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Master Thesis

Prise en charge thérapeutique des syndromes aortiques aigus avant l’arrivée au bloc opératoire

Abstract : Objectives: The aim of this study is to analysis the getting of blood pressure and heart rate goals recommended for acute aortic syndrom (AAS). Methods: We realize a retrospective multicentric study, including 197 patients operated on for AAS from the first January 2012 to the 31 December 2017, in the Grenoble and Annecy hospitals. Results: During the initial management, median systolic blood pressure (SBP) was 128 mmHg and median heart rate (HR) was 72 bpm. Antihypertensive therapy was initiated on 12% of the patients before confirmation of the diagnosis, and on 54% of patients after. When patients reach the operating room, median SBP was 130 mmHg and median FC was 72 bpm. Nicardipine was the most often prescribed therapeutic (49%). Among the 165 patients who gave interpretable results for goals achievement, 6% were able to be treated and performed SBP and HR goals. On the contrary, 56% had been untreated without achieving them. Conclusion: The recommendations were insufficiently taken into account, for both goals achievement and used therapeutics. A prospective study would be able to better assess the pre-hospital AAS management.
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Master Thesis
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Submitted on : Wednesday, June 13, 2018 - 5:46:53 PM
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  • HAL Id : dumas-01815044, version 1


Axelle Lecherbonnier. Prise en charge thérapeutique des syndromes aortiques aigus avant l’arrivée au bloc opératoire. Médecine humaine et pathologie. 2018. ⟨dumas-01815044⟩



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