Reconnaissance des diplômes étrangers. L’exercice en France de la médecine et des professions paramédicales est réglementé et les diplômes étrangers ne. Laurent Lebard. Chambéry Area, France Chef d’entreprise chez YIELDIN Information Technology and Services Education Ecole de Management de Lyon / EM. Luxembourg Avocat à la Cour at Etude Weber Stein Thiel & Associés Law Practice Education Université Paris Sud (Paris XI) / University Paris XI —

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Association of changes in clinical characteristics and management with improvement in survival among patients with ST-elevation myocardial infarction. All of the aforementioned parameters taken from “real-life” conditions corresponded to and validated the criteria described in the literature to aid in the numerically scoring of the post-STEMI risk Can we improve length of hospitalization in ST elevation myocardial infarction patients treated with primary percutaneous coronary intervention?

A direct comparison of intravenous enoxaparin with unfractionated heparin in primary percutaneous coronary intervention from the ATOLL trial. Heart Br Card Soc.

InMelberg et al. N Engl J Med. Comparisons between groups were performed with the Kruskal Wallis Non-Parametric test or the Pearson Chi-squared test as appropriate. There are no formal recommendations about the optimal duration of hospitalization due to a lack of data in the literature, often dating from before the time of the major radial approach in primary percutaneous coronary intervention PPCI and new anti-platelet therapy.

Included in the potential reasons for decreasing the LOS, there are constant economic and societal pressures 7, 8 aimed at reducing the average LOS to optimize expenditures without, however, taking into account the cost efficiency of this strategy and the well-being of the patients.

Vous m’avez fait vivre les meilleurs moments de mon internat: Heusch G, Gersh BJ.

Declining length of stay for patients hospitalized with AMI: En effet, enMelberg et al. Relation of length of hospital stay in acute myocardial infarction to postdischarge mortality. What is the optimal length of stay in hospital for ST elevation myocardial infarction treated with primary percutaneous coronary intervention?


The primary clinical end-point was all-cause mortality at one-year follow-up. Time-based risk assessment after myocardial infarction.

The pathophysiology of acute myocardial infarction and strategies of protection beyond reperfusion: Early discharge after primary percutaneous coronary intervention for ST-elevation myocardial infarction. J Am Coll Cardiol. We chose the limit value of 48 hours to conduct our study since, according to the literature, complications acute heart failure, arrhythmias biostatixtique conduction disturbances, recurrent myocardial infarctions, renal failure, hemorrhagic complications and deathmost frequently occur within the first 48 hours 33 GOOD CC BY-NC-ND 2.

Moreover it would allow for a rapid cardiac rehabilitation associated with an educational program on cardiac follow-up. EnSatilmisoglu et al.

The feasibility and safety of early discharge for low risk patients with acute myocardial infarction after successful direct percutaneous coronary intervention. Moreover, it would certainly have important cost-efficiency impacts. Prasugrel versus clopidogrel in patients with acute coronary syndromes.

Discharge after primary angioplasty at 24 h: Implications for timing of discharge and applications to medical decision-making. LOS has gradually shortened over time One could speculate that the increasing use of Thienopyridines would lead to a decreased use of AntiGp2b3a. Nevertheless, it is necessary to adopt an individual approach in the administered medical care.

Survival outcomes At one-year follow-up, 27 patients 1. The early discharged patients were younger and less likely to have had diabetes, anterior myocardial infarction and reduced left ventricular ejection fraction. Safety and feasibility of early hospital discharge in ST-segment elevation myocardial infarction–a prospective and randomized trial in low-risk primary percutaneous coronary intervention patients the Safe-Depart Trial.

Hence, the number of patients potentially concerned by a strategy of early discharge is very large and, in a similar manner, an increase in the economic savings in perspective could be envisioned since our study showed that there was no long-term mortality rise.

Determinants of early discharge The early discharge patients possessed clinical particularities: Timing, setting and incidence of cardiovascular complications in patients with acute myocardial infarction submitted to primary percutaneous coronary intervention. Kaplan-Meier survival curves in the early and late discharge groups LOS: A logistic regression was performed to find the determinants favorable for early bbiostatistique.


Primary Angioplasty in Myocardial Infarction. InSatilmisoglu et al.

We focused on comparing group 1a vs. It is an honor to have you present for the day of my thesis defense. This vascular access strategy in PPCI is known to be associated with lower mortality and fewer major bleeding events 31 and would allow an earlier discharge from the hospital under safer conditions.

One must take into account each patient’s history, post-interventional monitoring as well as the usual procedures as practiced in each service.

European Graduates | Université Paris Sud (Paris XI)

Their exclusion criteria were numerous. One could speculate that an early discharge from the hospital would reduce the information given to the patient concerning the state of his health after a STEMI and would complicate the patient’s therapeutic education and the correct introduction of the treatments recommended for post-STEMI secondary prevention treatments.

An additional limitation to our study was the missing data of the presence or absence of multi-vessel coronary disease. A medically trained research coordinator from the RESCUe network systematically contacted each patient at 1, 6 and 12 month intervals to perform a follow-up for this study.

Sortie precoce post-infarctus du myocarde

Data regarding re-hospitalization after discharge were lacking. In our study population, patients transferred after CICU to another unit instead of returning home were younger in age 59[] vs. One could speculate that higher blood levels of creatinine in the late discharge group led to lower prescription rates of ACE inhibitors. Je ferai tout pour soulager les souffrances.

This reperfusion strategy is recommended because it leads to better outcomes