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1.
Animal ; 16 Suppl 1: 100405, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34844891

RESUMO

The 'organic' label guarantees a production process that avoids the use of synthetic fertilisers, pesticides and hormones and minimises the use of veterinary drugs; however, consumers are demanding guarantees regarding food quality. This article reviews the current state of knowledge on the quality of organic animal products, including the authentication of their organic origin. Quality has been considered as an integrative combination of six core attributes: commercial value, and nutritional, sensory, technological, convenience and safety attributes. The comparison of these attributes between organic and conventional animal products shows high heterogeneity due to variability in farming pratices in both organic and conventional systems. To overcome this, we pinpoint the farming practices underlying the differences observed. This enables light to be shed on the consequences of possible trajectories of organic farming, if specifications are relaxed or tightened up on commitments concerning farming practices that impact product quality. Two recent meta-analyses showed better nutritional attributes in organic milk and meat linked to their higher poly-unsaturated fatty acid (PUFA) content, particularly n-3 PUFAs. Regarding safety, we point to a lack of integrated studies quantifying the balance between positive and negative effects. Organic farming reduces the risk of drug residues and antibiotic resistance, but both outdoor rearing and a frequently longer rearing period increase the animals' exposition to environmental contaminants and the risk of their bioaccumulation in milk, eggs, meat and fish flesh. We highlight antagonisms between quality attributes for certain animal products (lamb, pork). In general, attributes are more variable for organic products, which can be explained by lower genetic selection (poultry), lower inputs and/or greater variability in farming conditions. However, the literature does not address the implications of this greater variability for the consumers' acceptability and the necessary adaptation of manufacturing processes. Further research is needed to document the impacts on human nutritional biomarkers and health. Methods used to authenticate organic origin are based on differences in animal diet composition between organic and conventional systems, but their reliability is hampered by the variability in farming practices.


Assuntos
Agricultura Orgânica , Óvulo , Animais , Alimentos Orgânicos , Leite/química , Aves Domésticas , Reprodutibilidade dos Testes , Ovinos
2.
Animal ; 16 Suppl 1: 100376, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34836809

RESUMO

This article critically reviews the current state of knowledge on the quality of animal-source foods according to animal production and food processing conditions, including consumer expectations-behaviours and the effects of consumption of animal-source foods on human health. Quality has been defined through seven core attributes: safety, commercial, sensory, nutritional, technological, convenience, and image. Image covers ethical, cultural and environmental dimensions associated with the origin of the food and the way it is produced and processed. This framework enabled to highlight the priorities given to the different quality attributes. It also helped to identify potential antagonisms and synergies among quality attributes, between production and processing stages, and among stakeholders. Primacy is essentially given to commercial quality attributes, especially for standard commodity animal-source foods. This primacy has strongly influenced genetic selection and farming practices in all livestock commodity chains and enabled substantial quantitative gains, although at the expense of other quality traits. Focal issues are the destructuration of chicken muscle that compromises sensory, nutritional and image quality attributes, and the fate of males in the egg and dairy sectors, which have heavily specialised their animals. Quality can be gained but can also be lost throughout the farm-to-fork continuum. Our review highlights critical factors and periods throughout animal production and food processing routes, such as on-farm practices, notably animal feeding, preslaughter and slaughter phases, food processing techniques, and food formulation. It also reveals on-farm and processing factors that create antagonisms among quality attributes, such as the castration of male pigs, the substitution of marine-source feed by plant-based feed in fish, and the use of sodium nitrite in meat processing. These antagonisms require scientific data to identify trade-offs among quality attributes and/or solutions to help overcome these tensions. However, there are also food products that value synergies between quality attributes and between production and processing phases, particularly Geographical Indications, such as for cheese and dry-cured ham. Human epidemiological studies have found associations between consumption of animal-source foods and increased or decreased risk for chronic non-communicable diseases. These associations have informed public health recommendations. However, they have not yet considered animal production and food processing conditions. A concerted and collaborative effort is needed from scientists working in animal science, food process engineering, consumer science, human nutrition and epidemiology in order to address this research gap. Avenues for research and main options for policy action are discussed.


Assuntos
Ração Animal , Carne , Animais , Gado , Masculino , Estado Nutricional , Suínos
4.
Meat Sci ; 109: 106-11, 2015 11.
Artigo em Inglês | MEDLINE | ID: mdl-26117396

RESUMO

Driven by economic development and urbanisation, protein consumption has surged worldwide over the last 50years, rising from 61g per person per day in 1961 to 80g per person per day in 2011 [Corrected]. This contribution analyses the apparent convergence of dietary models worldwide with respect to the proportion of ABP and especially meat in intake. By using FAO data for 183 countries over the period 1961-2011, the authors show the connection between annual per capita GDP and the level of ABP (R2=0.62) and meat consumption (R2=0.62). They emphasise the surge in ABP intake in emerging countries (China, Brazil) which has partly replaced plant protein. However, for similar degrees of economic development, the composition of ABPs and the position of meat within this category vary significantly among countries, suggesting that historical, geographical, cultural and religious factors may be involved.


Assuntos
Países em Desenvolvimento , Dieta/tendências , Proteínas Alimentares/administração & dosagem , Desenvolvimento Econômico , Comportamento Alimentar , Renda , Carne , Animais , Cultura , Dieta/economia , Produto Interno Bruto , Humanos , Urbanização
5.
J Dairy Sci ; 97(1): 202-11, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24239069

RESUMO

Herd-level risk factors for dairy calf and heifer mortality in France were identified by calculating herd-level variables (including mortality risk or rate) using the National Bovine Identification Database (2005 and 2006). Eleven dairy production areas representing different livestock systems were also included. Statistical analyses were based on a probit model (mortality risk or rate=0 or >0) and a linear model (mortality risk or rate >0) corrected by the sample bias Heckman method. The same associations were reported for 2005 and 2006. The mortality risks or rates for calves and heifers were positively associated with the proportion of purchased cows or being a Milk Control Program member and negatively associated with adhering to the Good Breeding Practices charter and having an autumn calving peak. The associations between mortality and the breeds or the production areas were positive or negative, depending on the classes of animal. Mortality and having a beef herd in addition to the dairy herd were negatively associated for noncrossed birth to 2-d-old calves, noncrossed 3-d- to 1-mo-old calves, and 3-d- to 1-mo-old heifers. Having a beef herd probably provides specific know-how related to newborn and young calf management that makes it easier to attain low mortality in pure-breed dairy calves. The proportion of males born was positively associated with mortality for the birth to 2-d-old calves (all classes) and for the 3-d- to 1-mo-old beef-crossed calves, but negatively for all classes of heifers. This indicates that heifer management was improved when the availability of newborn heifers decreased, resulting in low mortality. This lower mortality is apparent for all classes of heifers present on the farm during the year when the proportion of males was low, and demonstrates an anticipatory effect. In conclusion, this study shows that the presence of a beef herd in addition to the dairy herd within a farm is associated with decreased dairy calf mortality. It also shows that heifer mortality decreases when the proportion of heifers born decreased. These determinants of dairy calf and heifer mortality are of great importance for farmer advisors, the dairy industry, and the political decision makers.


Assuntos
Doenças dos Bovinos/mortalidade , Doenças dos Bovinos/prevenção & controle , Animais , Cruzamento , Bovinos , Feminino , França/epidemiologia , Modelos Lineares , Masculino , Leite , Fatores de Risco , Estações do Ano
6.
Meat Sci ; 94(4): 432-7, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23618738

RESUMO

The aim of this study was to assess the effect of social dominance on some indicators of welfare, production and meat quality of young bulls. A total of 60 bulls of the Gasconne breed, 9 months old, housed indoors were used. Indices of success order were calculated to reflect social dominance of each bull into three ranking categories (low, middle and high). Blood samples were taken to measure cortisol, lactate, glucose, creatine kinase, non-esterified fatty acid and neutrophil/lymphocyte ratio (N/L). M. longissimus samples were analysed in terms of pH, water holding capacity (WHC), texture, colour and sensorial attributes. Social rank influenced cattle stress response, which had an effect on productive performance but not on meat quality traits, with the exception of the sensory traits. These results emphasize the importance of implementing best management practices during pre-harvest handling of cattle in order to modulate any possible risk factor for social stress.


Assuntos
Criação de Animais Domésticos/métodos , Bem-Estar do Animal , Manobra Psicológica , Carne/análise , Predomínio Social , Estresse Psicológico , Paladar , Animais , Bovinos , Cor , Dieta , Humanos , Concentração de Íons de Hidrogênio , Masculino , Carne/normas , Músculo Esquelético , Olfato , Estresse Psicológico/sangue , Estresse Psicológico/imunologia , Água
7.
J Dairy Sci ; 96(5): 2913-24, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23477819

RESUMO

Dairy calf and replacement heifer mortality in France was assessed by calculating mortality rates at 0 to 2d (calves), 3d to 1 mo (calves and heifers), 1 to 6 mo of age, and 6 mo of age to first calving (heifers) using the national identification database. Between birth and 2-d-old, 261,000 and 251,000 of the 3.56 and 3.43 million calves born in 2005 and 2006, respectively, died. The overall 0- to 2-d-old calf mortality rate was around 6.7%, which is similar to the low range of values reported in the literature. Among the 2.38 and 2.39 million calf-month, 139,000 and 133,000 died between 3d and 1 mo of age in 2005 and 2006, respectively. Among the 3d to 1 m of age group, dairy calf mortality rate was around 5.7%. Such a rate has not been reported previously because of the great differences in age classes between studies. For the 0- to 2-d-old and 3-d- to 1-mo-old calves, annual mortality was zero on 26 and 44% of the farms, respectively. Calf mortality during the first month of life increased in winter (to 12-17%) and decreased in summer (to 8-12%), with a small peak in June or July. Mortality during the first month of life is higher in males than in females, with a mortality odds ratio of 1.20 (and 95% confidence interval of 1.19-1.21). Such a difference is also found within the noncrossed or beef-crossed calf subpopulations. Disregarding the sex, the mortality of beef-crossed calves is slightly less than that of noncrossed dairy calves, with a mortality odds ratio of 0.98 (and 95% confidence interval of 0.98-0.99) before 1 mo of age. In heifers, around 51,000, 35,000, and 40,900 out of the 1.2 million 3-d- to 1-mo-old, 1.1 million 1- to 6-mo-old, and 950,000 6-mo-old to first calving heifers died, respectively. The respective mortality rates were 4.5, 3.1, and 4.1%; these rates are similar to the low range of values previously published. The proportions of farms with no heifer mortality during a year were higher than for calves, between 60 and 70%. The mortality probability for heifers was very high for the first day of life (95% survival between 2-30 d of age), then decreased during the first year of life and became constant up to around 3 yr of age (88% survival at 36 mo of age). The risk of mortality is higher in Montbéliarde and Normande heifers compared with Holstein. In conclusion, and beyond the average mortality rates, farmers and farm advisors should keep in mind the broad range of mortality values, which shows that very low mortality (1-2%) can be achieved, even in animals with a known high risk of mortality, such as beef-crossed dairy calves.


Assuntos
Animais Recém-Nascidos/fisiologia , Bovinos/fisiologia , Mortalidade , Mortalidade Perinatal , Fatores Etários , Animais , Indústria de Laticínios/estatística & dados numéricos , Feminino , França , Masculino
8.
J Dairy Sci ; 94(4): 1790-803, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21426968

RESUMO

Dairy cow mortality causes financial loss and is increasing over time; it indicates suboptimal herd health or welfare. To describe the herd-level and contextual factors affecting cow mortality, the French National Bovine Dataset Identification was used to create dairy, beef, or fattening units within farms, for 2005 and 2006. Mortality rate (MO-RA, outcome variable) and most variables were calculated at the unit level, whereas contextual variables were defined at the municipality level [cattle density, inhabitant density, agricultural land always with grass on overall agricultural land (ALWG/OAL)]. The localization (11 dairy production areas, representative of the farming systems) was also included. The statistical analysis was performed with a probit regression model (MO-RA=0 or>0) and with a linear model corrected by the Heckman method for bias sample selection. For 2005 and 2006, 3.8 and 3.7 million dairy cow-years, 101,445 and 96,954 dairy units, and 141,677 and 143,424 deaths were recorded, respectively. Over one-third of the units had no dairy cow mortality in 2005 or 2006. Overall MO-RA was 3.7 and 3.8% for 2005 and 2006, respectively. Restricted MO-RA (farms without death excluded) was 5.8% for 2005 and 2006. The correlation of MO-RA among units between the 2 yr was 0.25. The same effects and close estimate values were reported for 2005 and 2006 with both models. Mortality rate was positively associated with the number of cow-years, having a beef unit in addition to a dairy unit, the proportion of purchased cows, the proportion of first-calving cows, the average calving interval, being a Milk Control Program member, inhabitant density, not being in dairy production area Grand-Ouest, and ALWG/OAL. Negative associations were reported for breed other than Holstein, being a Good Breeding Practices member, having a calving peak in autumn, culling rate, and municipal cattle density. This study reports an average mortality rate for the French dairy cows. It suggests that the farmer's management style highly influences mortality. In addition, farming system has an effect on the mortality. A possible association between municipal intensification of production and decreased mortality was also reported.


Assuntos
Criação de Animais Domésticos , Bovinos , Causas de Morte , Indústria de Laticínios/métodos , Animais , Causas de Morte/tendências , Indústria de Laticínios/economia , Bases de Dados Factuais , Feminino , França/epidemiologia , Fatores de Risco
9.
Eat Weight Disord ; 12(1): e1-6, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17384518

RESUMO

OBJECTIVE: To describe the prevalence of eating disorders (ED) among Spanish adolescents and to present the reliability of the Catalan version of the EDE-12. METHOD: A community sample of 1155 participants, and a risk sample of 93 participants, aged between 10.9 and 17.3 years old, from the city of Barcelona participated in the study. The study involved two stages: first, an initial screening with the Eating Disorder Inventory-2 (EDI-2), and second, a structured clinical interview (EDE-12). Three scales of the EDI-2 (Drive for thinness, Body dissatisfaction and Bulimia) were used to select the at risk sample; the Eating Disorders Examination-12 (EDE-12) was only administered to the at-risk sample. RESULTS: A 1.28% of the total sample was detected as ED (2.31% of girls and 0.17% of boys). Reliability coefficients of EDE-12 ranged from medium to high. DISCUSSION: Symptoms of anorexia and bulimia nervosa were higher among girls than boys. Preoccupation with maintained low weight, with body image and shape, and taking excessive exercise in order to loose weight, are increasing among Spanish adolescents. Prevalence rate of ED is lower than other studies with Spanish' adolescents sample, and could be related to the sample age (13.16% of the sample is smaller than 12 years old), and to the non response bias to the interview because the assessment was carried out in the school setting.


Assuntos
Comportamento do Adolescente , Anorexia Nervosa/epidemiologia , Bulimia/epidemiologia , Adolescente , Criança , Feminino , Humanos , Masculino , Prevalência , Fatores Sexuais , Espanha/epidemiologia
10.
Eat Weight Disord ; 11(2): e42-52, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16809969

RESUMO

OBJECTIVE: To present basic statistics and analyze factor structure of EDI-2 in an adolescent non-clinical sample from Spain. METHOD: An Exploratory Factor Analysis (EFA) was carried out with Principal Axis Factoring (PAF) and oblimin rotation, using raw scores. RESULTS: EFA presented a 21-factor structure with eigenvalues greater than 1. It was then forced into 11 and 5-factor solutions. DISCUSSION: The eleven-factor structure does not correspond with the 11 scales. A five-factor structure seems to be better suited than other factor solutions and presented higher reliability coefficients.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Transtornos da Alimentação e da Ingestão de Alimentos/etnologia , Inquéritos e Questionários , Adolescente , Comportamento do Adolescente , Criança , Análise Fatorial , Feminino , Humanos , Masculino , Espanha
12.
Ann Cardiol Angeiol (Paris) ; 41(4): 219-24, 1992 Apr.
Artigo em Francês | MEDLINE | ID: mdl-1642440

RESUMO

An optimal atrioventricular interval (AVI) was sought in 6 patients with a double chamber pacemaker by an non-invasive technique: measurement of stroke volume by thoracic bioimpedance. This method proved to be easy and reliable in practice when there was only one pacing spike (VDD mode). It confirmed the existence of a variable optimal AVI according to individual patients: 250 ms (3 patients), 200-250 ms (1 patient), 150 ms (1 patient), 75-100 ms (1 patient). The value of optimal AVI is unpredictable since it depends upon individual electrophysiological and hemodynamic parameters. In a patient with severe mitral incompetence, Echo-Doppler provided evidence of end-diastolic ventriculo-atrial regurgitation at middle and long AVI, while a short AVI enabled elimination of end-diastolic regurgitation and a 15.45 per cent improvement in stroke volume. In two patients with a long optimal AVI (250 ms), a programmed short AVI (75 ms) paradoxically appeared to be more favourable than a middle AVI (150 ms).


Assuntos
Estimulação Cardíaca Artificial , Cardiografia de Impedância , Doença das Coronárias/terapia , Marca-Passo Artificial , Idoso , Insuficiência da Valva Aórtica/diagnóstico , Nó Atrioventricular/fisiopatologia , Doença das Coronárias/fisiopatologia , Doença das Coronárias/reabilitação , Ecocardiografia Doppler , Bloqueio Cardíaco/fisiopatologia , Humanos , Masculino , Insuficiência da Valva Mitral/diagnóstico , Volume Sistólico
13.
Presse Med ; 21(12): 565-8, 1992 Mar 28.
Artigo em Francês | MEDLINE | ID: mdl-1533918

RESUMO

A case of acute eosinophilic myocarditis without hypereosinophilia, presenting as hypokinetic dilated cardiomyopathy in a 24-year old man is reported. Sudden worsening of subacute cardiac failure required heart transplantation 3 months after the onset of the disease. Only pathological examination provided the diagnosis of acute necrotizing eosinophilic myocarditis of undetermined origin. Two years after transplantation, the patient had no clinical or histological sign of recurrence. Seldom described in the literature, acute eosinophilic myocarditis is a dangerous form of eosinophilic heart disease which often follows a fulminant course beyond all therapeutic resources. This case, which is particular in its clinical presentation, in the lack of hypereosinophilia and above all in its cure after heart transplantation, enables the authors to discuss the mechanisms and various manifestations of the cardiotoxicity of eosinophils.


Assuntos
Eosinofilia/complicações , Transplante de Coração , Miocardite/complicações , Doença Aguda , Adulto , Emergências , Eosinofilia/patologia , Seguimentos , Humanos , Masculino , Miocardite/patologia , Miocardite/cirurgia
14.
Arch Mal Coeur Vaiss ; 83(8): 1089-93, 1990 Jul.
Artigo em Francês | MEDLINE | ID: mdl-2148068

RESUMO

In a previous study (resting blood pressure profile, Dinamap) we have confirmed the correlations between blood pressure and left ventricular mass (myocardial hypertrophy being one of the morbidity criteria in Hypertension) and we have demonstrated the absence of significant difference (Fisher's z Test) with the results of ambulatory recordings found in literature. Furthermore, we have showed a weaker correlation between absolute variability (AV) and left ventricular mass (LVM). If indeed there exists a cause-effect relationship between the AV increase and the LVM increase, a relative independence between VA and blood pressures mean (mBP) should still be demonstrated. In order to do that we have used the factorial analysis (main components analysis) with which a small number of independent factors can be isolated from a large number of correlated variables. A resting blood pressure (Dinamap, 8AM-8PM, one reading every 15 minutes) has been recorded among 551 patients (259 females, 292 males; 109 normotensive WHO, 442 hypertensive WHO) and an echocardiogram TM and two-dimensional in order to measure the interventricular septum thickness (IVST), the posterior wall thickness (PWT) and the left ventricular internal diameter (LVID) with which we can calculate the myocardial mass (MM, Devereux formula) and the myocardial mass index (MMI) using the body surface (BS). The blood pressure variables are the means of the recordings (mBP): systolic (mSBP), diastolic (mDBP), mean (mMBP) and their standard deviations (SSD, DSD, MSD) corresponding to the AV. We have studied the heart rate (HR) with its standard deviation (HRSD) and age.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Pressão Sanguínea , Hipertensão/fisiopatologia , Adulto , Monitores de Pressão Arterial , Cardiomegalia/fisiopatologia , Ecocardiografia , Análise Fatorial , Feminino , Frequência Cardíaca , Humanos , Hipertensão/complicações , Hipertensão/epidemiologia , Masculino , Pessoa de Meia-Idade , Miocárdio/patologia
15.
Arch Mal Coeur Vaiss ; 82(7): 1129-33, 1989 Jul.
Artigo em Francês | MEDLINE | ID: mdl-2530949

RESUMO

This work was undertaken with 420 patients (90 normotensives: casual blood pressure less than or equal to 140/90 mmHg and 330 hypertensives) in which was recorded a semi ambulatory blood pressure profile (Dinamap 8AM-8PM, a reading every fifteen minutes). On the same day an echocardiogram was performed. We have correlated the left ventricular mass, the left ventricular mass index, the interventricular septum, the left ventricular cavity volume and the left ventricular posterior wall with casual blood pressure, average daily blood pressure standard deviation and variation coefficient for mean blood pressure, systolic blood pressure and diastolic blood pressure. Analysis by sex, left ventricular mass index and blood pressure level (normotensive, hypertensive): we observe a left ventricular hypertrophy in normotensive males (18 p. 100) and hypertensive ones (39.8 p. 100), in normotensive females (15 p. 100) and hypertensive ones (33.3 p. 100). Overall in 420 patients: excellent correlation (p less than 0.001) between average daily blood pressure, casual blood pressure and the four echocardiographic parameters except for left ventricular cavity volume. But correlation is better (z test of Fisher) with average daily blood pressure than with casual blood pressure. No difference exists between results obtained in women (194) and men (226). Concerning variability, four observations: there exists a correlation between standard deviation, left ventricular mass index, interventricular septum, left ventricular posterior wall (only for standard deviation of MBP). No correlation with coefficient correlation except for the MBP with septum in women. The correlation for the standard deviation are weaker than with average daily blood pressure. They are better with the septum than with other echocardiographic parameters.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Pressão Sanguínea , Cardiomegalia/fisiopatologia , Ecocardiografia , Hipertensão/fisiopatologia , Miocárdio/patologia , Adulto , Idoso , Determinação da Pressão Arterial/métodos , Cardiomegalia/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica/métodos
17.
Arch Mal Coeur Vaiss ; 80(6): 999-1004, 1987 Jun.
Artigo em Francês | MEDLINE | ID: mdl-3117002

RESUMO

A blood pressure profile at rest was recorded in 2,000 patients (1,069 females, 931 males) by DINAMAP 845 (from 8 AM to 8 PM. a record every fifteen minute). The limit between normotensive and hypertensive patients in this settled by WHO (BP = 160/95 mmHg). The analysis of percentage of pathological values (BP greater than 160/95 mmHg) allowed us to identify eight type of recordings. Normal (295), Border line hypertension less than or equal 20 p. 100 of pathological values (573), Paroxysmal hypertension (58), hypertension with predominance (963) of whom 484 with systolic predominance and 479 with diastolic predominance, Isolated systolic hypertension (15), Isolated diastolic hypertension (47), hypertension without predominance (15) and Permanent hypertension (82). The variability of blood pressure was studied by using the coefficient of variation = p. 100 of standard deviation/mean.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Pressão Sanguínea , Hipertensão/fisiopatologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Determinação da Pressão Arterial , Criança , Diástole , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica , Sístole , Fatores de Tempo
18.
Ann Med Interne (Paris) ; 138(4): 263-8, 1987.
Artigo em Francês | MEDLINE | ID: mdl-3631823

RESUMO

Hypertension may be defined by 3 criteria obtained by indirect, non invasive, automatic measurement of blood pressure using the DINAMAP device analyses the profile obtained over a 12 hour period (one recording every fifteen minutes): percentage of abnormal values (BP greater than 160/95 mm Hg), average values of systolic, diastolic and mean BP, variability (standard deviation of means), The analysis was based on 1,400 profiles recorded from 174 normotensive and 1,226 hypertensive patients. The following observations were made: the largest group was that of patients with predominantly diastolic hypertension under 60 years of age (81.3 p. 100 vs. 18.9 p. 100 systolic hypertension) and predominantly systolic hypertension over 60 years of age (68.9 p. 100 vs. 31.1 p. 100 diastolic hypertension), borderline hypertension (between 1 and 20 p. 100 of pathological values) is observed in 34.5 p. 100 of hypertensive patients under 60 years of age, and 21.8 p. 100 of patients over 60 years of age. This form of hypertension may be managed without drug therapy but requires a control blood pressure profile at least once a year, the other groups of patients were much smaller: pure diastolic hypertension (4.8 p. 100 in the under 60's, 0.6 p. 100 in the over 60's); pure systolic hypertension (1/1,226 cases of hypertension), permanent hypertension (5.7 p. 100 in the under 60's and 4.4 p. 100 in the over 60's), paroxysmal hypertension (2.1 p. 100 in the under 60's and 5.6 p. 100 in the over 60's).(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Pressão Sanguínea , Hipertensão/diagnóstico , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Determinação da Pressão Arterial , Criança , Diagnóstico Diferencial , Diástole , Feminino , Humanos , Masculino , Microcomputadores , Pessoa de Meia-Idade , Valores de Referência , Sístole
19.
Presse Med ; 16(1): 19-21, 1987.
Artigo em Francês | MEDLINE | ID: mdl-2949292

RESUMO

The effect of one tablet of placebo daily for 8 days on blood pressure was studied in 90 hypertensive patients, using the blood pressure profile method, with a 12-hour recording period (from 8 a.m. to 8 p.m) and readings every 15 minutes (Dinamam 845). Statistical analysis of the results showed no significant difference in diastolic, systolic and mean blood pressure in 50% of the cases. A significant decrease of about 10% in blood pressure without change in variability was observed in more than 20% (complete placebo effect) and in about 30% (total placebo effect) of the cases. A significant increase of about 8% on blood pressure was recorded in less than 20% of the cases. Almost 25% of the patients had a significant decrease in heart rate. There was no correlation between heart rate and blood pressure under placebo. These criteria, which are both qualitative and quantitative, can be taken as reference when the blood pressure profile method is used to evaluate the effectiveness of antihypertensive drugs.


Assuntos
Pressão Sanguínea/efeitos dos fármacos , Hipertensão/tratamento farmacológico , Placebos/uso terapêutico , Anti-Hipertensivos/uso terapêutico , Feminino , Frequência Cardíaca/efeitos dos fármacos , Humanos , Hipertensão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica
20.
Arch Mal Coeur Vaiss ; 79(12): 1742-7, 1986 Nov.
Artigo em Francês | MEDLINE | ID: mdl-3105485

RESUMO

Selective coronary angiography has shown that typical angina pectoris may occur in the absence of atheromatous coronary stenosis. Other causes of these attacks of pain have been found: coronary spasm, small vessel disease, abnormal dissociation of haemoglobin or metabolic disturbances of the myocardial cell. Of all the patients undergoing coronary angiography in 1984 at the Centre Cantini, 9 had no classical coronary lesions but delayed filling of the left anterior descending artery. This syndrome was described for the first time in 1972 by Tambe as the "slow flow velocity syndrome". The aim of this study was to analyse the clinical, ECG and haemodynamic profiles of those patients. Five of them also underwent stress Thallium myocardial scintigraphy. An ergometrine provocation test was performed afterwards under ECG control. Delayed filling was appreciated by comparison with the other vessels and also by measuring the filling time which was two or three times longer than in a control series of 9 patients with angina and normal coronary arteries. The difference was statistically significant. These findings were only observed in strictly normal coronary vessels; they were reproducible and unaffected by the administration of nitrate derivatives. In our series all 9 patients were men with an average age of 51.4 years. One patient was asymptomatic and had a history suggestive of myocardial infarction, and 4 others had typical angina of effort: all had abnormal exercise stress tests. The other 3 patients had spontaneous atypical chest pain, normal resting ECG and a negative exercise stress test (impossible in one case). The five stress Thallium scintigraphies showed myocardial perfusion defects.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Angina Pectoris/fisiopatologia , Velocidade do Fluxo Sanguíneo , Vasos Coronários/fisiopatologia , Angina Pectoris/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Síndrome
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