Together, improve management of myocardial infarction

Each year, about 100,000 people suffer from myocardial infarction in France. Although mortality has significantly decreased since 10 years, 13% of patients still die in the year following the accident. To improve support, health authorities have established a programme of priority actions.

The heart 2007-2010 program aims to further reduce mortality and complications of myocardial infarction by improving the different steps of its support. To do this, many recommendations for action and 30 good clinical practice indicators have been determined. Their development would help to assess the reality of the expected improvement.

acute chest pain

Evocative acute chest pain? Call the 15!
The phase known as acute myocardial infarction, the pain to the proper medical intervention, is a crucial step of the optimization of the support. Indeed, on the 13% of deaths in the first year, 7% are held during this initial stage! But only a quarter of the myocardial infarction have recommended optimal course: 15 (UAS) call and direct transfer in interventional cardiology. Continue reading “Together, improve management of myocardial infarction”

Is sex dangerous for the heart?

Can sex be originally of myocardial infarction? Rarely, this accident is due to such an activity. However, some experts talk about a doubling of the risk! Not panic, however, the danger remains very low in absolute terms and in most cases, the carnal love is a “practice” activity.

Classically, cardiologists are wary of Monday morning. Numerous epidemiological studies have, in fact, described a number of myocardial infarction more important this day there. This strange phenomenon has been assigned with the change of pace associated with the passage of the weekend the week and stress that accompanies many people home from work. Consumption of alcohol, which is traditionally important weekend in Anglo-Saxon and Scandinavian countries, could also play a negative role at this level (the alcohol acting on blood clotting).

dangerous for the heart

The false repose of the Warrior
In 2001, a study in Toulouse by the team of Professor Jean Ferrières (INSERM) has however led to conclusions somewhat different1. The researchers analyzed the number of myocardial infarction according to the days of the week, using: Continue reading “Is sex dangerous for the heart?”

Core business, the role of hypertension

High blood pressure affects nearly 10 million French. Very many men are involved. Among them, 1 in 7 suffer from due to hypertension itself or the prescription erectile dysfunction. Attention, these problems are often initially bad treatment monitoring. Only solution: overcome its reluctance and talking to his doctor.

When you’re heart, Affairs of the heart are not always easy. On the one hand, sexual failures are more common than other men, on the other hand, the fear of heart attack fears that these love stories end badly… How to share the fantasy and the reality?

High blood pressure

Hypertension and erectile dysfunction
High blood pressure (hypertension) is defined by a pressure blood pressure systolic over 14 (140 mm of mercury) or the pressure blood diastolic over 9 (90 mm of mercury). According to the latest epidemiological data established by the national Committee to combat high blood pressure, it is estimated that 10 million people are high blood pressure and that 7 million are under treatment.

Among this large population, men can have any erectile dysfunction due to their high blood pressure and/or because of the treatment that they follow. A major study epidemiological American (Massachusetts Male Aging Study) carried out in 1994 shows that erectile dysfunction concern 9.6% of 1290 men 40 to 70 years surveyed. Among treated hypertensive, this percentage was 15%, either 1 patient treated on 7.

Alteration of the arteries
Why high blood pressure promotes the occurrence of erectile dysfunction? There are two main causes:

This condition causes an alteration of the arteries, whose structure is altered due to the increase in pressure. In addition, high blood pressure promotes atherosclerosis, i.e. the thickening and hardening of artery walls. The passage of the blood in the arterial tissue is so disabled and the quality of the erection decreased;

Some treatments for high blood pressure may also have an impact on the sexuality of the patient.
Some studies3 report a fix to get and maintain an erection that is greater in hypertensive patients treated compared to the untreated. The mechanisms involved are still pretty mysterious.

What is less, this is the bad monitoring of the treatment of erection problems. Impact on the sexual life of the hypertensive patient treated even sometimes causes a discontinuation of treatment, which is not without consequences on cardiovascular fate3.

Despite these side effects, few patients would be able to overcome their reluctance and to discuss it with their doctor. “If you go beyond the psychological course express the problem, it is possible, more or less easily, to erectile dysfunction solutions. In some cases, a simple modification of the treatment can solve the difficulties; elsewhere on the contrary, it will take both to reassure the patient and possibly prescribe a treatment of the erectile dysfunction which, most often, poses little problems of interaction with the treatment hypertensive.”said Dr. Nicolas Danchin, hypertension specialist at a conference on the relationship between hypertension and erectile dysfunction. The only absolute contraindication is the association of nitrates and inhibitors of phosphodiesterase.

Learn how everyday actions

Stroke is the leading cause of disability in adults and the second cause of dementia. These sad records reflect the life of patients who will have to relearn daily gestures through a very grueling rehabilitation. Returning to the home will be facilitated by special attention of environment and the use of some material aid.

Our brain can compensate for some damage by activating brain areas until then non-exploited. This extraordinary ability, “brain plasticity” is possible only if it is stimulated intensively and sustainably. It is one of the tasks of rehabilitation.

everyday actions

Start rehabilitation as soon as possible
Reduce complications and neurological sequelae, retrieve the wealth of functions (market, language, manual skill, vision…) are all objectives of the rehabilitation. Earlier it could be implemented and the consequences can be minimized. However, the location of the brain lesion also plays a significant role. The balance sheet will be heavier that it operates in a highly specialized functional area. Continue reading “Learn how everyday actions”

Headaches: a risk of stroke?

Migraine or not, chronic headaches affect millions of people. Before the violence and intensity of some pain, many are those who have questions about the State of their brains after the crisis. A number of studies point to an increased risk of stroke. Doctissimo is an update on these relations still not solved.

Commonly referred to as “brain attacks”, cerebral vascular accidents (CVAS) are the third cause of death behind heart disease and cancer. Their prevention relies on regular medical follow-up and a good understanding of the risk factors. Is it necessary to add to an already long list chronic headache?

a risk of stroke

Women migraine and stroke, attention!
Statistical studies show that there more than migraine in people who have suffered a stroke. However, such observations make it possible – it for as many consider migraine as a risk factor for stroke? Continue reading “Headaches: a risk of stroke?”

Inform to save lives

125,000 patients annually and nearly 50 000 deaths. For the survivors, serious physical, cognitive or psychological sequelae. Such is the sad record of cerebral vascular accidents in France. However, this disease suffers in Europe and in France of a cruel lack of recognition particularly. Dr. Jacques Boulliat, president of the association stroke, tells us more.

Doctissimo: What are the tasks and milestones of the Association stroke?
Dr. Jacques Boulliat: Our association France stroke was established in 1998. We have set for mission information to the general public as well as professionals. Although strokes are the third leading cause of death and the leading cause of disability, this disease remains too often unknown to the general public. Our actions are designed to help patients and their families as well as to promote research. We thus organise a wiretapping, public meetings, networking between patients and the families of victims.

Inform to save lives

We are instead antennas departmental in Saône- et -Loire, Isère and Meurthe- et -Moselle. A social service and website should soon see the day. Continue reading “Inform to save lives”

Cerebral vascular accident

Stroke prevention passes by a better understanding of the risk factors but also by that of warning signals. Thus, sustainable ischemic stroke are to almost one-third preceded by transient ischemic symptoms are brief. Too often overlooked, they must bring to consult. With Doctissimo, learn to recognize them!

Awareness of stroke warning signs could save thousands of lives each year. This prestigious American Heart Association is easily transposable to our country. As are very certainly the figures attesting to their lack of knowledge. According to a telephone survey in Georgia, only 39% of those interviewed could cite a stroke alert signal… The results would certainly not be different in France. What are the warning signs and symptoms of stroke?
The transient ischemic should not be underestimated!

Cerebral vascular accident

A transient ischemic (attack TIA) is a stroke which sometimes stealthy symptoms go unnoticed. Yet, they represent real warning signs since nearly a third of sustainable ischemic or cerebral infarction are preceded by one such episode. Continue reading “Cerebral vascular accident”

The cerebral vascular Accidents in figures

Commonly referred to as “brain attacks”, accidents cerebrovascular (stroke) are the third cause of death behind heart disease and cancer. But it is the first cause of heavy disability and the second cause of dementia in the Western world. In France, 130,000 people each year are victims of a stroke and half in will keep serious sequelae. In a few figures, check out the dire consequences of this disease.

Strokes are also known as attacks, stroke or stroke. The origin of this disease, there is a disruption of the blood supply of the brain. Devoid of oxygen and other essential compounds, certain cells in the brain die. Specifically, stroke represent two types of reality.

Cerebrovascular

Ischemic and hemorrhagic accidents
Stroke can result:

The obstruction of a blood vessel by a clot, reducing blood flow in a brain area. The clot may occur locally in a small artery or come from the heart or the wall of a large cervical artery lesion (carotid arteries and vertebral). One speaks then of ischemic stroke ;

Of the rupture of a vessel, causing bleeding. The blood spreads and damages the brain tissue around. The location and the size of the hematoma determine its severity. Talking about in this case of hemorrhagic stroke, brain haemorrhage or cerebral hematoma.
Nearly 85% of stroke are ischemic in nature. The consequences of stroke depend on many factors: the speed of recovery of blood flow, the duration of oxygen deprivation and cerebral localization of the accident.

A serious problem of public health
In addition to the ageing of the population, the number of stroke increases and represents a serious public health problem today.
The risk of stroke increases with age. Nearly three quarters of the patients were over 65. And after 50 years, the incidence doubles every 10 years. According to the association France stroke, the number of stroke per year is estimated on the basis of age:

Estimate of the number of stroke per year
per 100 000 inhabitants
15 to 45 years
10 to 30
55 to 64 years
170 to 360
65 to 74 years
490-890
From 75 years
1 350 to 1 790

Fight the “toast attitude”!

In recent decades, consumption of Sun has widely increased. Facing these excess ultraviolet radiation, melanoma has progressed. To combat this dreadful skin cancer, a national campaign invites you to do Grill more you “”!

Increase in vacation, travel under brighter regions, practices of outdoor sports…If one adds to these lifestyle changes, the cult of the tanned skin, we understand the resistance towards the adoption of methods of protection from ultraviolet radiation. Attention, the Sun can be dangerous!

toast attitude

Sun: instructions for use
Cases of melanoma (the most dangerous skin cancer) are more common. There are now more than 7,000 new cases per year: it is three times more than 20 years ago. In France, the number of new annual cases has tripled in 20 years, rising from 2 300 in 1980 to 7 200 in 2000. At the same time, mortality due to cancer has doubled during the same period, in men and women. If the average age of this cancer is over 55 years of age, it can affect people of all ages and is rooted in excessive exposure on lifetime. The most affected areas are those where the populations are little accustomed to sun exposure: Brittany, Pays-de-Loire, lower Normandy and Alsace. To combat melanoma, the national Cancer Institute has decided to fight the “Toast attitude”! Continue reading “Fight the “toast attitude”!”

Skin cancer: when to worry?

Frequent, skin tumours represent one of the major causes of cancer in France. And every year there are 8 000 to 10 000 new cases of melanoma, the most dangerous form of these cancers. When should you worry? How to tell the difference between a harmless mole and skin cancer?

One thing is certain: in this field, optimism is never rule. Doubt, to consult a dermatologist and even, past a certain age, make a dermatological check-up for the slightest suspicious lesion. Because all skin tumors, even melanoma, can be treated effectively once they are diagnosed in time.

Skin cancer

Some signs let you not to Miss
In 15 to 20% of cases, melanoma develops from a mole. It increases in size, changes colour or starts to bleed often.
In other cases, melanoma develops gradually over an area of healthy skin in the form of a small flat pigmented spot. Do consider so, especially if the task has one or more of the following characteristics: contours asymmetric, elevated or irregular surface, an inhomogeneous color, which is tinged with Brown, black, red, blue, or even multicolored, sometimes and a great size. Finally, any signs of evolution should you consult. Continue reading “Skin cancer: when to worry?”