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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 ▲]

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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

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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 ▲]

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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 ▲]

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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 ▲]

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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

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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 ▲]

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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 ▲]

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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 ▲]

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See detailLa prise en charge de l'insuffisance rénale chronique en médecine générale
Krzesinski, Jean-Marie ULg

Diverse speeche and writing (2010)

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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 ▲]

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See detailPrise en charge de la douleur chronique
Martin, Didier ULg

Scientific conference (2005, November)

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See detailPrise en charge de la douleur chronique en Belgique : passé, présent et futur
Berquin, Anne; FAYMONVILLE, Marie-Elisabeth ULg; Deseure, Kristof et al

Report (2011)

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See detailPrise en charge de la douleur chronique en équipe pluridisciplinaire
Fontaine, Robert ULg; Fuchs, Sonia; Hardy, Régine ULg et al

in Revue Médicale de Liège (2004), 59(2), 81-88

Assessment of chronic pain is one of medicine's most difficult challenges. A structured and flexible multidisciplinary approach allows full characterisation of the various components of the pain syndrome ... [more ▼]

Assessment of chronic pain is one of medicine's most difficult challenges. A structured and flexible multidisciplinary approach allows full characterisation of the various components of the pain syndrome. This then allows the use of a rational combination of pharmacologic, physical, psychological, and surgical techniques. It is essential to gain the patient's confidence, collaboration, and compliance. Patients can better manage their situation when their needs are clarified and when care is oriented toward concrete therapeutic objectives. [less ▲]

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See detailPrise en charge de la douleur chronique non cancéreuse en Belgique : un état des lieux
BERQUIN, Anne; FAYMONVILLE, Marie-Elisabeth ULg; DESEURE, Kristof et al

in Douleur et Analgésie (2012), 25

From 2005, a global policy aiming to improve chronic pain management is progressively installed in Belgium. Three types of structures presently exist : 73 algological functions, 36 multidisciplinary pain ... [more ▼]

From 2005, a global policy aiming to improve chronic pain management is progressively installed in Belgium. Three types of structures presently exist : 73 algological functions, 36 multidisciplinary pain teams, and 9 multidisciplinary reference centers. On request of the Belgiun Ministry of Public Health, an interuniversity research team conducted an evaluation (in 2010-2011) of these structures and recommendations for the future. Their observations and conclusions are summarized in this paper. [less ▲]

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See detailPrise en charge de la douleur en pediatrie apres chirurgie ambulatoire
Hallet, Claude ULg; Kirsch, Murielle ULg; Hick, Gaëtane ULg et al

in Revue Médicale de Liège (2007), 62(11), 679-84

Over the last fifteen years, child's pain has become one of our major concerns. In spite of this evolution, it remains one of the most frequent complications after ambulatory surgery. It is thus essential ... [more ▼]

Over the last fifteen years, child's pain has become one of our major concerns. In spite of this evolution, it remains one of the most frequent complications after ambulatory surgery. It is thus essential to implement all the resources we have at our disposal in order to optimize pain management. This can be obtained by basing our strategy on the concept of multimode analgesia. It is consequently essential that each team can achieve its own quality program; the corollary will be the development of clear recommendations for the parents with a systematic analgesics regulation at home and the possibility to resort to the family doctor or to the ambulatory centre in the event of persistence of pain. [less ▲]

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