Prise en charge de l'infarctus du myocarde aigu chez 169 patients de plus de 80 ans PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Prise en charge de l'infarctus du myocarde aigu chez 169 patients de plus de 80 ans PDF full book. Access full book title Prise en charge de l'infarctus du myocarde aigu chez 169 patients de plus de 80 ans by Carine Bentolila-Israel. Download full books in PDF and EPUB format.
Author: Carine Bentolila-Israel
Publisher:
ISBN:
Category :
Languages : fr
Pages : 176
Get Book Here
Book Description
Les moyens thérapeutiques ayant prouvé leur efficacité sur le pronostic de l'infarctus du myocarde (IDM) des sujets jeunes sont encore en évaluation chez les patients âgés. Le but de cette étude est de décrire les caractéristiques de l'IDM chez les plus de 80 ans et d'évaluer leur prise en charge en Cardiologie à l'hôpital de Montreuil. Un recueil rétrospectif de tous les IDM en phase aiguë a été réalisé concernant les sujets âgés de 80 ans ou plus entre 1998 et 2004. Les caractéristiques des patients, leur prise en charge, leur évolution hospitalière et leurs traitements de sortie ont été recensés puis comparés selon leur délai d'admission inférieur ou supérieur à 12 heures, et selon la stratégie thérapeutique : interventionnelle ou non. Résultats : 169 patients ont été inclus (61 % de femmes). L'hypertension artérielle constitue le premier facteur de risque (56%). 60% des patients « moins de 12 h » sont arrivés par le SAMU (p=0,0001). 71 % présentaient une douleur thoracique typique. Dix patients (5,9%) ont été thrombolysés par le SAMU. 60% des patients ont eu une coronarographie et 74,5% d'entre eux, une angioplastie avec pose de stent. La mortalité hospitalière globale a été de 18% : 14% pour les « moins de 12 h » et 25% pour les « plus de 12 h » (p=0,03). Les patients « plus de 12 heures » ont plus souvent évolué vers l'insuffisance cardiaque que les « moins de 12 heures» (p = 0,009), et ont présenté plus de fibrillation auriculaire (p=0,03). La mortalité a été de 14,5% dans le groupe « traitement interventionnel », 21 % dans le groupe « traitement médical » (p=0,08). En conclusion, l'admission précoce des patients octogénaires est l'enjeu principal pour réduire leur mortalité et les complications ultérieures; la reperfusion coronaire par angioplastie primaire est réalisable au delà de 80 ans, et est associée dans cette étude à une réduction non significative de la mortalité
Author: Carine Bentolila-Israel
Publisher:
ISBN:
Category :
Languages : fr
Pages : 176
Get Book Here
Book Description
Les moyens thérapeutiques ayant prouvé leur efficacité sur le pronostic de l'infarctus du myocarde (IDM) des sujets jeunes sont encore en évaluation chez les patients âgés. Le but de cette étude est de décrire les caractéristiques de l'IDM chez les plus de 80 ans et d'évaluer leur prise en charge en Cardiologie à l'hôpital de Montreuil. Un recueil rétrospectif de tous les IDM en phase aiguë a été réalisé concernant les sujets âgés de 80 ans ou plus entre 1998 et 2004. Les caractéristiques des patients, leur prise en charge, leur évolution hospitalière et leurs traitements de sortie ont été recensés puis comparés selon leur délai d'admission inférieur ou supérieur à 12 heures, et selon la stratégie thérapeutique : interventionnelle ou non. Résultats : 169 patients ont été inclus (61 % de femmes). L'hypertension artérielle constitue le premier facteur de risque (56%). 60% des patients « moins de 12 h » sont arrivés par le SAMU (p=0,0001). 71 % présentaient une douleur thoracique typique. Dix patients (5,9%) ont été thrombolysés par le SAMU. 60% des patients ont eu une coronarographie et 74,5% d'entre eux, une angioplastie avec pose de stent. La mortalité hospitalière globale a été de 18% : 14% pour les « moins de 12 h » et 25% pour les « plus de 12 h » (p=0,03). Les patients « plus de 12 heures » ont plus souvent évolué vers l'insuffisance cardiaque que les « moins de 12 heures» (p = 0,009), et ont présenté plus de fibrillation auriculaire (p=0,03). La mortalité a été de 14,5% dans le groupe « traitement interventionnel », 21 % dans le groupe « traitement médical » (p=0,08). En conclusion, l'admission précoce des patients octogénaires est l'enjeu principal pour réduire leur mortalité et les complications ultérieures; la reperfusion coronaire par angioplastie primaire est réalisable au delà de 80 ans, et est associée dans cette étude à une réduction non significative de la mortalité
Author: Paolo Falaschi
Publisher: Springer Nature
ISBN: 3030481263
Category : Anesthesiology
Languages : en
Pages : 355
Get Book Here
Book Description
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.
Author: Antonio Serrano
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
This eBook is a collection of articles from a Frontiers Research Topic. Frontiers Research Topics are very popular trademarks of the Frontiers Journals Series: they are collections of at least ten articles, all centered on a particular subject. With their unique mix of varied contributions from Original Research to Review Articles, Frontiers Research Topics unify the most influential researchers, the latest key findings and historical advances in a hot research area! Find out more on how to host your own Frontiers Research Topic or contribute to one as an author by contacting the Frontiers Editorial Office: frontiersin.org/about/contact.
Author: Philip A. Saigh
Publisher: Allyn & Bacon
ISBN:
Category : Juvenile Nonfiction
Languages : en
Pages : 458
Get Book Here
Book Description
Through their extensive theoretical and clinical experiences, they have prepared exceptionally thorough and authoritative analyses that provide significant insights about the material reviewed."--BOOK JACKET.
Author: Bernard I. Levy
Publisher: Springer Science & Business Media
ISBN: 0585381461
Category : Medical
Languages : en
Pages : 284
Get Book Here
Book Description
Biology of the Arterial Wall is intended as a general reference text concerned with the biology of the vascular cells and the blood vessel wall under physiological and pathological conditions. One of the major functions of the arteries is to maintain a continuous blood flow to the organs whatever the pressure conditions, thanks to the vasomotor tone of the smooth muscle cells. Great advances have been made over the last decade in the understanding of the endothelial cells as integrators and transducers of signals originating from the blood stream. The pluripotent control functions of the endothelial cells in the vessel wall are now well recognized. A review of endothelial functions and dysfunctions is presented. Cell biology and molecular genetic studies have now identified an array of molecules elaborated by endothelial cells and vascular smooth muscle cells and by the blood-borne elements which interact with artery cells, defending the artery against injury and modulating evolving abnormal processes. Molecules which induce or inhibit endothelial and/or smooth muscle cells are currently under great scrutiny. Angiogenesis, which plays a major role in tumor growth, but may also be beneficial as a healing process in muscle ischemia, is discussed. Apoptosis, or programmed cell death, has only recently been recognized as an essential process in blood vessel modeling and remodeling. An overview of apoptosis in the vascular system is presented. It is increasingly evident that the adjustments of the blood vessel wall are made in the presence of deforming disease processes such as hypertension and atherosclerosis. The second part of the book is concerned with the blood vessel wall in disease conditions. Several chapters review the role of the vessel and vascular cells in inflammation, and vascular remodeling during arterial hypertension and aging. One chapter is devoted to atherogenesis, atheroma and plaque instability, followed by the pathophysiology of post-angioplasty restenosis, which is a crucial issue in modern interventional cardiology.
Author: Blair P. Grubb, MD
Publisher: Wiley-Blackwell
ISBN: 1405122072
Category : Medical
Languages : en
Pages : 384
Get Book Here
Book Description
The second edition of Syncope: Mechanisms and Management has been completely updated and revised and remains the most comprehensive textbook ever published on this common clinical entity. It provides up-to-date coverage of virtually every known cause of syncope, integrating knowledge of pathophysiology with practical guidelines for diagnosis and management. Incorporating clinical, investigative and experimental work conducted by leading authorities from all over the world, this book will serve as a practical resource for practicing cardiologists, electrophysiologists, neurologists, internists, pediatricians, and family physicians, as well as residents and fellows in these disciplines.
Author: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418
Get Book Here
Book Description
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
Author: John Kimberly
Publisher: Cambridge University Press
ISBN: 0521885000
Category : Business & Economics
Languages : en
Pages : 395
Get Book Here
Book Description
An examination of patient classification systems in fifteen different countries throughout the world.
Author: Mushabbar A. Syed
Publisher: Springer Nature
ISBN: 3031292359
Category : Medical
Languages : en
Pages : 433
Get Book Here
Book Description
This heavily updated textbook focuses on the use of cardiac magnetic resonance (CMR) imaging in pediatric and adult patients with congenital heart disease. Over past two decades, CMR has come to occupy an ever more important place in the assessment and management of patients with congenital heart defects (CHD) and other cardiovascular disorders. The modality offers an ever-expanding amount of information about the heart and circulation, provides outstanding images of cardiovascular morphology and function, is increasingly being used to detect pathologic fibrosis, and has an expanding role in the assessment of myocardial viability. Magnetic Resonance Imaging of Congenital Heart Disease is an excellent foundation for any reader not familiar with the field whether they are imagers or clinicians who deal with cardiovascular disease. It also describes the technical details of MRI techniques to help the clinician understand the most important elements of CMR in assessing and managing their patients. In creating the book, the editors have assembled a world-renowned panel of contributors to review the use of CMR in CHD and make it accessible to those working in the field and to those who use the information derived from CMR in their clinical practice.
Author:
Publisher:
ISBN: 9789201037091
Category : Medical
Languages : en
Pages : 0
Get Book Here
Book Description
Quality assurance (QA) is a crucial part of all aspects of nuclear medicine practice. The objective of this publication is to provide professionals in nuclear medicine centers with detailed quality control test procedures for the scintillation camera and computer system. Three types of quality tests are described in detail: acceptance, reference and routine tests for the scintillation camera, both in single and multiple head configurations, for obtaining images and quantitative data in planar imaging mode; whole body imaging mode; and single-photon emission computed tomography (SPECT). The publication is primarily intended to be of use to medical physicists, technologists, and other healthcare professionals who are responsible for ensuring optimal performance of imaging instruments, particularly SPECT systems. It may also be useful to managers, clinicians, and other decision-makers who are responsible for implementing quality assurance and quality control programs in nuclear medicine c
