Politique régionale de lutte contre les maladies à prévention vaccinale Avril 2013.
Philippe SOSNER Centre de Prévention des Maladies ...
Transcript of Philippe SOSNER Centre de Prévention des Maladies ...
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Philippe SOSNER
Centre de Prévention des Maladies Cardiaques
et Vasculaires – CHU de POITIERS
DIU HTA, risque cardiovasculaire & rénal
Futuroscope – 24 janvier 2009
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« L’HTA est définie de
façon consensuelle par
une PAS 140 mmHg
et/ou une PAD 90 mmHg
mesurées au cabinet
médical et confirmées au
minimum par 2 mesures
par consultation, au cours
de 3 consultations
successives, sur une
période de 3 à 6 mois ».
(HAS 2005)
HAS. Prise en charge des patients adultes atteints d’hypertension artérielle essentielle. Actualisation. Juillet 2005
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Pickering TG, Eguchi K, Kario K. Masked hypertension: a review. Hypertens Res. 2007;30:479-88.
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Verberk WJ, Kessels AG, de Leeuw PW. Prevalence, causes, and consequences of masked hypertension: a meta-analysis.
Am J Hypertens. 2008;21:969-75.
Prévalence : 16.8% (13.0-20.5%), 7% chez les
enfants, 19% chez les adultes, pas de différence
significative entre l’automesure (21.1%) et la
MAPA des 24h (16.8%) (p=0.42).
Retentissement HVG :
Normotendus : 98 g/m²
HTA masquée : 110 g/m²
Hypertendus : 109 g/m²
Plus souvent fumeurs.
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Pickering TG, Miller NH, Ogedegbe G, Krakoff LR, Artinian NT, Goff D; American Heart Association; American Society of
Hypertension; Preventive Cardiovascular Nurses Association. Call to action on use and reimbursement for home blood pressure
monitoring: executive summary: a joint scientific statement from the American Heart Association, American Society Of
Hypertension, and Preventive Cardiovascular Nurses Association. Hypertension. 2008;52:1-9.
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Guidelines Committee. 2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of
Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Journal
of Hypertension 2007; 25: 1105-87.
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Guidelines Committee. 2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of
Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Journal
of Hypertension 2007; 25: 1105-87.
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Pickering TG, Miller NH, Ogedegbe G, Krakoff LR, Artinian NT, Goff D; American Heart Association; American Society of
Hypertension; Preventive Cardiovascular Nurses Association. Call to action on use and reimbursement for home blood pressure
monitoring: executive summary: a joint scientific statement from the American Heart Association, American Society Of
Hypertension, and Preventive Cardiovascular Nurses Association. Hypertension. 2008;52:1-9.
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Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, Kario K, Lurbe E, Manolis A, Mengden T, O'Brien E, Ohkubo T,
Padfield P, Palatini P, Pickering T, Redon J, Revera M, Ruilope LM, Shennan A, Staessen JA, Tisler A, Waeber B, Zanchetti A,
Mancia G; ESH Working Group on Blood Pressure Monitoring. European Society of Hypertension guidelines for blood
pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure
Monitoring. J Hypertens. 2008;26:1505-26.
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J Hypertens.
2008;26:1505-26.
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J Hypertens. 2008;26:1505-26.
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J Hypertens.
2008;26:1505-26.
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J Hypertens. 2008;26:1505-26.
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Postel-Vinay N, Bobrie G, Asmar R. Recommandations ESH pour l’automesure: huit ans après. HTA-info. 2008;25:12-4.
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Postel-Vinay N,
Bobrie G.
Bien mesurer la
pression artérielle:
recommandations
pour la pratique.
Editions Imothep,
Paris 2008.
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www.automesure.com
normale < 135/85
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J Hypertens. 2008;26:1505-26.
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Postel-Vinay N, Bobrie G, Asmar R. Recommandations ESH pour l’automesure: huit ans après. HTA-info. 2008;25:12-4.
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Guidelines Committee. 2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of
Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Journal
of Hypertension 2007; 25: 1105-87.
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Guidelines Committee. 2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of
Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Journal
of Hypertension 2007; 25: 1105-87.
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J Hypertens. 2008;26:1505-26.
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J Hypertens.
2008;26:1505-26.
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J Hypertens. 2008;26:1505-26.
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J Hypertens. 2008;26:1505-26.
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J Hypertens. 2008;26:1505-26.
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J Hypertens. 2008;26:1505-26.
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J Hypertens. 2008;26:1505-26.
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J Hypertens.
2008;26:1505-26.
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Mourad JJ, Herpin D, Postel-Vinay N, Vaïsse B, Poncelet P, Mallion JM, Murino M, Girerd X. Utilisation des appareils
d’automesure tensionnelle en France en 2004. Arch Mal Coeur Vaiss. 2005;98:779-82.
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L’automesure tensionnelle
est un outil médical validé,
à l’usage du patient hypertendu
- Utiliser un tensiomètre validé
- Éduquer le patient, la qualité du
geste conditionnant les résultats
- www.automesure.com