Browsing
     by title


0-9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

or enter first few letters:   
OK
Full Text
Peer Reviewed
See detailLa prise en charge cardiaque preoperatoire du patient vasculaire
Van Damme, Hendrik ULg; Larbuisson, Robert ULg; Limet, Raymond ULg

in Revue Médicale de Liège (2003), 58(6), 409-14

Peripheral vascular surgery (carotid, infrainguinal or aortoiliacal) is characterised by an increased cardiac risk with an infarction rate of 1 to 4%. Sixty percent of the vascular patients present a ... [more ▼]

Peripheral vascular surgery (carotid, infrainguinal or aortoiliacal) is characterised by an increased cardiac risk with an infarction rate of 1 to 4%. Sixty percent of the vascular patients present a concomitant coronary artery disease, often infraclinically. Preoperative cardiac risk stratification aims at reducing cardiac related morbidity and mortality. A clinical risk profile (patient's past history) and non-invasive cardiac tests allow subdividing the vascular patients into three categories: high risk, intermediate risk, and low risk. High-risk patients (unstable angina, recent infarction, overt congestive heart failure and critical aortic valve stenosis) require immediate intensive management of their underlying cardiac disease. This means delay or annulation of the planned vascular operation. For intermediate risk patients, a clinical cardiac risk index based on patient's past history (stable angina, previous infarction or episode of congestive heart failure, age of 70 years or more and diabetes) offers a rough orientation. These clinical markers lack specificity, since they are found in almost all vascular patients. The adjunction of a non-invasive cardiac testing allows to optimise the cardiac risk evaluation. Stress echocardiography with dobutamine has become a very popular test, with a negative predicting value exceeding 90%, but with a lack of specificity (many vascular patients have an uneventful postoperative outcome, despite a positive dobutamine test). These inconsistent results of cardiac risk evaluation render their routine use questionable. Nowadays, the management of patients requiring vascular surgery is based on the concept that every vascular patient should be considered as suffering from coronary artery disease. A certain degree of myocardial protection should be offered to every vascular surgery candidate. A preoperative treatment with betablockers provides myocardial protection against the operative stress and lowers myocardial oxygen requirement. There are arguments to continue or start aspirin treatment in the preoperative period, in order to lower the risk of sudden coronary thrombosis. [less ▲]

Detailed reference viewed: 28 (3 ULg)
See detailLa prise en charge cognitive dans les stades débutants de la maladie d'Alzheimer
Adam, Stéphane ULg

Scientific conference (2002, May 27)

Detailed reference viewed: 3 (0 ULg)
See detailLa prise en charge cognitive de la démence
Adam, Stéphane ULg

Scientific conference (2003, November 22)

Detailed reference viewed: 20 (0 ULg)
See detailPrise en charge cognitive des démences : bonne interaction entre clinique et techniques ...
Adam, Stéphane ULg

Scientific conference (2013, June 11)

Detailed reference viewed: 24 (3 ULg)
Full Text
Peer Reviewed
See detailLa prise en charge cognitive des traumatismes crâniens légers
Coyette, Françoise; Adam, Stéphane ULg

in Meulemans, Thierry; Azouvi, Philippe; Coyette, Françoise (Eds.) et al Neuropsychologie des traumatismes crâniens légers (2004)

Detailed reference viewed: 74 (11 ULg)
Full Text
See detailPrise en charge d'enfants en malnutirition dans un centre de réhabilitation nutitionnelle à Ouagadougou
Franckh, Marc ULg

Master of advanced studies dissertation (2008)

Detailed reference viewed: 29 (8 ULg)
Full Text
See detailPrise en charge de l'acromégalie 2011
Livadariu, Elena; Auriemma, R.; Cloix, L. et al

in Mises au point cliniques d'Endocrinologie, nutrition et métabolisme 2011 (2011, November)

Detailed reference viewed: 44 (3 ULg)
Full Text
Peer Reviewed
See detailPrise en charge de l'apathie dans la maladie d'Alzheimer par le maintien d'un domaine d'expertise: Etude d'un cas
Basse, Catherine; Perrin, M.; Adam, Stéphane ULg

in Adam, Stéphane; Allain, Philippe; Aubin, Ghislaine (Eds.) et al Actualités en rééducation neuropsychologique: Etudes de cas (2009)

Detailed reference viewed: 158 (15 ULg)
Full Text
See detailPrise en charge de l'hypertension artérielle chez la femme enceinte en 2011
Krzesinski, Jean-Marie ULg

in Le journal du Médecin (2011), 2155

L'HTA de grossesse ne doit pas être banalisée, elle doit être traitée sans excès avec arrêt immédiat des ISRA. En présence d'une PA fort élevée ou d'une protéinurie, l'hospitalisation est requise pour le ... [more ▼]

L'HTA de grossesse ne doit pas être banalisée, elle doit être traitée sans excès avec arrêt immédiat des ISRA. En présence d'une PA fort élevée ou d'une protéinurie, l'hospitalisation est requise pour le suivi et un éventuel accouchement. Après une pré-éclampsie, les patientes doivent être suivies car elles sont à risque de troubles cardiovasculaires et rénaux. La prévention des récidives peut passer par de l'aspirine à faible dose. [less ▲]

Detailed reference viewed: 37 (1 ULg)
Full Text
See detailPrise en charge de l'hypertension artérielle chez le diabétique
Krzesinski, Jean-Marie ULg

Conference (2011, May 21)

Prise en charge de l'hypertension artérielle chez le patient diabétique

Detailed reference viewed: 22 (7 ULg)
Full Text
Peer Reviewed
See detailPrise en charge de l'hypertension artérielle du patient âgé
XHIGNESSE, Patricia ULg; Saint-Remy, Annie ULg; Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2014), 69(5-6), 294-300

High blood pressure is very frequent in the elderly; it represents a real threat for the patient’s health and a source of huge costs for the economic system. Systolic hypertension is the most frequent ... [more ▼]

High blood pressure is very frequent in the elderly; it represents a real threat for the patient’s health and a source of huge costs for the economic system. Systolic hypertension is the most frequent form observed in the old, due to large arteries stiffness. Antihypertensive therapy has proven effective to decrease significantly the cardiovascular morbi-mortality and total mortality in this population. A non pharmacological approach is also very useful, but should not be too restrictive. Blood pressure target in patients older than 65 (and, particularly, in octogenarians) is 150/80 mmHg. Blood pressure should be checked in the upright position before changing the drug dosage. The first line therapy in the old should generally be a calcium channel antagonist or a low dose diuretic. [less ▲]

Detailed reference viewed: 12 (3 ULg)
Full Text
See detailPrise en charge de l'hypertension chez la femme enceinte en 2011
Krzesinski, Jean-Marie ULg

Conference (2011, February 26)

L'hypertension pendant la grossesse ne doit pas être banalisée. Si HTA gestationnelle, à confirmer 6h plus tard, rechercher une protéinurie et/ou des facteurs de risque. Traiter sans excès et arrêter tout ... [more ▼]

L'hypertension pendant la grossesse ne doit pas être banalisée. Si HTA gestationnelle, à confirmer 6h plus tard, rechercher une protéinurie et/ou des facteurs de risque. Traiter sans excès et arrêter tout de suite les ISRA. Si PA fort élevée ou présence d'une protéinurie, hospitaliser pour suivi et éventuel accouchement. Après une prééclampsie, suivre les patientes car risque de troubles cardio-vasculaires et rénaux. Prévention des récidives : aspirine à faible dose. [less ▲]

Detailed reference viewed: 29 (4 ULg)
Full Text
See detailPrise en charge de l'hypertension. Nouvelles recommandations et objectifs à atteindre chez le diabétique (DT).
Krzesinski, Jean-Marie ULg

Scientific conference (2013, November 16)

La prise en charge de l’HTA chez le DT est importante car cette double pathologie expose à un risque majeur cardiovasculaire et rénal. L’approche doit être multifactorielle et globale. Pour l’HTA, la ... [more ▼]

La prise en charge de l’HTA chez le DT est importante car cette double pathologie expose à un risque majeur cardiovasculaire et rénal. L’approche doit être multifactorielle et globale. Pour l’HTA, la cible préconisée est actuellement de 140/85 mmHg mais on peut imaginer qu’un patient sans comorbidité puisse atteindre une cible plus basse. [less ▲]

Detailed reference viewed: 10 (2 ULg)
Full Text
See detailPrise en charge de l'hyperuricémie
Krzesinski, Jean-Marie ULg

Conference (2013, May 30)

Plan du diaporama : •Métabolisme de l’acide urique •Risques de l’hyperuricémie•Goutte •Autres •Traitements •De la crise aiguë •De fond •Hyperuricémie asymptomatique •Cas cliniques

Detailed reference viewed: 35 (2 ULg)
Full Text
Peer Reviewed
See detailPrise en charge de l'insuffisance mitrale fonctionnelle
Pierard, Luc ULg; LANCELLOTTI, Patrizio ULg

in Revue Médicale de Liège (2007), 62 Spec No

Functional mitral regurgitation (MR) is a frequent complication of systolic heart failure resulting from left ventricular remodeling and apical dispacement of the coaptation point. Functional MR is ... [more ▼]

Functional mitral regurgitation (MR) is a frequent complication of systolic heart failure resulting from left ventricular remodeling and apical dispacement of the coaptation point. Functional MR is associated with an increased mortality. It is characteristically dynamic. The dynamic component can be assessed and quantified by exercise Doppler echocardiography and has clinical and prognostic implications. Several therapeutic modalities can be used in the management of functional MR. Optimal medical treatment is mandatory. Selected patients are improved by cardiac resynchronization therapy. Mitral valve repair--undersized annuloplasty--can be useful but the indications are still controversial. Percutaneous annul loplasty is feasible. The first implantation in the world of one of the devices has been performed in CHU Liege. [less ▲]

Detailed reference viewed: 6 (1 ULg)
Full Text
Peer Reviewed
See detailPrise en charge de l'insuffisance rénale chronique à l’occasion de la journée Mondiale du rein Jeudi 13 mars 2008
Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2009), 64(2), 71-72

Chronic kidney disease is a worldwide growing problem, especially due to three factors very often encountered together (old age, diabetes mellitus and arterial hypertension). A multidisciplinary approach ... [more ▼]

Chronic kidney disease is a worldwide growing problem, especially due to three factors very often encountered together (old age, diabetes mellitus and arterial hypertension). A multidisciplinary approach is needed to reduce this epidemic that has important health implications.This needs of course well trained health partners. On the occasion of the world kidney day on March 2008, four lectures were given, which gave an updated overview of the management of chronic kidney insufficiency, a serious problem of public health. [less ▲]

Detailed reference viewed: 49 (2 ULg)
Full Text
Peer Reviewed
See detailLa prise en charge de l'insuffisance rénale chronique avant la dialyse
Smelten, Nicole; Krzesinski, Jean-Marie ULg

in Revue Médicale de Liège (2009), 64(2), 79-85

Chronic renal failure is usually a silent disease until its late stage, especially in elderly people. Screening for such disease is particularly useful in hypertensive diabetic patients above 50 years ... [more ▼]

Chronic renal failure is usually a silent disease until its late stage, especially in elderly people. Screening for such disease is particularly useful in hypertensive diabetic patients above 50 years. The causes are indeed often vascular or metabolic (directly or not directly linked to diabetes mellitus). Other less frequent causes are yet possible. The search for the right diagnosis of renal insufficiency is always requested to apply the appropriate treatment, combined with medical measures for secondary and tertiary prevention. This review will give general advices to avoid the development of renal disease (stages 3 and 4) or its progression, and also insist on the potential nephrotoxic effects of some drugs. [less ▲]

Detailed reference viewed: 217 (5 ULg)
See detailLa prise en charge de l'insuffisance rénale chronique en médecine générale
Krzesinski, Jean-Marie ULg

Diverse speeche and writing (2010)

Detailed reference viewed: 11 (1 ULg)
Full Text
Peer Reviewed
See detailPrise en charge de l'insuffisance rénale chronique légère à modérée
Krzesinski, Jean-Marie ULg; Crismer, André ULg

in Revue Médicale de Liège (2006), 61(5-6, May-Jun), 405-13

The prevalence of chronic renal insufficiency, the cost related to its presence and the associated high cardiovascular risk are increasing. Early detection is needed, with, in parallel, identification of ... [more ▼]

The prevalence of chronic renal insufficiency, the cost related to its presence and the associated high cardiovascular risk are increasing. Early detection is needed, with, in parallel, identification of all frequently associated cardiovascular risk factors. The general practitioner here plays a major role. Sometimes, a first reference to the nephrologist is requested, for instance in the presence of a nephritic or nephrotic syndrome, of an alteration of glomerular filtration rate without any clear explanation , or of a rather advanced renal dysfunction (a GFR < 60 ml/min in people < 65 years or < 45 ml/min in the others). This paper is concerned with mild and moderate forms of kidney disease (stages 1 to 3). In case of progression, a closer collaboration must exist between the general practitioner, the nephrologist and a trained dietician to slow down this progression, limit its consequences and delay as long as possible the initiation of kidney function supplying techniques. [less ▲]

Detailed reference viewed: 228 (6 ULg)