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Clavel M, Rodés-Cabau J, Bergeron S, Dumont É, Bagur R, De Larochelière R, Doyle D, Lemieux J, Dumesnil J, Pibarot P. 463 Methods and determinants of doppler-echocardiographic measures of prosthetic valve effective area following transcatheter aortic implantation. Can J Cardiol 2011. [DOI: 10.1016/j.cjca.2011.07.387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Clavel M, Ennezat P, Maréchaux S, Dumesnil J, Hachicha Z, Mathieu P, Bellouin A, Bergeron S, Meimoun P, Arsenault M, Tourneau TL, Pasquet A, Couture C, Trahan S, Sackett M, Pibarot P. 520 Utility of stress echocardiography to confirm stenosis severity and predict outcome in patients with low flow, low gradient aortic stenosis and preserved lv ejection fraction. Can J Cardiol 2011. [DOI: 10.1016/j.cjca.2011.07.437] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022] Open
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28
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Clavel MA, Webb JG, Rodés-Cabau J, Masson JB, Dumont E, De Larochellière R, Doyle D, Bergeron S, Baumgartner H, Burwash IG, Dumesnil JG, Mundigler G, Moss R, Kempny A, Bagur R, Bergler-Klein J, Gurvitch R, Mathieu P, Pibarot P. Comparison between transcatheter and surgical prosthetic valve implantation in patients with severe aortic stenosis and reduced left ventricular ejection fraction. Circulation 2010; 122:1928-36. [PMID: 20975002 DOI: 10.1161/circulationaha.109.929893] [Citation(s) in RCA: 210] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
BACKGROUND Patients with severe aortic stenosis and reduced left ventricular ejection fraction (LVEF) have a poor prognosis with conservative therapy but a high operative mortality when treated surgically. Recently, transcatheter aortic valve implantation (TAVI) has emerged as an alternative to surgical aortic valve replacement (SAVR) for patients considered at high or prohibitive operative risk. The objective of this study was to compare TAVI and SAVR with respect to postoperative recovery of LVEF in patients with severe aortic stenosis and reduced LV systolic function. METHODS AND RESULTS Echocardiographic data were prospectively collected before and after the procedure in 200 patients undergoing SAVR and 83 patients undergoing TAVI for severe aortic stenosis (aortic valve area ≤1 cm(2)) with reduced LV systolic function (LVEF ≤50%). TAVI patients were significantly older (81±8 versus 70±10 years; P<0.0001) and had more comorbidities compared with SAVR patients. Despite similar baseline LVEF (34±11% versus 34±10%), TAVI patients had better recovery of LVEF compared with SAVR patients (ΔLVEF, 14±15% versus 7±11%; P=0.005). At the 1-year follow-up, 58% of TAVI patients had a normalization of LVEF (>50%) as opposed to 20% in the SAVR group. On multivariable analysis, female gender (P=0.004), lower LVEF at baseline (P=0.005), absence of atrial fibrillation (P=0.01), TAVI (P=0.007), and larger increase in aortic valve area after the procedure (P=0.01) were independently associated with better recovery of LVEF. CONCLUSION In patients with severe aortic stenosis and depressed LV systolic function, TAVI is associated with better LVEF recovery compared with SAVR. TAVI may provide an interesting alternative to SAVR in patients with depressed LV systolic function considered at high surgical risk.
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Legault S, Couture C, Bourgault C, Bergeron S, Poirier P, Sénéchal M. Primary cardiac Burkitt-like lymphoma of the right atrium. Can J Cardiol 2009; 25:163-5. [PMID: 19279985 DOI: 10.1016/s0828-282x(09)70049-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
A 74-year-old man presented for shortness of breath. Echocardiography revealed the presence of a large pericardial effusion with signs of tamponade. A right atrial mass was suspected and later confirmed by transesophageal echocardiography. The mass was attached to the right side of the interatrial septum. Surgical resection was performed. Histology was compatible with a diagnosis of undifferentiated B-cell non-Hodgkin's (Burkittlike) primary cardiac lymphoma. The present report provides the first description of a Burkitt-like primary cardiac lymphoma. The presence of a mass in the right atria should raise the possibility of a malignant cardiac tumour. Transesophageal echocardiography should be considered as the initial diagnostic procedure to be performed. Rapid histological diagnosis is important because systemic therapy can influence prognosis in the presence of a primary cardiac lymphoma.
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Morin M, Bergeron S. La rééducation périnéale dans le traitement de la dyspareunie chez la femme. SEXOLOGIES 2009. [DOI: 10.1016/j.sexol.2009.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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31
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Bailey B, Bergeron S, Gravel J, Daoust R. Comparison of Four Pain Scales in Children with Acute Abdominal Pain in a Pediatric Emergency Department. Acad Emerg Med 2007. [DOI: 10.1197/j.aem.2007.03.952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Bailey B, Bergeron S, Gravel J, Bussieres JF, Bensoussan A. Efficacy and Impact of Intravenous Morphine before Surgical Consult in Children with Right Lower Quadrant Pain Suggestive of Appendicitis: A Randomized Controlled Trial. Acad Emerg Med 2007. [DOI: 10.1197/j.aem.2007.03.951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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34
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Gravel J, Gouin S, Bailey B, Roy M, Bergeron S, Amre D. Evaluation of the Validity of a Computerized Version of the Canadian Triage and Acuity Scale in a Pediatric Emergency Department. Acad Emerg Med 2007. [DOI: 10.1197/j.aem.2007.03.903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Roy M, Carrière B, Thivierge R, Bergeron S. Programme d'enseignement de la pédiatrie aux urgences. Arch Pediatr 2005; 12:712-4. [PMID: 15904780 DOI: 10.1016/j.arcped.2005.04.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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36
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Ploin D, Rousson A, Vitoux-Brot C, Nouyrigat V, Foucaud P, Lemaire JP, Chevallier B, Bergeron S, Martinot A, Chéron G, Floret D. [Treatment of exacerbation of asthma: what are today's issues?]. Arch Pediatr 2005; 12:351-6. [PMID: 15734138 DOI: 10.1016/j.arcped.2004.11.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
During past decades, major progress has been accomplished in the management of acute asthma. Most recent recommendations include evidence-based rationale. The improved quality of clinical guidelines makes them efficient models for medical education. The pediatric pharmacopoeia provides a great variety of choices of drugs as well as for asthma medical devices. These innovations dramatically facilitated the medical management of asthmatic children, but they did not solve all problems. Physicians now use higher doses of salbutamol, but the early prescription of systemic glucocorticoids for moderate exacerbation of asthma is still underused, given the most recent clinical guidelines and meta-analysis. Furthermore, repeated emergency department visits to the wards and lack of primary care physician should systematically be appraised when evaluating severity, as they are both major risk factors for severe exacerbations, even though they are not considered in acute asthma severity scores. Finally, initiating (or reinforcing) patient education at the time of exacerbation also presents important challenges, as emergency visits are a favorable moment to commence the therapeutic education of the child and his family. Indeed, framing the controller medications and educating families about how to manage the disease and to improve their domestic environment are the genuine tools available for the prevention of asthma exacerbations, and particularly those most severe.
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Bergeron S, Delage C, Dujardin T, Latulippe É. L’expérience des néphrectomies partielles à l’Hôtel-Dieu de Québec : étude clinico-pathologique de 79 cas consécutifs. Ann Pathol 2005. [DOI: 10.1016/s0242-6498(05)86192-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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38
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Gouin S, Trieu TV, Patel H, Bergeron S, Amre D, Guérin R. 124 The Effect of Picture Archiving and Communications Systems on the Diagnostic Performance of Pediatric Emergency Physicians. Paediatr Child Health 2004. [DOI: 10.1093/pch/9.suppl_a.57ab] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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39
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Bergeron S, Harvey I, Tanguay C, Morin C, Deschênes J, Bernier V, Meisels A. L’évolution des atypies des cellules glandulaires de signification indéterminée (AGUS) au CHA-Pavillon St-Sacrement. Ann Pathol 2004. [DOI: 10.1016/s0242-6498(04)93929-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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40
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Gouin S, Trieu TV, Bergeron S, Patel H, Guérin R. Interpretation of Plain Radiographs by Pediatric Emergency Physicians: Do We Need Routine Review by a Radiologist? Paediatr Child Health 2003. [DOI: 10.1093/pch/8.suppl_b.42ba] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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41
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Sterescu A, Gauthier M, Chevalier I, Bergeron S, Brunet S, Taddeo D. Treatment of Febrile Urinary Tract Infections (Uti) in Young Children With Intravenous Antibiotics in a Day Treatment Center. Paediatr Child Health 2003. [DOI: 10.1093/pch/8.suppl_b.43b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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42
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Bergeron S, Leduc N, Champagne F, Ste-Marie G, Lafrance M. Factors Influencing Parental Decision in Seeking Emergency Services for Non Urgent Visits. Paediatr Child Health 2003. [DOI: 10.1093/pch/8.suppl_b.41bb] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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43
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Bergeron S. Comparison of Triage Assessments among Pediatric Registered Nurses and Pediatric Emergency Physicians. Acad Emerg Med 2002. [DOI: 10.1197/aemj.9.12.1397] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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44
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Bergeron S, Lebel MH. Pediatric Bacteremia in Emergency Department (ED): Era Before Conjugated Pneumococcal Vaccine. Paediatr Child Health 2002. [DOI: 10.1093/pch/7.suppl_a.42ab] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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45
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Gravel J, Bergeron S, Amre D, Gouin S. Evaluation of the Canadian Pediatric Triage and Acuity Scale in an Emergency Department. Paediatr Child Health 2002. [DOI: 10.1093/pch/7.suppl_a.19aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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46
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Gravel J, Gouin S, Bergeron S, Amre D, Lacroix J. Evaluation of the Pediatric Risk of Admission (PRISA) Score in a Pediatric Emergency Department. Paediatr Child Health 2002. [DOI: 10.1093/pch/7.suppl_a.60a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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47
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Bergeron S, Gouin S, Bailey B, Amre D, Patel H. Agreement Among Pediatric Health Care Professionals with New Triage Guidelines. Paediatr Child Health 2002. [DOI: 10.1093/pch/7.suppl_a.26ab] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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48
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Bergeron S. Agreement among Pediatric Health Care Professionals with New Triage Guidelines. Acad Emerg Med 2002. [DOI: 10.1197/aemj.9.5.525-a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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49
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Bergeron S, Binik YM, Khalifé S. In favor of an integrated pain-relief treatment approach for vulvar vestibulitis syndrome. J Psychosom Obstet Gynaecol 2002; 23:7-9. [PMID: 12061041 DOI: 10.3109/01674820209093409] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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50
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Bergeron S, Demers C, Bogaty P, Poirier P. The endocarditis that was not: an unusual case of heparin-induced thrombocytopenia with unusual complications. Can J Cardiol 2001; 17:1180-2. [PMID: 11726986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023] Open
Abstract
The complications of heparin-induced thrombocytopenia have been well described previously. However, evidence of the possibility that heparin-induced thrombocytopenia can trigger a thyroid storm has never been published before. A catastrophic evolution of a man referred with a high endocarditis suspicion previously treated with heparin, who successively developed arterial thrombosis and thyroid storm, is described.
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