Presentatie - vzw farmaka asbl

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- CV preventie – niet medicamenteus bij CAD - • Rookstop – ↓ mortaliteit en ↓ AMI • Mediterraan dieet – ↓ mortaliteit, ↓ AMI • Fysieke inspanning – Vs “usual therapy”: ↓ mortaliteit – Vs PTCA: ↑ event-free survival na 1 jaar, = effect op angor • Stressmanagement – Mogelijk ↓ AMI www.<strong>farmaka</strong>.be Project Farmaka
Rookstop Gami P. Secondary prevention of ischaemic cardiac events. Clinical Evidence 2007. Design N/n Population Sd Observations Outcomes Results SR of prospective N=20, n=12603 -Coronary artery disease 2 to 26 y (mean 5y) -Smoking cessation Mortality RR= 0.64 (95% CI 0.58 to 0.71) studies (no -No smoking Non-fatal MI RR= 0.68 RCTs) cessation (95% CI 0.57 to 0.82) 35. Goldenberg. Arch Intern Med 2003;163:2301-5 Design N/n Population Sd Observations Outcomes Results Prospective cohort study n=3122 -previous MI (80%) or stable angina 8.2y -Smokers -Quitters -Never smokers Total mortality Sudden cardiac death 25 vs 14% (p< 0,001) 8.1% (smokers) vs 4.6% (quitters) vs 4.6% (never smokers) - Hazard ratio smokers vs never smokes= 2.47 (95% CI 1.46 to 4.19) - Quitters vs never smokers: NS difference
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Projekt Farmaka vzw Centrum voor on
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Hoe? 1. Van een klinisch probleem n
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Aanpak van stabiele angor www.farma
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Definitie en epidemiologie www.farm
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Natuurlijk verloop www.farmaka.be P
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Doelstelling van de behandeling www
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Acute behandeling www.farmaka.be Pr
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Anti-anginosa (onderhoudsbehandelin
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ANTIANGINOSA (niet in België) - we
Page 19 and 20: β-blokkers Niet-selectieve β-blok
Page 21: NITRATEN Sublinguaal Posologie Isos
Page 24 and 25: β-blokkers 17.Pepine. The atenolol
Page 26 and 27: β-blokkers Preserved ventricular f
Page 28 and 29: β-blokkers Helfand 2007 www.farmak
Page 30 and 31: - β-blokkers - • Mortaliteit en
Page 32 and 33: Calcium-antagonisten Gami P. Second
Page 34 and 35: • Werkzaam op angor - Calciumanta
Page 36 and 37: Nitraten 25.Heidenreich. JAMA 1999;
Page 38 and 39: - Molsidomine - • Werkzaamheid op
Page 40 and 41: - Trimetazidine, ranolazine, nicora
Page 42 and 43: - Combinaties en werkzaamheid angor
Page 44 and 45: Anti-anginosa - ongewenste effecten
Page 50 and 51: Invasieve behandeling www.farmaka.b
Page 52 and 53: - Aanvullende medicatie bij PCI -
Page 54 and 55: www.farmaka.be Project Farmaka
Page 56 and 57: - Terminologie invasieve ingrepen -
Page 58 and 59: PTCA vs enkel medicatie 53.Borzak.
Page 60 and 61: - PTCA vs enkel medicatie - • Bej
Page 62 and 63: - CABG vs enkel medicatie - • ↓
Page 64: -Stents - Bedoeling stents en DES:
Page 67 and 68: - CABG vs PTCA - • CABG: meer CVA
Page 69: Onderhoudsbehandeling Globale CV pr
Page 73 and 74: Mediterraan dieet 1.Gami P. Seconda
Page 75 and 76: Oefentherapie 77. Gami P. Secondary
Page 77 and 78: - Oefentherapie - • Vs “usual t
Page 79 and 80: - Stressmanagement - • Mogelijk
Page 81 and 82: - β-blokkers - Zie hoger www.farma
Page 83 and 84: Anti-aggregantia - ASA Gami P. Seco
Page 85 and 86: Consensusvergadering angor 2006. Di
Page 87 and 88: Anti-aggregantia - Ticlopidine en
Page 89 and 90: ACE-inhibitoren • Bij hoogrisicop
Page 91 and 92: - Sartanen - • Ramipril vs telmis
Page 93 and 94: -Statines - • ↓ mortaliteit en
Page 95 and 96: - Kernboodschappen - Patiënt met s
Page 97 and 98: - Symptomatische behandeling - •
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