Presse Med
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HIGH PREVALENCE: In France, an estimated 5 million persons aged over 65 years have hypertension. Accepting a treatment threshold of systolic pressure 160 mmHg whatever the diastolic pressure, more than 3 million require antihypertension therapy.
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A MAJOR CONCERN: Hypertensive syndromes occur in approximately 10 to 15% of all pregnancies and are the cause of 30% of maternal deaths and 20% of fetal and neonatal deaths. Syndromes include gestational hypertension also called pregnancy-induced hypertension, chronic hypertension and preeclampsia.
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DETECTION OF LEFT VENTRICULAR HYPERTROPHY: High blood pressure can lead to left ventricular hypertrophy and is an independent risk factor of cardiovascular disease. Echocardiography can be used to measure left ventricular mass based on equations established from anatomoclinical studies. Echocardiography can also give a precise map of the left ventricle allowing a prognostic classification: poor prognosis, concentric remodeling, eccentric hypertrophy, concentric hypertrophy.
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EARLY DIAGNOSIS: The Budd-Chiari syndrome results from an obstruction of the suprahepatic venous drainage. The condition spontaneously evolves towards liver fibrosis and death. Early diagnosis is thus of prime importance to initiate adapted treatment promptly.