References of "Krzesinski, Jean-Marie"
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See detailLa néphropathie diabétique
Krzesinski, Jean-Marie ULg

Conference (2002, June 20)

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See detailL'hypertension artérielle et son risque
Krzesinski, Jean-Marie ULg

Conference (2002, June 02)

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See detailHypertension artérielle et artériopathie
Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2002), 57(6), 370-374

High blood pressure as other factors of atherosclerosis is a well-known risk factor for development of peripheral arterial disease. A patient characterized by an isolated systolic hypertension and a low ... [more ▼]

High blood pressure as other factors of atherosclerosis is a well-known risk factor for development of peripheral arterial disease. A patient characterized by an isolated systolic hypertension and a low ankle/arm systolic blood pressure ratio very often presents coronary heart disease. Practising exercise (such as walking), stoping smoking and following an adapted diet are recommended. Hypertension treatment must be considered as a secondary prevention approach with a blood pressure normalisation as a target. All the different classes of antihypertensive drugs can be used, but with a marked preference for angiotensin converting enzyme (with caution for the renal artery stenosis risk) and for betablockers to improve the potential coronary heart disease (care is needed in the presence of severe peripheral arterial disease). [less ▲]

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See detailDiagnostic criteria for renovascular hypertension
Krzesinski, Jean-Marie ULg

in Acta Chirurgica Belgica (2002), 102(3), 159-166

Renovascular hypertension is a clinical situation characterized by high blood pressure in the presence of renal ischemia mainly related to atherosclerotic or fibromuscular dysplasic narrowing of the renal ... [more ▼]

Renovascular hypertension is a clinical situation characterized by high blood pressure in the presence of renal ischemia mainly related to atherosclerotic or fibromuscular dysplasic narrowing of the renal artery (ies). This diagnosis is often "a posteriori" validated, because the discovery of a significant renal artery stenosis is not obligatory responsible of the blood pressure elevation. This article proposes a diagnostic strategy for exploring patient with this suspected secondary cause of hypertension before proposing an invasive approach (intra-arterial angiography) possibly followed by a revascularization. However, the methods for exploring such population are mainly based on patient characteristics and local expertise and habits. These must thus be individualized. First, clinical symptoms or signs frequently associated with hypertension and renal artery stenosis must be searched. If present, a non invasive and functional exploration of the renal arteries is to be proposed (Captopril radioisotope renography, colour duplex sonography) followed by magnetic resonance angiography or spiral computer tomography angiography if the clinical suspicion index is moderate or high. If this is very high, an intra-arterial arteriography could immediately be performed if not too dangerous. On the opposite site, if the clinical index is low, it is recommended to follow clinically and to treat risk factors. [less ▲]

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See detailIntérêt de mesurer la dysfonction endothéliale
Krzesinski, Jean-Marie ULg

Conference (2002, May 18)

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See detailL'hypertension artérielle chez le diabétique
Krzesinski, Jean-Marie ULg

Conference (2002, May 16)

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See detailQue faire face à une hypertension artérielle résistante?
Krzesinski, Jean-Marie ULg

Learning material (2002)

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See detailLa sténose d'artère rénale: cause possible de décompensation cardiaque aiguë
Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2002), 57(5), 253-257

Among the different causes of pulmonary edema, there are all the clinical situations with hydrosaline overload. A significant (> 70%) bilateral renal artery stenosis or a unilateral stenosis in the ... [more ▼]

Among the different causes of pulmonary edema, there are all the clinical situations with hydrosaline overload. A significant (> 70%) bilateral renal artery stenosis or a unilateral stenosis in the presence of a solitary kidney is one possibility. Recurrent acute pulmonary edema not fully explained on a cardiac basis is rather typical for such a disease in a cardiac patient with moderate renal failure aggravated when angiotensin converting enzyme inhibitors are used. [less ▲]

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See detailHypertension artérielle et accident vasculaire cérébral
Krzesinski, Jean-Marie ULg

Conference (2002, April 18)

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See detailQualité de la prise en charge de l'hypertension artérielle. Pouvons-nous, devons-nous faire mieux?
Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2002), 57(4), 202-206

Hypertension is well controlled in only less than 30% of the patients treated by drugs. It is thus important to improve this situation first by checking the treatment compliance but also by trying to ... [more ▼]

Hypertension is well controlled in only less than 30% of the patients treated by drugs. It is thus important to improve this situation first by checking the treatment compliance but also by trying to better educate the hypertensive population about the risk of uncontrolled hypertension and how to decrease this risk. [less ▲]

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See detailEpidémiologie de l'hypertension artérielle
Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2002), 57(3), 142-147

The prevalence of high blood pressure increases in our industrialized society. The main risk factors are hypertensive heredity, small birth weight for the gestational age, large increase of weight in ... [more ▼]

The prevalence of high blood pressure increases in our industrialized society. The main risk factors are hypertensive heredity, small birth weight for the gestational age, large increase of weight in teenagers, low physical activity, excess in salt and/or alcohol consumption. The normotensive people with high normal blood pressure are the future hypertensive population. [less ▲]

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See detailHypertension artérielle et artériopathie
Krzesinski, Jean-Marie ULg

in Medi-Sphere (2002)

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See detailDu bon usage des antihypertenseurs
Krzesinski, Jean-Marie ULg

Conference (2002, January 17)

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See detailContrôle de l'hypertension artérielle: peut-on faire mieux?
Krzesinski, Jean-Marie ULg

in Journal de Cardiologie = Tijdschrift voor Cardiologie (2002), 14(5), 180-181

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See detailImplications pour la communauté d'un meilleur contrôle de la pression artérielle
Krzesinski, Jean-Marie ULg

in Journal de Cardiologie = Tijdschrift voor Cardiologie (2002), 14(5), 186-190

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See detailL'étude MICROHOPE
Krzesinski, Jean-Marie ULg

in Journal de Cardiologie = Tijdschrift voor Cardiologie (2002), 14(5), 170-172

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See detailBelgian peer review experience on the Achille's heel in haemodialysis care: vascular access
Theelen, Bernadette ULg; Rorive, Georges ULg; Krzesinski, Jean-Marie ULg et al

in EDTNA/ERCA Journal (2002), 28(4, Oct-Dec), 164-166

AIMS: In order to improve the supervision and to evaluate the quality of care in dialysis units, a national project was promoted as a Peer Review. It consisted of systematic, continuous and critical ... [more ▼]

AIMS: In order to improve the supervision and to evaluate the quality of care in dialysis units, a national project was promoted as a Peer Review. It consisted of systematic, continuous and critical evaluation of the care and the application of international guidelines and compared the reality of care with standards. METHOD: The first chart consisted of the evaluation of infectious episodes of vascular access. This point is particularly relevant since infection represents the second cause of mortality in haemodialysis. A questionnaire concerning each patient was designed. Questions concerned the description of vascular access and the related infectious events. Each questionnaire included 21 items. The project involved 29 dialysis centres, 1,644 patients and 1,775 vascular accesses. The database included 90,525 data. RESULTS: Among the 29 centres, the native arteriovenous fistula (AVF) is the first choice (67.5%) in vascular access, but the proportion of AVF decreases with age contrary to the catheter, which is more frequently chosen, in older patients. Independent of age, 20% of hospitalisations are among patients with catheters and only 7% among patients with AVF. The RR (relative risk) of being hospitalised (any complication of vascular access) is 1.68 for patients with catheters compared to patients with AVF. The rate of infections does not increase with age but is higher for patients with catheters (RR = 2.26). The number of infections appears to be dependent on the staphylococcus aureus carriage in the year. CONCLUSIONS: This first step allows each centre to compare itself to others in an anonymous way. This approach should lead to specific recommendations to improve the quality of care in dialysis units. [less ▲]

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See detailLes antagonistes calciques ont-ils une place de première ligne dans le traitement de l'hypertension artérielle?
Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2002), 57(2), 79-84

During the nineties, a controversy was noted in the literature about the potential risk of using calcium antagonists in the treatment of hypertension. Several recent studies, such as the INSIGHT’s one ... [more ▼]

During the nineties, a controversy was noted in the literature about the potential risk of using calcium antagonists in the treatment of hypertension. Several recent studies, such as the INSIGHT’s one have not confirmed this provided that one uses long-acting molecule. But the real beneficial effect due to the different antihypertensive classes is mainly linked to the magnitude of the blood pressure lowering effect. [less ▲]

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See detailLe Pr J.-M. Krzesinski (CHU sart Tilman, ULg) a sélectionné pour vous...
Krzesinski, Jean-Marie ULg

in Tempo Médical (2002), 240

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See detailConfirmation des effets délétères rénaux des AINS anti COX2 illustrée par trois cas cliniques
Piront, P.; Krzesinski, Jean-Marie ULg

in Acta Clinica Belgica (2002), 57(1), 35

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