https://www.stcccv.org.tn/web/app_dev123.php/Home/hightlights/97/show

Method
GET
HTTP Status
200
IP
54.36.148.35
Profiled on
Tue, 13 May 2025 19:43:42 +0200
Token
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HightlightsController :: showAction

Request

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hightlight 
Hightlights {#622
  -id: 97
  -titre: "Year Outcomes of Patients with\vResidual Physiologic Ischemia After\vPercutaneous   Coronary Intervention:\vThe DEFINE PCI Trial ( Dr Fourat Zouari)"
  -titreEn: null
  -description: """
    <p style="text-align:center"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:14.0pt">Year Outcomes of Patients with Residual Physiologic Ischemia After<br />\r\n
    Percutaneous Coronary Intervention: The DEFINE PCI Trial</span></strong></span></span></p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:14.0pt">Introduction&nbsp;:</span></em></strong></span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt">Une r&eacute;cidive angineuse est pr&eacute;sente chez 20-30% des patients 1 an apr&egrave;s l&rsquo;angioplastie.</span></span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt">L&rsquo;&eacute;tude DEFINE PCI &eacute;tait une &eacute;tude multicentrique qui a inclus 500 patients. Elle a &eacute;valu&eacute; le degr&eacute; d&rsquo;isch&eacute;mie r&eacute;siduelle apr&egrave;s angioplastie: </span></span></span></p>\r\n
    \r\n
    <ul>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt">1 patient sur 4 avait une iFR &lt; 0.90.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt">L&rsquo;angiographie post ATC est tr&egrave;s faiblement corr&eacute;l&eacute;e &agrave; l&rsquo;h&eacute;modynamique intravasculaire.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt">Dans la majorit&eacute; des cas, les gradients de pressions &eacute;taient en rapport avec des l&eacute;sions focales traitables par angioplastie.</span></span></span></li>\r\n
    </ul>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:14.0pt">Objectifs du Follow-up&nbsp;:</span></em></strong></span></span></p>\r\n
    \r\n
    <ol>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt">Evaluer la variation du score de Seattle (</span><span style="font-size:14.0pt">Seattle Angina Questionnaire Angina Frequency) &agrave; 6 mois puis 1 an.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt">Recenser les &eacute;v&egrave;nements cliniques (d&eacute;c&egrave;s cardiovasculaire, infarctus du myocarde, revascularization du vaisseau cible).</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt">R&eacute;aliser une analyse post hoc afin de determiner s&rsquo;il existe une valeur seuil de iFR post ATC &agrave; partir de laquelle il y a une am&eacute;lioration du pronostic.</span></span></span></li>\r\n
    </ol>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:14.0pt">R&eacute;sultats&nbsp;:</span></em></strong></span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><img src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image002.png" style="height:359px; width:613px" /></span></span></span></p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><img src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image004.png" style="height:56px; width:605px" /><img src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image006.png" style="height:414px; width:613px" /></span></span></span></p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><img src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image008.png" style="height:129px; width:605px" /></span></span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><img src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image010.png" style="height:213px; width:613px" /></span></span></span></p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:14.0pt">Conclusions&nbsp;:</span></em></strong></span></span></p>\r\n
    \r\n
    <ul>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt">Malgr&eacute; un r&eacute;sultat angiographique optimal en post ATC, les patients qui &eacute;taient tr&egrave;s symptomatiques &agrave; l&rsquo;&eacute;tat de base sans isch&eacute;mie r&eacute;siduelle (iFR&gt;0,95) avaient une nette am&eacute;lioration en termes de score de qualit&eacute; de vie par rapport aux patients avec isch&eacute;mie r&eacute;siduelle.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt">Une iFR post ATC&gt;0,95 &eacute;tait associ&eacute;e &agrave; moins de risque de d&eacute;c&egrave;s cardiaque, d&rsquo;IDM, ou de revascularisation du vaisseau cible. </span></span></span></li>\r\n
    </ul>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>
    """
  -descriptionEn: null
  -descriptionSansEditeur: "Une récidive angineuse est présente chez 20-30% des patients 1 an après l’angioplastie."
  -titrePhoto: null
  -categorieHightlights: CategorieHightlights {#576 …}
  -affiche: null
  -file: null
  #photoHightlights: PersistentCollection {#583 …}
}
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Session

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Last used 
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