Download or read book Prise en charge des patients apr s un infarctus du myocarde et pr vention secondaire written by Laure Duchon and published by . This book was released on 2008 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Avec 100 000 à 120 000 cas par an, l'infarctus du myocarde (IDM) est une des principales causes de morbi-mortalité en France. L'apparition des techniques de revascularisation (angioplastie et fibrinolyse) a permis d’améliorer considérablement le pronostic vital à court terme. Mais après la phase aiguë, commence la mise en place des mesures dites de prévention secondaire visant à diminuer le risque de complications et de récidives. Cette prévention secondaire consiste à instaurer un traitement médicamenteux suivant les recommandations (BASIC) et à éduquer le patient afin qu'il suive des règles hygiéno-diététiques (nutrition et activité physique) qui sont essentielles à la réussite du traitement. Une étude a été réalisée auprès de 39 patients victimes d'IDM afin de voir ce qui peut être fait pour optimiser le succès du traitement et voir quelle place a le pharmacien dans cette prise en charge globale.
Download or read book L ducation th rapeutique dans la pr vention secondaire de l infarctus du myocarde written by Alexandre Barbaste and published by . This book was released on 2013 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: La maladie coronarienne reste de nos jours le première cause de mortalité en France, avec 18000 décès par an. Néanmoins, l’amélioration de la prise en charge a diminué ce chiffre par 2 en 10 ans, notamment par des actions de prévention secondaire en sortie de phase aigüe. Depuis quelques années un nouveau mode de prise en charge du patient vise à le placer en tant qu’acteur de sa santé par l’acquisition de connaissances, pratiques et modes de vie le rendant autonome après un accident coronarien. Néanmoins, ces pratiques récentes et nouvelles de prévention secondaire, sont-elles mises en place de manière pertinente et efficace pour diminuer le risque de récidive et de complications du patient ? Le patient, quelques semaines après un infarctus, a-t-il acquis l’ensemble des compétences qui lui permettent de prendre le contrôle de ses facteurs de risque et d’améliorer l’observance de son traitement médicamenteux ? Au cours de cette thèse, nous décrirons dans un premier temps le phénomène d’infarctus du myocarde avec notamment sa physiopathologie, son diagnostic, ses complications et ses traitements. Nous aborderons ensuite la place de la prévention dans la prise en charge de l’infarctus, et de sa récidive. Nous verrons aussi que l’éducation thérapeutique du patient tient une place importante dans la prise en charge de la maladie coronarienne, et qu’elle a un rôle clé de prévention. Enfin, l’étude menée au long de cette thèse fera un état des lieux sur l’impact d’un programme d’ETP mis en place à l’hôpital Albert6Chenevier pour des patients coronariens, en évaluant d’une part leurs connaissances, et en étudiant la manière dont ces informations ont pu leur être transmises.
Download or read book Evaluation de la pr vention secondaire des patients pris en charge au centre hospitalier de Saint Brieuc pour un infarctus du myocarde avec sus d calage du ST et inclus dans l observatoire ORBI written by Alexis Tombette and published by . This book was released on 2012 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: La prise en charge du post-infarctus du myocarde avec sus-décalage du segment ST (IDM ST+) repose sur une prévention secondaire bien codifiée. Elle vise, au moyen d'une quadrithérapie médicamenteuse (BASI) validée et une éducation à des règles hygiéno-diététiques stricte, à contrôler l'évolution de la maladie athéromateuse. Les études européennes montrent des écarts parfois importants à ces recommandations. Objectifs : il s'agit d'évaluer le niveau de la prévention secondaire un an après un infarctus du myocarde ST+ en 2012 en Côtes d'Armor, à partir des données de l'observatoire ORBI (Observatoire Régional Breton des Infractus). Le deuxième objectif est d'évaluer sur ce même échantillon, l'impact de la réadaptation cardiovasculaire sur le niveau d'observance et le contrôle des facteurs de risque cardiovasculaires. Matériels et méthode : inclusion de manière prospective de tous les patients hospitalisés pour IDM ST+ entre janvier et décembre 2010 au centre hospitalier de Saint-Brieuc. Les patients décédés durant l'hospitalisation ont été exclu. Les données ont été recueillis au moment de l'hospitalisation dans l'observatoire ORBI, puis par téléphone à un an de l'IDM. Résultats : cent trente neuf patients ont été inclus. Le pourcentage de prescription du traitement recommandé BASI à la sortie de l'hôpital puis à un an était de 58,3% puis 54,6%, pour les antiagrégants plaquettaires de 95% puis 97,5%, pour les statines de 96,4% puis 92,4% pour les bêta-bloquants de 92,8% puis 84%, pour les IEC/ARA II de 64% puis 73,9%.Le taux de patients fumeurs est passé de 36% au moment de l'hospitalisation à 12,6% à un an, le taux de patients en surpoids est passé de 56,1% à 51,3%. 16,7% des 48 patients initialement hypertendus le demeurent à un an. 62,5% des patients diabétiques ont un taux d'HbA1c>6,5% à un an et 31,2% des 93 patients dont le LDL-c a été contrôlé à 12 mois sont au dessus de l'objectif de 1g/L. Les patients ayant bénéficié d'une réadaptation cardiovasculaire sont plus jeunes, ont une FEVG plus basse. Ils reçoivent significativement plus le traitement BASI et ont significativement plus augmenté leur activité physique. Ils ont une tendance plus importante à avoir corriger leurs facteurs de risque cardiovasculaires que ceux qui n'y ont pas séjourné. Conclusion : les résultats sont encourageants car globalement supérieurs à ceux des registres Français et des études européennes mais demeurent perfectibles. La réadaptation cardiaque semble être une étape importante dans la phase de prévention secondaire. L'éducation thérapeutique, primordiale en post-infarctus, pourrait être optimisée en utilisant par exemple d'autres moyens de diffusion des recommandations de prévention secondaire.
Download or read book La Pr vention Secondaire Apr s Infarctus Du Myocarde written by and published by . This book was released on 1996 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Acute Stroke Treatment written by Julien Bogousslavsky and published by CRC Press. This book was released on 1997-09-04 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Owing to the increased interest in brain ischemia and the new therapeutic options from pharmaceutical companies for the treatment of acute stroke, Professor Julien Bogousslavsky, one of the world's stroke experts, has revised his best-selling book. It is the emergence of huge possibilities in the management of stroke - ultra-early diagnosis, intensive care, surgical and other interventional therapies, thrombolysis, anti-ischemic drugs and prevention of immediate recurrence - which necessiates this timely update.
Download or read book The Pathophysiology and Pharmacotherapy of Myocardial Infarction written by Nabil El-Sherif and published by Elsevier. This book was released on 2013-10-22 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Pathophysiology and Pharmacotherapy of Myocardial Infarction deals with the advances in the pathophysiology and pharmacotherapy of acute myocardial infarction and related complications. This book covers two major consequences—cardiac muscle dysfunction and cardiac electrical dysfunction. This text begins by reviewing the controversy surrounding the pathogenetic mechanisms of atheroma formation and its potential reversibility, including the status of coronary risk factors and benefits of primary prevention. The pathophysiologic mechanisms of pump failure and the current approach to its management are then deliberated, followed by a discussion on the rational use of vasodilators in post-infarction heart failure and pharmacotherapy of cardiogenic shock. The rationale for the interest in the role of coronary vasospasm and thrombolytic therapy for acute myocardial infarction is also covered. This publication concludes by reviewing the approaches for the management of post-infarction ventricular tachyarrhythmias and concept of secondary prevention of sudden cardiac death. This compilation is valuable to medical students, primary care physicians, and cardiovascular specialists.
Download or read book Treating Tobacco Use and Dependence written by Michael Fiore and published by Department of Health and Human Services Public Health Servic. This book was released on 2000 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This guideline is an updated version of the 1996 Smoking Cessation Clinical Practice Guideline No. 18."--P. ii.
Download or read book Antiplatelet Agents written by Paolo Gresele and published by Springer Science & Business Media. This book was released on 2012-08-23 with total page 616 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Le Pacifique Sud written by Frédéric Angleviel and published by Presses Univ de Bordeaux. This book was released on 1991 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Multislice CT written by Konstantin Nikolaou and published by Springer. This book was released on 2019-08-06 with total page 1116 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Canadian Journal of Cardiology written by and published by . This book was released on 1984* with total page 956 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Bloody Easy 3 written by Jeannie L. Callum and published by . This book was released on 2011-04 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Early Rheumatoid Arthritis written by Paul Emery and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue covers the latest developments in the understanding of rheumatoid arthritis at the early stage. Treatments such as with newer biologic agents and conventional disease-modifying antirheumatic drugs are reviewed. Also included are articles on imaging modalities as a means of identifying those in the early stages and monitoring response to treatment.
Download or read book The Direct and Indirect Measurement of Blood Pressure written by Leslie Alexander Geddes and published by . This book was released on 1970 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Anaemia in Cancer written by Carsten Bokemeyer and published by Elsevier Science Health Science Division. This book was released on 2004-11 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Emergencies in Primary Care written by Chantal Simon and published by OUP Oxford. This book was released on 2007-09-27 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed for the busy GP, Emergencies in Primary Care covers the range of emergencies GPs might expect to encounter in the primary care setting, from the immediately life-threatening to the smaller but urgent problems that can and do arise. Written in a concise and didactic style, it incorporates useful algorithms to make complex management straightforward. Government guidelines are incorporated along with links to further information sources. Each clinical topic is succinctly addressed with all the information needed to make an accurate diagnosis, other diagnoses to consider and a clear management strategy.
Download or read book Health System Performance Comparison an Agenda for Policy Information and Research written by Irene Papanicolas and published by McGraw-Hill Education (UK). This book was released on 2013-06-16 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
