Revue médicale de Liège
-
Revue médicale de Liège · May 2008
[Epidemiology and economic repercussion of headache: an inquiery among the administrative and technical personnel of the Liège University].
Headache is an important individual and societal burden. Despite an important prevalence, migraine remains an underdiagnosed and undertreated disease. Large population-based epidemiological studies are available in many countries, but not in Belgium. ⋯ During the 3 months preceding the survey, 60% of migraineurs had to reduce (48%) or totally interrupt work (12%) at ULg for at least 1 day. Taking into account the mean salary at the ULg, the cost due to lost productivity was estimated at 300,000 Euro per year. This cost could be more than halved by an adequate anti-migraine treatment.
-
Revue médicale de Liège · Apr 2008
[How I treat... by optimizing the blockade of the renin-angiotensin-aldosterone system].
The blockade of the renin-angiotensin-aldosterone system (RAAS) has been shown to be useful, or even mandatory, in the management of arterial hypertension, congestive heart failure, post-myocardial infarction and nephropathy with albuminuria, due to diabetes or not. Such blockade can be obtained with an angiotensin converting enzyme inhibitor, a specific antagonist of angiotensin II AT1 receptors and/or recently a direct inhibitor of renin such as aliskiren. ⋯ The present article describes the various modalities to optimize the RAAS blockade, either by using a maximal dosage of a monotherapy, or by choosing a double inhibition of RAAS. New prospects for the RAAS blockade will be also briefly considered.
-
Revue médicale de Liège · Dec 2007
Case Reports[Clinical case of the month. Atrial flutter with rapid ventricular response (1:1 atrioventricular conduction) caused by flecaïnide].
We report a case of 1:1 flutter in a patient taking flecaïnide for atrial fibrillation. We discuss the mechanism of the arrhythmia, its treatment and the preventive attitude to be adopted.
-
We discuss the case of a 49 year old man who was admitted to the emergency department with acute heart failure. He suffered from severe alcoholism and malnutrition. ⋯ The treatment consisted of intravenous administration of thiamine. The clinical response was spectacular with normalization of cardiac function within a few hours.