expert diagnostic and treatment information. Topics covered include background history; clinical, radiologic and histologic features; differential diagnosis; immunology; markers of activity; epidemiology; and etiology.
Download or read book Orthogeriatrics written by Paolo Falaschi and published by Springer Nature. This book was released on 2021 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.
Book Synopsis New Aspects in the Medical Treatment of Tachyarrhythmias by : Günter Breithardt
Download or read book New Aspects in the Medical Treatment of Tachyarrhythmias written by Günter Breithardt and published by . This book was released on 1983 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Great Cholesterol Con by : Dr Malcolm Kendrick
Download or read book The Great Cholesterol Con written by Dr Malcolm Kendrick and published by Kings Road Publishing. This book was released on 2008-07-07 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Statins are widely prescribed to lower blood cholesterol levels and claim to offer unparalleled protection against heart disease. Believed to be completely safe and capable of preventing a whole series of other conditions, they are the most profitable drug in the history of medicine. In this groundbreaking book, GP Malcolm Kendrick exposes the truth behind the hype. He will change the way we think about cholesterol forever. Rubbishing the diet-heart hypothesis, in which clinical trials 'prove' that high cholesterol causes heart disease and a high-fat diet leads to heart disease, Kendrick lambastes a powerful pharmaceutical industry and unquestioning medical profession, who, he claims, perpetuate the madcap concepts of 'good' and 'bad' cholesterol and cholesterol levels to convince millions of people to unnecessarily spend billions of pounds on statins. Clearly and comprehensively debunking assumptions on what constitute a healthy lifestyle and diet, "The Great Cholesterol Con" is the accessible, indispensable and absorbing case against statins and for a more common-sense approach to heart disease and general wellbeing. No more over-hyped miracle drugs; no more garlic, red wine, anti-oxidants, fruit or vegetables; even a vegetarian diet is rejected in this controversial yet authoritative critique of how we have been mislead over how food and drugs affect our coronary health. Here, for the first time, is the invaluable guide for anyone who though there was a miracle cure for heart disease, "The Great Cholesterol Con" is a fascinating breakthrough that will set dynamite under the whole area.
Book Synopsis How Statin Drugs Really Lower Cholesterol and Kill You One Cell at a Time by : James B. Yoseph
Download or read book How Statin Drugs Really Lower Cholesterol and Kill You One Cell at a Time written by James B. Yoseph and published by Hannah Yoseph. This book was released on 2012 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Yosephs have written the most stunning expose. In plain language they reveal the science, the corruption and the enormous conspiracy it took to bring statins to market. As fast paced as a Mickey Spillane novel they report the research, the fraud and the facts like a detective in hot pursuit of a Nazi war criminal. It is riveting. They have accomplished the impossible: they have made both complex science and medical history fascinating to read. What could not be done in an expose they accomplished with almost unbelievablable ease. It will change your paradigms about medicine forever."--p.[4] of cover.
Book Synopsis Acute Gastrointestinal Bleeding by : Karen E. Kim
Download or read book Acute Gastrointestinal Bleeding written by Karen E. Kim and published by Springer Science & Business Media. This book was released on 2003-01-03 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading experts in the fields of gastroenterology, surgery, and radiology comprehensively review the pathophysiology, diagnosis, management, and treatment of acute bleeding disorders of the GI tract. The authors break down acute bleeding into upper and lower GI tract sources and provide a differential diagnosis for each disease, evidence-based algorithms for clinical practice, treatment modalities for its management, and standards of care. The authors outline the many dilemmas faced by physicians in their approach to their patients, such as localization of the bleeding source (upper vs lower), the need and timing for emergency endoscopy, and the timing for radiologic intervention and/or surgery.
Book Synopsis The Cholesterol Controversy by : Edward Robert Pinckney
Download or read book The Cholesterol Controversy written by Edward Robert Pinckney and published by . This book was released on 1973 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Outpatient Urologic Surgery by : Keith W. Kaye
Download or read book Outpatient Urologic Surgery written by Keith W. Kaye and published by . This book was released on 1985 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Treatment of Esophageal Varices by : Yasuo Idezuki
Download or read book Treatment of Esophageal Varices written by Yasuo Idezuki and published by . This book was released on 1988 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Challenges in Acute Geriatric Care by : Jochanan E. Naschitz
Download or read book Challenges in Acute Geriatric Care written by Jochanan E. Naschitz and published by Nova Science Publishers. This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work fills a gap in the literature in presenting a collection of topics on acute geriatric care. Most chapters are structured as grand rounds, focused on clinical problems that have limited disclosure in textbooks, presented as a dialog between theory and practice, written by clinicians for clinicians. This collection is based on encounters between geriatricians and consultants, meant to resolve clinical problems; a collaboration where clinical experience and interdisciplinary exchange may supplant scanty guidelines. A multidisciplinary approach is also proposed to reduce functional decline of elderly patients, decrease length of hospital stays, and prevent nursing home admissions.
Book Synopsis Comparaison des facteurs pronostiques de l'insuffisance cardiaque systolique by : Eléonore Hebbar
Download or read book Comparaison des facteurs pronostiques de l'insuffisance cardiaque systolique written by Eléonore Hebbar and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : La stratification pronostique des patients est un enjeu majeur de la prise en charge de l'insuffisance cardiaque systolique. Actuellement, aucune étude n'a comparé l'impact des facteurs pronostiques selon l'étiologie de la cardiopathie. Notre objectif était d'étudier les facteurs pronostiques de l'insuffisance cardiaque systolique chez des patients porteurs d'une dysfonction ventriculaire gauche chronique stable, et de comparer leur impact selon l'étiologie ischémique ou non ischémique de leur cardiopathie. Méthode : Ont été inclus l'ensemble des patients porteurs d'une insuffisance cardiaque avec une altération de la FEVG et/ou une dilatation du ventricule gauche, qui ont bénéficié d'un bilan pronostique entre janvier 1991 et décembre 2012 au CHRU de Lille. Chaque patient a été évalué sur le plan clinique, biologique, morphologique et a bénéficié d'une épreuve d'effort métabolique. Le critère de jugement principal était la survie sans transplantation cardiaque ou assistance ventriculaire gauche. Résultats : Sur les 2245 patients ayant bénéficié d'un bilan pronostique entre le 1 er janvier 1991 et le 31 décembre 2012, 1008 (45%) présentaient une insuffisance cardiaque d'étiologie ischémique, 1213 une insuffisance cardiaque d'étiologie non ischémique (55%). L'étiologie ischémique était associée à un pronostic péjoratif en analyse univariée. L'âge, le stade NYHA de la dyspnée, le taux de BNP, le pourcentage du pic de V02, le traitement bétabloquant et le traitement hypolipémiant sont des facteurs pronostiques indépendants de l'insuffisance cardiaque systolique communs aux étiologies ischémiques et non ischémiques. En cas d'étiologie ischémique, la FEVG, le taux de noradrénaline, et la fréquence cardiaque de repos sont des facteurs prédictifs indépendants de mortalité globale. En cas d'étiologie non ischémique, ceux sont la natrémie, la clairance de la créatinine et la prise d'antivitamine K qui sont des facteurs pronostiques spécifiques en analyse multivariée. Conclusion : L'évaluation de l'étiologie est primordiale car certains facteurs pronostiques de l'insuffisance cardiaque systolique diffèrent selon l'étiologie ischémique ou non ischémique de la cardiopathie La création d'un nouveau score de risque intégrant ces différences permettrait d'affiner encore la stratification pronostique des patients.
Book Synopsis Lipitor Thief of Memory by : Duane Graveline
Download or read book Lipitor Thief of Memory written by Duane Graveline and published by . This book was released on 2010-10-07 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
