Archives des maladies du coeur et des vaisseaux最新文献_第2页

[Obesity and high blood pressure in French West Indies women, some difference according to definition of obesity; BMI or abdominal obesity]. 法属西印度群岛女性的肥胖和高血压，根据肥胖的定义有所不同;BMI或腹部肥胖]。

Archives des maladies du coeur et des vaisseaux Pub Date : 2007-12-01 DOI: 10.1097/01.HJH.0000298989.64150.F6

A. Atallah, J. Inamo, T. Lang, L. Larabi, G. Chatellier, J. Rozet, R. de Gaudemaris

{"title":"[Obesity and high blood pressure in French West Indies women, some difference according to definition of obesity; BMI or abdominal obesity].","authors":"A. Atallah, J. Inamo, T. Lang, L. Larabi, G. Chatellier, J. Rozet, R. de Gaudemaris","doi":"10.1097/01.HJH.0000298989.64150.F6","DOIUrl":"https://doi.org/10.1097/01.HJH.0000298989.64150.F6","url":null,"abstract":"OBJECTIVES\u0000To compare prevalence of abdominal obesity with obesity defined as BMI >or=30 kg/m2 in a West Indies population, and to define the relation between obesity and hypertension.\u0000\u0000\u0000METHODS\u0000A cross-sectional study of 2420 consecutive unemployed subjects referred for check-up in the two health centres of Guadeloupe, a French Caribbean island. Height and weight were measured and the body mass index (BMI) was calculated as weight/height2 (kg/m2). Obesity was defined as BMI >or=30 kg/m2 and excess weight as BMI >or=25 kg/m2 and<30 kg/m2. Abdominal obesity was defined as waist measurement more than 88 cm for women and more than 102 cm for men.\u0000\u0000\u0000RESULTS\u0000[table: see text]\u0000\u0000\u0000CONCLUSION\u0000A high prevalence of obesity was observed in this Caribbean population suggesting the interest of primary prevention in The Caribbean. In women, abdominal obesity (waist measurement>88 cm) was more frequent than obesity defined as BMI>30 kg/m2). In a multivariate analysis, obesity is an independent risk factor of hypertension (Odds-ratio=3), however the definition of obesity.","PeriodicalId":8144,"journal":{"name":"Archives des maladies du coeur et des vaisseaux","volume":"111 1","pages":"609-14"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77742282","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}

引用次数: 7

[Mitochondrial cardiomyopathy in an adult: a case history]. [成人线粒体心肌病:一个病例史]。

Archives des maladies du coeur et des vaisseaux Pub Date : 2007-12-01

L Tafanelli, J-F Avierinos, F Thuny, J-F Pelissier, A Jacquier, S Renard, N Amabile, J-Y Gaubert, G Habib

引用次数: 0

[Hypertension and acromegaly in the elderly: French Registry Data]. [老年人高血压和肢端肥大症:法国注册数据]。

Archives des maladies du coeur et des vaisseaux Pub Date : 2007-12-01 DOI: 10.1097/01.HJH.0000298988.87020.9A

O. Dupuy, T. Petrossian, L. Bordier, H. Mayaudon, B. Bauduceau

{"title":"[Hypertension and acromegaly in the elderly: French Registry Data].","authors":"O. Dupuy, T. Petrossian, L. Bordier, H. Mayaudon, B. Bauduceau","doi":"10.1097/01.HJH.0000298988.87020.9A","DOIUrl":"https://doi.org/10.1097/01.HJH.0000298988.87020.9A","url":null,"abstract":"UNLABELLED\u0000Multi centre registries such as the French Acromegaly Registry created in 1999 provide data on rare disorders that are otherwise difficult to obtain. This study focuses on the characteristics of high blood pressure in people aged of over 70 years old.\u0000\u0000\u0000PATIENTS AND METHODS\u0000The data were obtained from the thirty centres where patients had been recorded on the Acromegaly Registry since 1999.\u0000\u0000\u0000RESULTS\u0000The Register listed a total of 644 patients with acromegaly at January 1st 2005, of whom 68 (22 men and 46 women) were aged over 70 years old (10.6%). Their mean age was 76.8 +/- 5 years (range 70 - 95) and they had been presenting acromegaly for 11 +/- 6 years (compared to 7 years in those aged less than 70). Their BMI were 27.9 +/- 4 kg/m2 for men, 27.7 +/- 4 for women (respectively 28.4 +/- 4.3 and 26.7 +/- 4.4 in those aged less than 70 years). Hypertension was particularly frequent in this population, reaching 80% vs. 27% under 70 years (p=0.0001). Prevalence was then higher than in general population (referring to FLAHS study). Mean blood pressure was 143 +/- 12 / 84 +/- 15 mmHg for men and 141 +/- 17 / 79 +/- 9 for women. 46% of men and 30% of women treated or not, had blood pressure over 140 / 90 mmHg. Data showed 12% of arrhythmic cardiopathy, 8% of cardiac insufficiency, 12% of ischemic cardiopathy and 12% of patients suffering from arteritis or stroke. Although various therapeutic strategies had been applied for young and elderly patients, 51% in each group were in remission one year after inclusion.\u0000\u0000\u0000DISCUSSION\u0000More than 10% of patients are aged over 70 years in the French Acromegaly Registry and hypertension is very frequently observed in this population. The increasing life expectancy due to currently available treatments justifies a strict management of patients in order to reduce cardiovascular risks, which stay the main cause of morbidity and mortality.","PeriodicalId":8144,"journal":{"name":"Archives des maladies du coeur et des vaisseaux","volume":"7 1","pages":"660-3"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89090445","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}

引用次数: 6

[Ten-year incidence of high blood pressure in the general population: influence of clinical parameters, and implication for screening strategies]. [普通人群十年高血压发病率:临床参数的影响及筛查策略的意义]。

Archives des maladies du coeur et des vaisseaux Pub Date : 2007-12-01 DOI: 10.1097/01.hjh.0000298984.33655.04

M. Tourdjman, D. Jacobi, P. Petit, S. Vol, J. Tichet, J. Halimi

{"title":"[Ten-year incidence of high blood pressure in the general population: influence of clinical parameters, and implication for screening strategies].","authors":"M. Tourdjman, D. Jacobi, P. Petit, S. Vol, J. Tichet, J. Halimi","doi":"10.1097/01.hjh.0000298984.33655.04","DOIUrl":"https://doi.org/10.1097/01.hjh.0000298984.33655.04","url":null,"abstract":"BACKGROUND\u0000International guidelines recommend to modulate the periodicity of hypertension screening according to the initial level of blood pressure (BP). The aim of our study was to evaluate other factors that could be useful to optimise the screening for hypertension.\u0000\u0000\u0000METHODS\u00009777 normotensive volunteers (4151 men, 5626 women) aged 16 to 68, studied at a 10 year interval during systematic health check ups (standardised questionnaire, clinical examination, biological tests) were included. We determined the 10-year incidence of high BP (systolic BP >or=140 mmHg and/or diastolic BP >or=90 mmHg and/or anti-hypertensive treatment). The role of potential risk factors for hypertension was assessed.\u0000\u0000\u0000RESULTS\u0000The 10 year incidence of high BP was 19.9%. It was associated with the initial level of BP (OR=2.02 and 1.81 per +10 mmHg of systolic and diastolic BP, respectively, p<0.0001). Initial age and BMI were strongly associated with the incidence of a high BP (OR=1.88 / + 10 years and 1.18 / + 1 kg/m2, p<0.0001) after adjustment for the initial systolic BP. In men, a low reported physical activity level, alcohol consumption, and current smoking were independent risk factors (Table1). [table: see text]\u0000\u0000\u0000CONCLUSION\u0000These results suggest that the recommendations for the screening of hypertension should not be based solely on the initial level of BP.","PeriodicalId":8144,"journal":{"name":"Archives des maladies du coeur et des vaisseaux","volume":"155 1","pages":"615-9"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88679014","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}

引用次数: 5

[Effectiveness of a health network in secondary prevention among coronary patients]. [卫生网络在冠心病患者二级预防中的有效性]。

Archives des maladies du coeur et des vaisseaux Pub Date : 2007-12-01 DOI: 10.1097/01.HJH.0000298991.09892.7D

T. Denolle, A. Sharareh, M. Dib, M.-F. Agaesse, V. Auguste, H. Boutier, C. Bouvet, J. Maillard, A. Richard, F. Revault d'allonnes

{"title":"[Effectiveness of a health network in secondary prevention among coronary patients].","authors":"T. Denolle, A. Sharareh, M. Dib, M.-F. Agaesse, V. Auguste, H. Boutier, C. Bouvet, J. Maillard, A. Richard, F. Revault d'allonnes","doi":"10.1097/01.HJH.0000298991.09892.7D","DOIUrl":"https://doi.org/10.1097/01.HJH.0000298991.09892.7D","url":null,"abstract":"OBJECTIVE\u0000To improve the secondary prevention, particularly hypertension management among coronary patients.\u0000\u0000\u0000METHODS\u0000In 2004-2005, out of 175 coronary patients having taken part in a cycle of the Educoeur center of the health network Rivarance, 131 (75%) aged between 32-79 years of age (an average of 61 years with 11% women, 52% hypertensive, 24% smokers, 10% diabetics and 72% with unbalanced dyslipidemia (LDL>1g/l)) were re-examined within 12 months and were compared with a French cohort of the EuroAspire II study (365 patients - Lancet 2001). 56% were treated by angioplasty, 24% by coronary bypass and 20% by medical treatment. The 4-week ambulatory educational program consisted of a physical education with 22 meetings of cardiac rehabilitation (ergo cycle, carpet, segmentary muscular work, steps and balneotherapy) and a therapeutic and dietetic education (18 courses and cooking workshops, supermarket visits and self BP measurement). These 131 patients were re-examined 3, 6 and 12 months after by the paramedical team. The GP and nurses were taught recommendations on CV risk factors management. The patients were followed by a computerized medical file. BP (average of 3 measurements by OMRON M4), total cholesterol (CT), weight, physical activity (insufficient if less than 3 walks of 30 min per week), smoking and drugs intake were analyzed on J0 then at one year and were compared with the French results of EuroAspire II. [table: see text]\u0000\u0000\u0000CONCLUSION\u0000The education and the follow-up of the patient in a network of health improve CV risk factors and particularly hypertension management of these coronary patients but this decreases with time.","PeriodicalId":8144,"journal":{"name":"Archives des maladies du coeur et des vaisseaux","volume":"542 1","pages":"625-9"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77712319","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}

引用次数: 0

[Modifications of 24-h blood pressure profile associated with reduction of the heart rate variability in type 1 diabetic patients]. [1型糖尿病患者24小时血压谱的改变与心率变异性降低相关]。

Archives des maladies du coeur et des vaisseaux Pub Date : 2007-12-01 DOI: 10.1097/01.hjh.0000298998.04054.d1

C. Garcia, H. Mayaudon, L. Bordier, J. Le Berre, O. Dupuy, B. Bauduceau

{"title":"[Modifications of 24-h blood pressure profile associated with reduction of the heart rate variability in type 1 diabetic patients].","authors":"C. Garcia, H. Mayaudon, L. Bordier, J. Le Berre, O. Dupuy, B. Bauduceau","doi":"10.1097/01.hjh.0000298998.04054.d1","DOIUrl":"https://doi.org/10.1097/01.hjh.0000298998.04054.d1","url":null,"abstract":"UNLABELLED\u0000The purpose of this study was to assess the blood pressure modifications in type 1 diabetic patients who present reduction of heart rate variability.\u0000\u0000\u0000PATIENTS AND METHODS\u0000This study included 70 type 1 diabetic patients (mean age: 42 +/- 13 years, diabetes duration: 13.2 +/- 9 years. They were free for complications and did not receive other treatment than insulin. Heart rate variability was evaluated using 24-h continuous ECG record spectral analysis. Patients were divided into two groups according to whether log high frequency power was lower (group 1, N=36) or higher (group 2, N=3 4) than 70 patients'mean. Clinical and biological features and 24-h ambulatory blood pressure measurement were compared in both groups.\u0000\u0000\u0000RESULTS\u0000Patients of group 1 were older than group 2 (47.8 +/- 11.2 vs. 35.7 +/- 12.2 years, p<0.0001) and diabetes duration was higher (16.9 +/- 8.4 vs. 9.4 +/- 8 years, p<0.001). BMI and Hb A1c did not differ from significant in both. Night-time blood pressure was upper in group 1 (SBP: 112 +/- 13 vs. 103 +/- 11 mmHg, p<0.01 and DBP: 66 +/- 8 vs. 60 +/- 7 mmHg, p<0.001). The difference between blood pressures during day and night (DeltaBP) were lower in group 1 than in group 2 (DeltaSBP: 10 +/- 9 vs. 15 +/- 7 mmHg, p<0.02 and DeltaDeltaBP: 9 +/- 7 vs. 12 +/- 5 mmHg, p<0.04). DSBP and DDBP were found to be correlated with log HF power (r=0.356, p<0.003), which could explain 11.8% and 12% of their variance. Urinary albumin excretion rate was higher in group 1 (8 +/- 4 vs. 5 +/- 3 mg/24h, p<0.01).\u0000\u0000\u0000CONCLUSION\u0000In type 1 diabetic patients free for complications, reduction in heart rate variability linked to age and diabetes duration is associated with a reduction in nighttime BP fall. These two parameters of autonomic neuropathy could have a pathogenic role in the development of incipient nephropathy.","PeriodicalId":8144,"journal":{"name":"Archives des maladies du coeur et des vaisseaux","volume":"45 1","pages":"699-703"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80717501","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}

引用次数: 2

[Market licensing authorisation: medico-legal impact]. [市场许可授权:医疗法律影响]。

Archives des maladies du coeur et des vaisseaux Pub Date : 2007-12-01

F Claudot, Y Juillière, H Coudane

引用次数: 0

[Genetic aspects of valvulopathies]. [瓣膜病的遗传方面]。

Archives des maladies du coeur et des vaisseaux Pub Date : 2007-12-01

F Kyndt, S Le Scouarnec, P Jaafar, J-P Gueffet, A Legendre, J-N Trochu, V Jousseaume, A Chaventré, J-J Schott, H Le Marec, V Probst

{"title":"[Genetic aspects of valvulopathies].","authors":"F Kyndt, S Le Scouarnec, P Jaafar, J-P Gueffet, A Legendre, J-N Trochu, V Jousseaume, A Chaventré, J-J Schott, H Le Marec, V Probst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Valvular dystrophies due to myxoid degeneration are common and potentially serious cardiac pathologies. They constitute a heterogeneous group of which the most usual is idiopathic mitral valvular prolapse (Barlow's disease). The majority of mitral valvular prolapses are sporadic, but there are several familial forms. Transmission is usually autosomal dominant with incomplete penetrance and variable expression. The first chromosomal location to be identified was on the 16p11-13 chromosome. Since then, two other loci have been identified on the 11p15.4 and 13q31-32 chromosomes. Our team has recently identified the first gene responsible for myxoid valvulopathy linked to the X chromosome, from a large family of 318 members. This is the gene that codes for filamin A, which is a cytoskeleton protein. The frequency of mutations in this gene is still unknown, but out of 7 families in which transmission was compatible with X-linked transmission, mutations were discovered in 4 of the families. Thanks to a genetic epidemiological approach, we have also demonstrated that there are familial forms of aortic stenosis, which are probably common. Identification of the genes implicated in these common forms of valvular pathology is important, as it will allow a better understanding of the pathophysiology of these valvular disorders and could lead to better therapeutic management in the future.</p>","PeriodicalId":8144,"journal":{"name":"Archives des maladies du coeur et des vaisseaux","volume":"100 12","pages":"1013-20"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27220215","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}

引用次数: 0

[Ischemic mitral regurgitation]. [缺血性二尖瓣反流]。

Archives des maladies du coeur et des vaisseaux Pub Date : 2007-12-01

P Lancellotti, M Moonen, D Zacharakis, L Pierard

引用次数: 0

[Hypertension in the metabolic syndrome among Caribbean non diabetic subjects]. [加勒比地区非糖尿病患者代谢综合征中的高血压]。

Archives des maladies du coeur et des vaisseaux Pub Date : 2007-12-01 DOI: 10.1097/01.HJH.0000298987.79397.2C

L. Foucan, J. Vaillant

{"title":"[Hypertension in the metabolic syndrome among Caribbean non diabetic subjects].","authors":"L. Foucan, J. Vaillant","doi":"10.1097/01.HJH.0000298987.79397.2C","DOIUrl":"https://doi.org/10.1097/01.HJH.0000298987.79397.2C","url":null,"abstract":"OBJECTIVE\u0000To study the metabolic syndrome (MS) components in Caribbean non diabetic individuals and to determine the magnitude of hypertension (HT) in those with and without MS.\u0000\u0000\u0000RESEARCH METHODS\u0000We conducted a cross-sectional study, of 966 consecutive subjects aged 18-74 years. The MS was identified according to the NCEP/ATpiiI definition. Age, gender, body mass index and the MS components (blood pressure, waist circumference, fasting blood glucose, triglycerides, HDL cholesterol) were taken into account. The Principal component analysis (PCA) was used to understand correlations between these continuous variables within the data base, and to identify principal factors (combinations of variables) and the magnitude of HT in these combinations.\u0000\u0000\u0000RESULTS\u0000In the overall study population, mean age was 38 years and there were 60.1% of women. HT was more frequently found in men than in women (52.2% vs. 41.3%; p=0.001). Prevalence of MS was 11.3%. With PCA, in the complete sample of men, the first factor, explained 31.5% of the total variance in the original variables and was dominated by blood pressure, clustered with age and fasting blood glucose (FBG). In the women's sample, the first factor (31.1% of the variance) was dominated by obesity combined with FBG and lipids. In subjects with the metabolic syndrome the principal factors were dominated by blood pressure in both genders with higher loadings in men than in women.\u0000\u0000\u0000CONCLUSION\u0000In this non diabetic population study the prevailing obese women profile clustering with fasting glucose and lipid disturbances might explain the higher prevalence of type 2 diabetes among women, observed in this Caribbean region.","PeriodicalId":8144,"journal":{"name":"Archives des maladies du coeur et des vaisseaux","volume":"1 1","pages":"649-53"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82914084","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}

引用次数: 1