Download or read book valuation de la prise en charge et du pronostic des syndromes coronaires aigus written by Frédéric Debel and published by . This book was released on 2008 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Le syndrome coronaire aigu est une pathologie fréquente et grave, et reste un diagnostic parfois difficile à poser. Depuis 1995, un registre national est dressé tous les 5 ans afin de mieux comprendre et d’évaluer la prise en charge de ce syndrome : USIK 1995, USIC 2000 et en 2005 le registre FAST-MI. Notre étude a pour but de comparer le résultats du service de Cardiologie de l’hôpital R.BALLANGER d’Aulnay-sous-Bois, à ceux retrouvés dans le registre national FAST-MI, notamment en terme de délais de prise en charge, conformément aux Recommandations françaises et européennes. Matériel et Méthode : Etude prospective, observationnelle, unicentrique, menée du 1er au 31 Octobre 2005, réalisée dans le service de Cardiologie d’Aulnay-sous-Bois, menée parallèlement au registre FAST-MI. Population divisée en quatre groupes : groupe A : SCA avec sus ST, à troponine + groupe B1 : SCA sans sus ST, à troponine + groupe B2 : SCA sans sus ST, à troponine – groupe C : suspicion de SCA Mesures et critères de jugement basés sur les délais de prise en charge : latence patient : premier symptôme – premier contact avec le système de soins latence intervenants médicaux : premier contact avec le système de soins – revascularisation délai de prise en charge global : premier symptôme – revascularisation. Résultats : 24 patients inclus, dont 15 parallèlement au registre FAST-MI ; 8 dans le groupe A, 7 dans le groupe B1, 6 dans le groupe B2 et 3 dans le groupe C. Selon les Recommandations de la Conférence de Consensus de 2006, 5 patients du groupe A ont eu un délai de prise en charge global inférieur à 90 minutes, après calcul des délais porte à porte-cardio et porte cardio-ballon. Discussion : En 10 ans, la prise en charge du SCA a évolué majoritairement dans le sens de l’angioplastie coronaire : 13 % en 1995, 33 % en 2005. La thrombolyse a diminué puis s’est stabilisée, passant de 38 % en 1995 à 27 % en 2005. La mortalité a nettement diminué, passant de 8,3 % en 1995 à 4,3 % en 2005. Dans le centre étudié, les objectifs de délai de prise en charge sont atteints et aucun décès n’a été comptabilisé. A noter, le caractère unicentrique de l’étude et la petite taille de la population reste une limite et un biais important. Conclusion : Grâce à ces études menées tous les 5 ans, un état des lieux précieux est fait sur le SCA, permettant de revoir les délais de prise en charge, les traitements et les pronostics. Le réflexe de l’appel du centre 15 est primordial en cas de douleur suspecte de SCA, le plus important est de minimiser les temps de prise en charge, et la coordination entre les différents acteurs de la chaîne de soins, que sont les urgentistes et les cardiologues, reste essentielle.
Download or read book Evaluation de la prise en charge pr hospitali re des syndromes coronaires aigus avec sus d calage de st d apr s les recommandations written by Etienne Cappelle and published by . This book was released on 2008 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le syndrome coronarien aigu avec sus-décalage du segment ST est une pathologie fréquente, de pronostic grave et indissociable de l’activité des SAMU en France. Sa prise en charge fait l’objet de recommandations précises et régulièrement mises à jour dans la littérature par les différentes sociétés savantes. Notre travail a consisté à évaluer les pratiques pré-hospitalières au travers d’une étude prospective sur 63 patients pris en charge par les SMUR de Brive et de Limoges de janvier 2007 à juin 2007, se basant sur le recueil de données du registre ESTIM Limousin. Nous avons comparé nos résultats à ceux des principales études de la littérature ainsi qu’à ceux des différents registres nationaux et régionaux. Les recommandations ont été respectées pour la majorité des prises en charge. Aucun patient n’a été privé de thrombolyse ou d’angioplastie primaire, sans raison validée. Ce travail d’évaluation confirme la nécessité d’améliorer encore l’information auprès du public. Des progrès ont été enregistrés depuis le début du registre ESTIM Limousin en 2001. Les délais de prise en charge et les résultats sont comparables aux autres études, mais les efforts doivent être poursuivis pour chercher à les améliorer encore.
Download or read book The Pericardium written by Ralph Shabetai and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many noteworthy advances in our knowledge of the pericardium, its functions and diseases and their relation to heart failure have been made since the first edition of this book appeared in 1981; and no other book that covers in detail the physiology and pathophysiology has since been published. The first edition was favourably received, and I have frequently been asked to write a new edition. My own knowledge in the years that have passed since then, and my clinical and research experience in the field of the subject have both increased. For all these reasons, I decided that the second edition was overdue. The long time that has elapsed between editions necessitated rewriting, rather than simply revising, most of the text. For the same reason, many of the figures are new. Most of the references I have cited appeared in the literature after 1981, but I have retained a number of earlier ones, either because they are classics or, in my opinion, have not yet been bettered. It is my hope that the new edition will be a useful resource for clinicians called upon to manage patients with pericardial disease and for physiologists when the pericardium is relevant to their investigations. I make no apology for the in-depth treatment of the pericardial physiology and pathophysiology throughout the book, for they are the foundation on which diagnosis, hemodynamic and imaging studies, and management must rest.
Download or read book Novel Strategies in Ischemic Heart Disease written by Umashankar Lakshmanadoss and published by BoD – Books on Demand. This book was released on 2012-02-29 with total page 466 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first edition of this book will provide a comprehensive overview of ischemic heart disease, including epidemiology, risk factors, pathogenesis, clinical presentation, diagnostic tests, differential diagnosis, treatment, complications and prognosis. Also discussed are current treatment options, protocols and diagnostic procedures, as well as the latest advances in the field. The book will serve as a cutting-edge point of reference for the basic or clinical researcher, and any clinician involved in the diagnosis and management of ischemic heart disease. This book is essentially designed to fill the vital gap existing between these practices, to provide a textbook that is substantial and readable, compact and reasonably comprehensive, and to provide an excellent blend of "basics to bedside and beyond" in the field of ischemic heart disease. The book also covers the future novel treatment strategies, focusing on the basic scientific and clinical aspects of the diagnosis and management of ischemic heart disease.
Download or read book Calcium Entry Blockers in Cardiovascular and Cerebral Dysfunctions written by T. Godfraind and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2 The free internal Ca+ concentration in human red cells is set according to the leak 2 and-pump principle: There is a finite passive Ca+ influx at the physiological 2 2 Ca+ -gradient across the membrane which is compensated by Ca+ pumping in the outward direction with a rate given by the degree of saturation of the A TP-fuelled Ca 2 pump at the steady-state internal Ca+ concentration. Simons (1982) recently devised a method allowing the measurement of the steady 2 2 state internal Ca+ concentration. Cells are suspended in media of different Ca+ con 2 2 tent whose Ca+ concentration is monitored by a Ca+ -selective electrode. When the cells are lysed (by digitonin) there is an upward or downward deflection of the elec 2 trode signal. At the point of zero deflection, the cellular Ca+ concentration equals that 2 of the medium. The result is, that in fresh human red blood cells the Ca+ concentra tion is ;;;; O.4,uM (this is an upper estimate; the true value may be considerably lower).
Download or read book Diagnosis and Treatment of Aortic Diseases written by C.A. Nienaber and published by Springer. This book was released on 2012-11-05 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is an up-to-date summary of all aspects of aortic disease, written by international experts in their fields, covering diagnostic concepts of all aortic diseases, the most modern therapeutic approaches in various aortic syndromes, the pathogenic origin and the most recent molecular and cellular findings that have revolutionized our present knowledge of aortic diseases. The reader will come to understand the aorta as a functional organ with a complex regulatory system rather than just a major arterial vessel, and will have a better understanding of the prognostic impact of various aortic syndromes, and of the most recent therapeutic concepts for chronic as well as acute aortic pathology. As a unique feature of this book, the aorta is placed in the center of systemic illnesses, such as atherosclerosis, diabetes, hypertension, infectious diseases and connective tissue disorders, storage diseases, trauma and toxic factors; this concept aims to attract the attention of both clinical specialties such as cardiology, radiology and cardiovascular surgery and adjacent areas like pathology and clinical genetics. The book portrays the aorta as an integral part of the cardiovascular system and the entire organism and features the complexity and clinical impact of all major aortic diseases.
Download or read book Exercise Testing Training written by Victor F. Froelicher and published by . This book was released on 1983 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Magnetic Resonance Imaging of Congenital Heart Disease written by Mushabbar A. Syed and published by Springer Nature. This book was released on 2023-09-26 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book CT of the Heart written by U. Joseph Schoepf and published by Springer Science & Business Media. This book was released on 2007-10-27 with total page 391 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading clinicians and researchers from around the world review the full scope of current developments, research, and scientific controversy regarding the principles and applications of cardiac CT. Richly illustrated with numerous black-and-white and color images, the book discusses the interpretation of CT images of the heart in a variety of clinical, physiological, and pathological applications. The authors emphasize current state-of-the-art uses of CT, but also examine developments at the horizon. They also review the technical basis of CT image acquisition, as well as tools for image visualization and analysis.
Download or read book Radiotherapy in Clinical Practice written by H. F. Hope-Stone and published by Butterworth-Heinemann. This book was released on 1986 with total page 474 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Structural Heart Disease Interventions written by John D. Carroll and published by Lippincott Williams & Wilkins. This book was released on 2012-11-05 with total page 815 pages. Available in PDF, EPUB and Kindle. Book excerpt: Structural heart disease interventions are a diverse group of novel treatments that have evolved from a small number of procedures to an impressive array of new approaches to diseases that have been traditionally managed by surgery and medical therapy. This book has been prepared for use by physicians and non-physicians who have an interest in SHD interventions and desire a practical, comprehensive, and clinical summary of established and emerging percutaneous interventions. The chapters are authored by recognized experts from around the world. There are five major sections including: 1) Core Knowledge in SHD Intervention 2) Specialized Skills for the Interventionalist 3) Closure of Congenital and Acquired Defects in Adults 4) Transcatheter Therapy for Valvular Disease 5) Specialized Procedures Features Include: Extensive images to present anatomical complexities and diversity including some interactive 3-D graphics Presentation of transcatheter mitral valve repair Chapter on how to set up & credential a SHD program
Download or read book Managing Epidemics written by and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book MRI of the Body written by Daniel Vanel and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: As with the introduction of x -ray computed tomography, much of the initial development of magnetic resonance applications tended to focus on the central nervous system. The development of magnetic resonance imaging applications to other organ systems such as the chest, abdomen, pelvis and extremities has lagged somewhat behind, awaiting technical improvements, and a broader user base. The past two years have seen a marked increase in imaging applications throughout the body, most notably the musculoskeletal system. It is in this regard, that MRI of the Body is a welcome arrival as a text which describes both basic principles of magnetic resonance ima ging and surveys the current status of magnetic resonance imaging applications throughout the body. The volume is concise, focused, clinically oriented, and abun dantly illustrated. In each organ system, the appropriate technical approach is discussed, the normal anatomic features are reviewed, and the range of pathologic appearances which may be encountered are described. The authors of the chapters provide a balanced overview of MR applications and describe both present limitations and future potential of magnetic resonance imaging applications in the organ system described.
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.
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.
Download or read book Molecular Mechanisms of Hormone Action written by Gesellschaft für Biologische Chemie. Colloquium and published by . This book was released on 1989 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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:
