Tiphaine Charmillot, Marie Méan, Omar Kherad, Nathalie Chèvre, Nicolas Senn, Sylvain De Lucia
{"title":"[Health-environment. Integrating environmental considerations into decision making].","authors":"Tiphaine Charmillot, Marie Méan, Omar Kherad, Nathalie Chèvre, Nicolas Senn, Sylvain De Lucia","doi":"10.53738/REVMED.2025.21.908.460","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.908.460","url":null,"abstract":"<p><p>Environmental degradation, the number one threat to humanity, is increasingly impacting health. Healthcare systems contribute significantly to this pollution, particularly through greenhouse gas emissions from pharmaceuticals. Healthcare professionals can take action by reducing the use of low-value medicines, as recommended by \"smarter medicine - Choosing Wisely Switzerland.\" This convergence between eco-friendly medicine and Choosing Wisely initiatives is illustrated in this article by an \"eco-top 5 list\" of drugs whose reduced use would benefit both patients and the environment.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 908","pages":"460-464"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Dyspnea: initial management and specifics in congestive heart failure].","authors":"Roswitha Schreier, Selma T Cook, Serban G Puricel","doi":"10.53738/REVMED.2025.21.908.417","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.908.417","url":null,"abstract":"<p><p>Dyspnea is a complex symptom with diverse etiologies, primarily cardiopulmonary. Initial evaluation requires a structured approach to exclude life-threatening causes such as pneumothorax, pulmonary embolism, or acute heart failure. Detailed anamnesis, clinical examination, and targeted diagnostic tests, including NT-proBNP levels, ECG, and thoracic imaging, are essential for accurate assessment. Heart failure, a common cause of dyspnea, is classified by left ventricular ejection fraction into HFrEF, HFmrEF, and HFpEF. Prompt diagnosis using tools like the FIND-HF acronym improves outcomes. Tailored management combining pharmacological and non-pharmacological strategies addresses symptoms, reduces hospitalizations, and enhances quality of life.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 908","pages":"417-423"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ces vaccinations qui n’ont pas lieu (et leur pouvoir réformateur).","authors":"Laurence Monnais","doi":"10.53738/REVMED.2025.21.908.472","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.908.472","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 908","pages":"472"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alain Tavildari, Raluca Alexe, Alexandru Ceamburu, Loïc Dällenbach, Valérie Duchatelle, Dejan Jovic, John Kikoïne, Christophe Sierro, Christophe Constantin, Grégoire Girod
{"title":"[Coronary CT: from anatomy to physiology].","authors":"Alain Tavildari, Raluca Alexe, Alexandru Ceamburu, Loïc Dällenbach, Valérie Duchatelle, Dejan Jovic, John Kikoïne, Christophe Sierro, Christophe Constantin, Grégoire Girod","doi":"10.53738/REVMED.2025.21.908.442","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.908.442","url":null,"abstract":"<p><p>Coronary CT is pivotal in diagnosing coronary artery disease, addressing epicardial stenosis, vulnerable plaques, and microvascular dysfunction. Technological and AI advancements enable simultaneous anatomical and physiological evaluation. Stenosis assessment now integrates ischemia evaluation and therapeutic planning. Vulnerable plaques are analyzed through atheroma burden, inflammation, and wall shear stress, aiding in predicting major cardiac events. Microvascular dysfunction is assessed via myocardial perfusion imaging. As an essential tool for precision medicine, coronary CT offers a comprehensive approach to this multifaceted disease, enhancing diagnosis, risk stratification, and tailored management.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 908","pages":"442-448"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Effects of red meat consumption during pregnancy. Issues, risks and dietary alternatives].","authors":"Lidia Pascal, Caroline Benski, Marie-Benoîte Cohen","doi":"10.53738/REVMED.2025.21.908.455","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.908.455","url":null,"abstract":"<p><p>Excessive consumption of red meat is harmful to our health (cardio-vascular disease, cancer, diabetes) and to the environment. However, its effects on pregnancy are still poorly understood. The aim of this literature review was to examine the effects of a diet rich in red meat or, on the contrary, a vegetarian diet, on the course of pregnancy and fetal development. A correlation was found between a high intake of red meat and the risk of developing gestational diabetes, while a vegetarian diet, although associated with a risk of vitamin B12 and iron deficiency, does not appear to pose a risk if it is well balanced. However, current data on this subject is insufficient and should be further developed, especially in the context of the climate crisis.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 908","pages":"455-459"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Les larmes de la neige.","authors":"Estelle Delamare","doi":"10.53738/REVMED.2025.21.908.470","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.908.470","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 908","pages":"470-471"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Haetam Mian, Malica Cook, Diego Arroyo, Mario Togni
{"title":"[Chest pain: diagnostic approach and coronary syndromes].","authors":"Haetam Mian, Malica Cook, Diego Arroyo, Mario Togni","doi":"10.53738/REVMED.2025.21.908.436","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.908.436","url":null,"abstract":"<p><p>Chest pain, a frequent reason for medical consultation, can have benign causes or be a sign of serious conditions requiring thorough assessment. Identifying \"red flags\" (hypotension, tachycardia) and conducting a comprehensive evaluation, including medical history, vital signs, electrocardiogram (ECG), biomarkers, and imaging, is essential to distinguish between benign and critical causes. Acute coronary syndromes, such as ST-elevation/non-ST-elevation myocardial infarction, are guided by European recommendations based on troponins and 24-hour ECG monitoring. Chronic coronary syndromes require early screening for risk factors, lifestyle optimisation, and personalised treatment, improving diagnosis, management, and outcomes.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 908","pages":"436-441"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julien Regamey, Vincent Gabus, Rita Godinho, Nathalie Noirclerc, Christian Roguelov, Rodrigue Stettler, Catalina Trana
{"title":"[Initial management of a new-onset atrial fibrillation in 10 questions].","authors":"Julien Regamey, Vincent Gabus, Rita Godinho, Nathalie Noirclerc, Christian Roguelov, Rodrigue Stettler, Catalina Trana","doi":"10.53738/REVMED.2025.21.908.432","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.908.432","url":null,"abstract":"<p><p>New-onset atrial fibrillation is frequently encountered in internal medicine or after surgery. The European Society of Cardiology 2024 guidelines may appear too detailed or even too complex for the non-specialist looking for quick answers on the topic. The aim of this article is to answer 10 questions about the initial management of this disease in a synthetic and practical way according to the most recent guidelines.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 908","pages":"432-435"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Le cœur a ses raisons que la raison ne connaît point.","authors":"Stéphane Cook, Grégoire Girod","doi":"10.53738/REVMED.2025.21.908.415","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.908.415","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 908","pages":"415"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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