Master class HF 2017 - Approche diagnostique Insuffisance cardiaquePierre Troisfontaines
Exposés dans le cadre d'une formation sur la prise en charge des patients souffrants d’insuffisance cardiaque chronique et de leurs comorbidités.
Cette formation scientifique organisée au Centre de l'insuffisance cardiaque (CIC) du Centre hospitalier régional de la Citadelle (Liège) et animée par le
Docteur P. Troisfontaines,(cardiologue, responsable du CIC ) et de Mme Laurence Greday (infirmière référente et coordinatrice du CIC).
Introduction à l'échocardiographie (French) Symposia - The CRUDEM FoundationThe CRUDEM Foundation
Introduction à l'échocardiographie (French) Symposia presented in Milot, Haiti at Hôpital Sacré Coeur.
CRUDEM’s Education Committee (a subcommittee of the Board of Directors) sponsors one-week medical symposia on specific medical topics, i.e. diabetes, infectious disease. The classes are held at Hôpital Sacré Coeur and doctors and nurses come from all over Haiti to attend.
Master class HF 2017 - Approche diagnostique Insuffisance cardiaquePierre Troisfontaines
Exposés dans le cadre d'une formation sur la prise en charge des patients souffrants d’insuffisance cardiaque chronique et de leurs comorbidités.
Cette formation scientifique organisée au Centre de l'insuffisance cardiaque (CIC) du Centre hospitalier régional de la Citadelle (Liège) et animée par le
Docteur P. Troisfontaines,(cardiologue, responsable du CIC ) et de Mme Laurence Greday (infirmière référente et coordinatrice du CIC).
Introduction à l'échocardiographie (French) Symposia - The CRUDEM FoundationThe CRUDEM Foundation
Introduction à l'échocardiographie (French) Symposia presented in Milot, Haiti at Hôpital Sacré Coeur.
CRUDEM’s Education Committee (a subcommittee of the Board of Directors) sponsors one-week medical symposia on specific medical topics, i.e. diabetes, infectious disease. The classes are held at Hôpital Sacré Coeur and doctors and nurses come from all over Haiti to attend.
Un survol sur les fondamentaux de la physiologie en parlant de l'anatomie, physiologie, physiopathologie etc... le métabolisme et ses 2 processus: catabolisme et anabolisme
A hybrid electric vehicle combines an electric motor with an internal combustion engine to improve fuel efficiency. There are two main types of hybrid configurations - parallel and series. In a parallel hybrid, both the engine and electric motor can power the wheels directly. In a series hybrid, the engine charges the battery which powers the electric motor to turn the wheels. Fuel cell hybrid vehicles use hydrogen to power an electric motor, providing emissions-free propulsion. Driving at a constant speed, avoiding abrupt stops, and driving more slowly can improve the fuel efficiency of any hybrid vehicle.
Un cours court sur l'embolie pulmonaire, une pathologie courante et grave qui doit être évitée et correctement prise en charge, Ce fichier comprend les éléments essentiels que tout médecin doit connaître.
This document summarizes the medical history of a 35-year-old man who presented with progressive heart failure symptoms over 6 months. He was admitted to the intensive care unit and stabilized with diuretics, oxygen, and other medications. Echocardiography showed reduced left ventricular function and elevated BNP levels, consistent with heart failure. Over several years, his condition gradually declined despite various treatments. He was eventually listed for heart transplantation and received a transplant 5 years after his initial presentation, though his prognosis remained guarded long term.
1) The study assessed whether the drug colchicine could reduce the volume of post-operative pericardial effusions (POPEs) in patients at high risk of tamponade. 197 patients were randomly assigned to receive either colchicine or placebo treatment for 14 days.
2) The mean pericardial effusion grade (MPEG), as measured by echocardiography, decreased in both groups but the difference between the groups was not statistically significant. Secondary outcomes including tamponade rates were also similar between the groups.
3) The study concludes that colchicine administration appears to be ineffective in reducing POPE volumes and does not provide any benefit over spontaneous resolution.
can patients perform rxercise training sessions after mitral valve repair ? is it dangerous or safe , is it effective?
presentation given at the AHA meeting
usefulness of cardiac rehabilitation for heart failure patientsPhilippe Meurin
1) A 62-year-old man with COPD and chronic heart failure underwent cardiac rehabilitation involving exercise training and lifestyle education.
2) During rehabilitation, his exercise capacity and quality of life improved, as shown by increases in peak VO2 and reductions in NYHA class and weight.
3) Cardiac rehabilitation programs are effective for improving outcomes in heart failure patients through daily medical management, supervised exercise training, education on diet and medications, and psychological support, which cannot be achieved during usual outpatient care.
5. Les Valves sont de simples « portes » (CLAPETS)
qui s’ouvrent et se ferment Passivement (en fonction des pressions)
et obligent le sang à circulertoujours dans le même sens
Elles servent donc à éviter les fuites
21. La chirurgie : de plus en plus
précoce (souvent même en l’absence de
symptômes)
• Plastie Mitrale
• Homogreffe
• Remplacement valvulaire aortique ou mitral:
Bioprothèse ou prothèse mécanique ?
22. Critère principal de choix : le
souhait du patient
BIOPROTHESE
• Age > 75 ans
• Anticoagulants
impossibles :
– Pays pauvre
– Incompréhension
– Maladie hémorragique
• Désir de grossesse
• Activité à risque
– Alpinisme…
PROTHESE MECANIQUE
• Age < 65 ans
• Localisation mitrale +++
23. Après 70 ans, le risque de détèrioration des
bioprothèses est très faible (localisation aortique)