Hypertension artérielle et sport

Conference (2008, November 18)

Hypertension arterielle pulmonaire et bronchopathie chronique obstructive

in Revue Médicale de Liège (2006), 61(7-8, Jul-Aug), 563-71

In this paper we review the current knowledge on pulmonary hypertension (PH) occurring in COPD. PH is defined as a mean pulmonary arterial pressure at rest greater than 20 mmHg measured by right heart ... [more ▼]

In this paper we review the current knowledge on pulmonary hypertension (PH) occurring in COPD. PH is defined as a mean pulmonary arterial pressure at rest greater than 20 mmHg measured by right heart catheterisation. PH is usually present during exercise before appearing at rest. PH in COPD increases the risk of hospitalisation and darkens the disease prognosis. Chronic hypoxemia is the major contributor to PH, but remodelling of arterial wall and mechanical factors such as hyperinflation also play a role. Transthoracic echocardiography is the most useful non invasive investigation, but right heart catheterisation is necessary to ascertain the diagnosis. Long term 02 supplementation is the basis of the treatment while vasodilatators may worsen hypoxemia. [less ▲]

L'hypertension artérielle systolique isolée

Conference (2000, October 18)

L'hypertension artérielle systolique isolée

Conference (2002, October 12)

Hypertension arterielle: le choix de la première drogue

in Médecine et Hygiène (1987), 45

Depuis plus de dix ans, le traitement de l'hypertension artérielle repose sur la prescription en première ligne des diurétiques et des bêta-bloqueurs. Le fait que ces drogues se soient révélées incapables ... [more ▼]

Depuis plus de dix ans, le traitement de l'hypertension artérielle repose sur la prescription en première ligne des diurétiques et des bêta-bloqueurs. Le fait que ces drogues se soient révélées incapables d'influencer la morbidité et la mortalité coronaire est aujourd'hui présenté comme un argument pour les remplacer dans nos schémas thérapeutiques par des drogues nouvelles à effets vasodilatateurs tels les inhibiteurs de l'enzyme de conversion, les inhibiteurs des flux calciques et les alphabloquants. Les avantages et les inconvénients de cette nouvelle génération de vasodilatateurs demandent cependant à être évalués avec plus de précision avant de pouvoir clairement définir la place respective de ces derniers dans le traitement de l'hypertension artérielle. [less ▲]

Hypertension durant la grossesse

Conference (2010, May 08)

Hypertension et diabète

in Revue Médicale de Liège (2005), 60(5-6, May-Jun), 572-577

Hypertension frequently accompanies diabetes mellitus, as it is present in 50% of diabetic patients. Hypertension can sometimes preceed diabetes. In type 2 diabetes, insulin resistance plays a major role ... [more ▼]

Hypertension frequently accompanies diabetes mellitus, as it is present in 50% of diabetic patients. Hypertension can sometimes preceed diabetes. In type 2 diabetes, insulin resistance plays a major role in the hypertensive risk. In type 1 diabetes, nephropathy is often noted as soon as hypertension is present. Both hypertension and diabetes increase the risk for cardiovascular and renal complications. For their prevention, first of all, modification of the diet with increasing exercise must be proposed, associated to antihypertensive agents with a blood pressure target lower than 130/80 mmHg. Renin-angiotensin blockers constitute the main drug therapy in such patients associated with diuretics or betablocker if angina pectoris is present or even calcium channel blocker when large arteries abnormalities exist. A frequent evaluation of the cardiovascular risk is required together with research of renal dysfunction or microproteinuria. [less ▲]

Hypertension et grossesse

in Revue Médicale de Liège (1999), 54(5), 415-423

High blood pressure during pregnancy (BP > or = 140/90 mmHg) is sometimes already noted before conception, with usually a good prognosis (although it could predispose to preeclampsia). alpha-methyldopa is ... [more ▼]

High blood pressure during pregnancy (BP > or = 140/90 mmHg) is sometimes already noted before conception, with usually a good prognosis (although it could predispose to preeclampsia). alpha-methyldopa is the best treatment when needed (agents blocking the renin angiotensin system are not recommended). Preeclampsia, a form of hypertension noted after 20 weeks of gestation with proteinuria is a more serious condition (BP > or = 140/90 mmHg or increase in BP from the 1st trimester > or = 25/15 mmHg). It is generated by placental ischemia and creates maternal endothelial lesions which in turn decrease the blood flow to placenta leading to maternal and fetal syndromes. Hospitalisation is mandatory. No measure other than delivery is known to attenuate or reverse its progression. Treating hypertension during pregnancy (when blood pressure > or = 170/110 mmHg) aims at preventing maternal risk (stroke or eclampsia) but has few effect on foetal lesions. Prevention of this syndrome, which represents the first secondary cause of hypertension, is until now disappointing. [less ▲]

Hypertension réfractaire : diagnostic et prise en charge

Conference (2012, February 11)

Hypertension, obesity, is the dietary sodium restriction yet useful?

in Acta Clinica Belgica (1990, April), 45(5), 359