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Author: Marion Cappagli
Publisher:
ISBN:
Category :
Languages : fr
Pages : 92
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Book Description
L'incidence de la maladie thromboembolique veineuse (MTEV) augmente avec l'âge. Sa morbi-mortalité sur les personnes âgées soulève plusieurs problématiques spécifiques de prise en charge. L'objectif de notre étude était de décrire les patients de 80 ans ou plus ayant présenté un évènement thromboembolique et pris en charge au CH Lyon Sud entre janvier 2016 et décembre 2017. Les patients inclus ont été identifiés par le Programme de Médicalisation des Systèmes d'Information grâces aux codes CIM10 de l'embolie pulmonaire (EP) et de la thrombose veineuse profonde (TVP). Les critères analysés étaient les facteurs de risque de MTEV, les méthodes diagnostiques, les modalités de traitement et le devenir à 3 et 6 mois. Les informations ont été recueillies de façon rétrospective dans les dossiers informatiques et analysées grâce au logiciel Microsoft Excel. 181 patients ont été inclus, parmi lesquels 134 avaient une EP et 97 une TVP. 140 patients (77%) présentaient des symptômes évocateurs d'une MTEV ; la dyspnée demeurait le signe le plus fréquent (48%) en cas d'EP. 41 EP (23%) ont été découvertes de façon fortuite au décours d'un examen réalisé pour un autre motif. Chez 141 patients (82 %), au moins un facteur favorisant était retrouvé, le plus fréquent étant l'alitement ou confinement au fauteuil (47%). Après la découverte de leur MTEV, 98% des patients étaient hospitalisés et 90 % ont été traités par un anticoagulant, pour une durée moyenne de 6 mois. Les anticoagulants oraux directs (ADO) étaient majoritairement utilisés (38%). A trois mois, 47 patients (26 %) étaient décédés. L'amélioration du diagnostic et du pronostic de la MTEV chez le sujet de plus de 80 ans nécessite de mieux connaitre ses particularités sémiologiques. Une meilleure utilisation des scores pronostiques et des traitement oraux directs pourraient permettre une meilleure prise en charge sans recours systématique à une hospitalisation.
Author: Marion Cappagli
Publisher:
ISBN:
Category :
Languages : fr
Pages : 92
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Book Description
L'incidence de la maladie thromboembolique veineuse (MTEV) augmente avec l'âge. Sa morbi-mortalité sur les personnes âgées soulève plusieurs problématiques spécifiques de prise en charge. L'objectif de notre étude était de décrire les patients de 80 ans ou plus ayant présenté un évènement thromboembolique et pris en charge au CH Lyon Sud entre janvier 2016 et décembre 2017. Les patients inclus ont été identifiés par le Programme de Médicalisation des Systèmes d'Information grâces aux codes CIM10 de l'embolie pulmonaire (EP) et de la thrombose veineuse profonde (TVP). Les critères analysés étaient les facteurs de risque de MTEV, les méthodes diagnostiques, les modalités de traitement et le devenir à 3 et 6 mois. Les informations ont été recueillies de façon rétrospective dans les dossiers informatiques et analysées grâce au logiciel Microsoft Excel. 181 patients ont été inclus, parmi lesquels 134 avaient une EP et 97 une TVP. 140 patients (77%) présentaient des symptômes évocateurs d'une MTEV ; la dyspnée demeurait le signe le plus fréquent (48%) en cas d'EP. 41 EP (23%) ont été découvertes de façon fortuite au décours d'un examen réalisé pour un autre motif. Chez 141 patients (82 %), au moins un facteur favorisant était retrouvé, le plus fréquent étant l'alitement ou confinement au fauteuil (47%). Après la découverte de leur MTEV, 98% des patients étaient hospitalisés et 90 % ont été traités par un anticoagulant, pour une durée moyenne de 6 mois. Les anticoagulants oraux directs (ADO) étaient majoritairement utilisés (38%). A trois mois, 47 patients (26 %) étaient décédés. L'amélioration du diagnostic et du pronostic de la MTEV chez le sujet de plus de 80 ans nécessite de mieux connaitre ses particularités sémiologiques. Une meilleure utilisation des scores pronostiques et des traitement oraux directs pourraient permettre une meilleure prise en charge sans recours systématique à une hospitalisation.
Author: HELLEN.. QUESADA SAEZ
Publisher:
ISBN:
Category :
Languages : fr
Pages :
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Book Description
Author: Peter Gloviczki
Publisher: CRC Press
ISBN: 1444109685
Category : Medical
Languages : en
Pages : 769
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Book Description
Now in its third edition, the Handbook of Venous Disorders continues to provide comprehensive and up-to-date information on acute and chronic venous and lymphatic diseases and malformations and to discuss the latest knowledge on epidemiology, pathophysiology, clinical evaluation, diagnostic imaging, medical, endovascular and surgical management. This revised, updated and expanded edition takes account of all the recent developments in these areas. New chapters on, for example, foam sclerotherapathy, radiofrequency treatment, laser treatment and open surgical reconstructions are included, as well as useful diagnostic and treatment algorithms for the various conditions that are dealt with in the book. Clinical guidelines are provided in each chapter, together with evidence scores to help the reader assess the recommendations. The Handbook of Venous Disorders is written and edited by leaders and founding members of the American Venous Forum, a society dedicated to research, education and the clinical practice of venous and lymphatic diseases. The Handbook also includes several international authors, all of whom are experts in venous disease, most being regular or honorary members of the American Venous Forum.
Author: Laszlo Muszbek
Publisher: CRC Press
ISBN: 1000013308
Category : Medical
Languages : en
Pages : 278
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Book Description
First Published in 1987: The book is to give insight into the multisided relationship of hemostatic systems and malignancies and to help biomedical scientists and practicing clinicians obtain a better understanding of cancer research.
Author: Margaret C. Fang
Publisher: John Wiley & Sons
ISBN: 1118067169
Category : Medical
Languages : en
Pages : 348
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Book Description
The first practical guide for hospitalists on the use of anticoagulants in hospitalized patients This edited volume provides a comprehensive overview of the vital topic of anticoagulation in the hospital setting. Designed specifically for use by hospital-based clinicians and associated hospital-based staff, this fully evidence-based book addresses the most commonly used anticoagulant agents, the latest advances in anticoagulation drugs, and primary indications for their use at therapeutic levels. This thorough, easy-to-use reference summarizes the most important guidelines and medical literature on anticoagulation. It features a careful review of the epidemiology and treatment of complications associated with anticoagulants. Unique topics include transition of care and practical strategies for developing and implementing quality improvement programs to enhance the administration and safety of anticoagulants. This concise resource also covers: Antiplatelet medications The treatment and prevention of venous thromboembolism in medical patients Venous thromboembolism prophylaxis in surgical patients Peri-operative management of oral anticoagulants and antiplatelet agents Prevention of cardioembolic stroke Antithrombotics for ischemic stroke Antithrombotic therapy for non-ST elevation acute coronary syndrome Hemorrhagic complications of anticoagulants in hospitalized patients Heparin-induced thrombocytopenia Hospitalists and other members of the patient care team will find that Inpatient Anticoagulation answers their questions with dependable and timely information.
Author: Paolo Gresele
Publisher: Springer
ISBN: 9783642294228
Category : Medical
Languages : en
Pages : 0
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Book Description
Antiplatelet therapy is the cornerstone of treatment of ischemic cardiovascular disease and over the last few years spectacular advancements in this field have been recorded. This is the first comprehensive handbook entirely dedicated to all the aspects of antiplatelet therapy. The book is divided into three main sections, pathophysiology, pharmacology and therapy, for a total of 23 chapters. A large group of leading experts from different European countries and from the USA, both from academia and industry, have contributed to the book. Besides a detailed overview on the pharmacology and clinical applications of all the currently used or of the novel antiplatelet agents, innovative approaches (e.g. intracellular signalling as an antiplatelet target, small RNAs as platelet therapeutics, etc.) or unconventional aspects (e.g. pharmacologic modulation of the inflammatory action of platelets are also treated. The book is oriented to both basic investigators and to clinicians involved with research on platelet inhibition or with the clinical use of antiplatelet therapies.
Author: Antonio Serrano
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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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: Marc Humbert
Publisher: Karger Medical and Scientific Publishers
ISBN: 3805599145
Category : Medical
Languages : en
Pages : 300
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Book Description
An excellent overview of recent advances in diagnosis, classification and treatment The pulmonary circulation is by nature difficult to evaluate for the clinician and a challenge to investigate by radiographic and hemodynamic methods. In recent years, the field has been revolutionized by major improvements in diagnostic approaches and therapies. Tools for the classification, diagnosis, and management of pulmonary embolism and pulmonary hypertension have been developed and optimized, providing clinicians with detailed and updated guidelines. This volume provides the latest information on the fast-growing and challenging field of acute and chronic pulmonary vascular disorders from some of the field's major leaders in research, education, and care. The topics discussed are relevant to chest physicians, thoracic surgeons, nurses, students, and teachers, and a well-balanced mix of contributions ensures that doctors, clinicians, and institutions from all around the world will find the information presented to be both informative and useful to their situations.
Author: Judith Mackay
Publisher: World Health Organization
ISBN: 9789241562768
Category : Medical
Languages : en
Pages : 118
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Book Description
Heart disease and strokes are currently the leading cause of death in all developed countries and in most developing countries, resulting in one third of all deaths globally in 2003. This publication explores a range of issues relating to this increasingly urgent global health problem using text, colour charts, maps and graphics. Topics covered include: different types of cardiovascular diseases, including rheumatic heart disease; key risk factors including smoking, obesity, physical inactivity, high cholesterol levels and diabetes; risks factors relating to women, childhood and youth; the global burden of coronary heart disease and stroke, and associated economic costs; medical research and funding issues; prevention in personal and public health terms; treatment options; health education; national policies and legislation to address prevention and control; future predictions; chronology of key developments in knowledge of cardiovascular disease; and world data tables.
Author: Konstantin Nikolaou
Publisher: Springer
ISBN: 3319425862
Category : Medical
Languages : en
Pages : 1116
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Book Description
The fourth edition of this well-received book offers a comprehensive update on recent developments and trends in the clinical and scientific applications of multislice computed tomography. Following an initial section on the most significant current technical aspects and issues, detailed information is provided on a comprehensive range of diagnostic applications. Imaging of the head and neck, the cardiovascular system, the abdomen, and the lungs is covered in depth, describing the application of multislice CT in a variety of tumors and other pathologies. Emerging fields such as pediatric imaging and CT-guided interventions are fully addressed, and emergency CT is also covered. Radiation exposure, dual-energy imaging, contrast enhancement, image postprocessing, CT perfusion imaging, and CT angiography all receive close attention. The new edition has been comprehensively revised and complemented by contributions from highly experienced and well-known authors who offer diverse perspectives, highlighting the possibilities offered by the most modern multidetector CT systems. This book will be particularly useful for general users of CT systems who wish to upgrade and enhance not only their machines but also their knowledge.
