Titre : Artère cérébrale moyenne

Artère cérébrale moyenne : Questions médicales fréquentes

Termes MeSH sélectionnés :

Reference Standards
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?\nQuels signes précurseurs d'AVC sont à surveiller ?", "url": "https://questionsmedicales.fr/mesh/D020768?mesh_terms=Reference+Standards&page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Artère cérébrale moyenne", "description": "Quelles habitudes de vie aident à prévenir les AVC ?\nLe contrôle de la pression artérielle est-il important ?\nComment le diabète influence-t-il le risque d'AVC ?\nLes examens médicaux réguliers sont-ils nécessaires ?\nL'alcool a-t-il un impact sur le risque d'AVC ?", "url": "https://questionsmedicales.fr/mesh/D020768?mesh_terms=Reference+Standards&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Artère cérébrale moyenne", "description": "Quel est le traitement d'urgence pour un AVC ?\nQuels médicaments sont utilisés pour prévenir les AVC ?\nLa rééducation est-elle nécessaire après un AVC ?\nQuels sont les traitements chirurgicaux possibles 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cholestérol élevé est-il un facteur de risque ?", "url": "https://questionsmedicales.fr/mesh/D020768?mesh_terms=Reference+Standards&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une occlusion de l'artère cérébrale moyenne ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un IRM ou un scanner cérébral peut révéler une occlusion ou un AVC." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour évaluer la circulation sanguine ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "L'échographie Doppler et l'angiographie sont couramment utilisés." } }, { "@type": "Question", "name": "Quels signes cliniques indiquent une atteinte de cette artère ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Des troubles moteurs, des troubles du langage et des déficits sensoriels peuvent apparaître." } }, { "@type": "Question", "name": "Quelle est l'importance de l'IRM dans le diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'IRM permet de visualiser les lésions cérébrales et d'évaluer l'étendue des dommages." } }, { "@type": "Question", "name": "Peut-on détecter une sténose de l'artère cérébrale moyenne ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la sténose peut être détectée par angiographie ou échographie Doppler." } }, { "@type": "Question", "name": "Quels sont les symptômes d'un AVC lié à cette artère ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent faiblesse unilatérale, troubles de la parole et confusion." } }, { "@type": "Question", "name": "Comment se manifeste une hémorragie cérébrale ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut provoquer des maux de tête soudains, des nausées et une perte de conscience." } }, { "@type": "Question", "name": "Quels déficits peuvent survenir après un AVC ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Des déficits moteurs, sensoriels et cognitifs peuvent affecter la qualité de vie." } }, { "@type": "Question", "name": "Les troubles de la vision sont-ils possibles ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des troubles visuels peuvent survenir, comme la perte de vision d'un œil." } }, { "@type": "Question", "name": "Quels signes précurseurs d'AVC sont à surveiller ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Des engourdissements, des troubles de l'équilibre et des maux de tête soudains." } }, { "@type": "Question", "name": "Quelles habitudes de vie aident à prévenir les AVC ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation équilibrée, l'exercice régulier et l'arrêt du tabac sont essentiels." } }, { "@type": "Question", "name": "Le contrôle de la pression artérielle est-il important ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, maintenir une pression artérielle normale réduit le risque d'AVC." } }, { "@type": "Question", "name": "Comment le diabète influence-t-il le risque d'AVC ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Le diabète mal contrôlé augmente le risque d'AVC ischémique et hémorragique." } }, { "@type": "Question", "name": "Les examens médicaux réguliers sont-ils nécessaires ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des bilans réguliers aident à détecter les facteurs de risque précocement." } }, { "@type": "Question", "name": "L'alcool a-t-il un impact sur le risque d'AVC ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Une consommation excessive d'alcool augmente le risque d'AVC et d'hypertension." } }, { "@type": "Question", "name": "Quel est le traitement d'urgence pour un AVC ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "L'administration d'un thrombolytique dans les premières heures est cruciale." } }, { "@type": "Question", "name": "Quels médicaments sont utilisés pour prévenir les AVC ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les anticoagulants et les antiplaquettaires sont souvent prescrits." } }, { "@type": "Question", "name": "La rééducation est-elle nécessaire après un AVC ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la rééducation physique et orthophonique est essentielle pour récupérer." } }, { "@type": "Question", "name": "Quels sont les traitements chirurgicaux possibles ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "La chirurgie peut inclure la déviation des vaisseaux ou l'évacuation d'un hématome." } }, { "@type": "Question", "name": "Comment gérer les complications post-AVC ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi médical régulier et des thérapies adaptées sont nécessaires." } }, { "@type": "Question", "name": "Quelles sont les complications possibles après un AVC ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des infections, des troubles de la déglutition et des douleurs." } }, { "@type": "Question", "name": "Comment les AVC affectent-ils la qualité de vie ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Ils peuvent entraîner des handicaps physiques et cognitifs, affectant l'autonomie." } }, { "@type": "Question", "name": "Les AVC peuvent-ils entraîner des troubles psychologiques ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des troubles comme la dépression et l'anxiété sont fréquents après un AVC." } }, { "@type": "Question", "name": "Quelles sont les conséquences d'une hémorragie cérébrale ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut causer des lésions cérébrales permanentes et des déficits neurologiques." } }, { "@type": "Question", "name": "Les AVC récurrents sont-ils possibles ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes ayant eu un AVC sont à risque accru d'en avoir un autre." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque d'AVC ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'hypertension, le diabète, le tabagisme et l'obésité sont des facteurs majeurs." } }, { "@type": "Question", "name": "L'âge influence-t-il le risque d'AVC ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque d'AVC augmente avec l'âge, surtout après 55 ans." } }, { "@type": "Question", "name": "Le stress peut-il contribuer aux AVC ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le stress chronique peut augmenter le risque d'AVC par divers mécanismes." } }, { "@type": "Question", "name": "Les antécédents familiaux jouent-ils un rôle ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents familiaux d'AVC augmentent le risque personnel." } }, { "@type": "Question", "name": "Le cholestérol élevé est-il un facteur de risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un taux de cholestérol élevé peut contribuer à l'athérosclérose et aux AVC." } } ] } ] }

Sources (10000 au total)

Assessment of pulmonary vascular anatomy: comparing augmented reality by holograms versus standard CT images/reconstructions using surgical findings as reference standard.

We compared computed tomography (CT) images and holograms (HG) to assess the number of arteries of the lung lobes undergoing lobectomy and assessed easiness in interpretation by radiologists and thora... Patients scheduled for lobectomy for lung cancer were prospectively included and underwent CT for staging. A patient-specific three-dimensional model was generated and visualized in an augmented reali... Fifty-two patients were prospectively included. The two doctors detected the same number of arteries in 44/52 images (85%) and in 51/52 holograms (98%). The mean difference between the number of arter... Augmented reality by holograms is an effective tool for preoperative vascular anatomy assessment of lungs, especially when evaluating the upper lobes, more prone to anatomical variations.... ClinicalTrials.gov, NCT04227444 RELEVANCE STATEMENT: Preoperative evaluation of the lung lobe arteries through augmented reality may help the thoracic surgeons to carefully plan a lobectomy, thus cont... • Preoperative assessment of the lung arteries may help surgical planning. • Lung artery detection by augmented reality was more accurate than that by CT images, particularly for the upper lobes. • Th...

Developing a reference standard for pertussis by applying a stratified sampling strategy to electronic medical record data.

Pertussis surveillance remains essential in Canada, but ascertainment bias limits the accuracy of surveillance data. Introducing other sources to improve detection has highlighted the importance of va... We used a stratified strategy to sample the reference standard from a primary care electronic medical record cohort. We incorporated abstractor notes into definite, possible, ruled-out, and no mention... We abstracted eight hundred records from the cohort of 404,922. There were 208 (26%) definite and 261 (32.6%) possible prevalent pertussis cases. Classifications demonstrated a wide variety of case se... When conducting validation studies for pertussis and other low prevalence diseases, this stratified sampling strategy can be used to develop a reference standard using limited resources. This approach...

Overcoming challenges regarding reference materials and regulations that influence global standardization of medical laboratory testing results.

Standardized results for laboratory tests are particularly important when their interpretation depends on fixed medical practice guidelines or common reference intervals. The medical laboratory commun... The participants agreed that prioritization of measurands for standardization should be based on their impact on medical decisions in a clinical pathway. Ensuring that matrix-based CRMs are globally a... A standardization initiative requires collaboration and planning among all interested stakeholders. Global collaboration should be further developed for prioritization of measurands for standardizatio...

Peak Circulatory Power during Maximal Cardiopulmonary Exercise Testing: Reference Standards from the FRIEND Registry.

Normative standards for key cardiopulmonary exercise (CPX) test variables, including peak circulatory power (CircP), are needed to guide the interpretation of clinical exercise responses in individual... This study aimed to establish age- and sex-specific reference standards for peak CircP derived from a healthy cohort from the Fitness Registry and the Importance of Exercise: A National Database (FRIE... CPX test data from apparently healthy males and females from eight FRIEND United States exercise laboratories were considered. Inclusion criteria included ages 20-79 yr and a maximal, symptom-limited ... A total of 6736 CPX tests (47% treadmill, 53% female) were included in the analysis. Overall, CircP was higher in males, higher on tests conducted on a treadmill, and decreased with age. Sex, exercise... These results establish reference standards for CircP, a potentially important prognostic indicator of cardiovascular health. Future research exploring the role of percentiles and percent-predicted va...

A Data-Driven Reference Standard for Adverse Drug Reaction (RS-ADR) Signal Assessment: Development and Validation.

Pharmacovigilance using real-world data (RWD), such as multicenter electronic health records (EHRs), yields massively parallel adverse drug reaction (ADR) signals. However, proper validation of comput... This study aimed to develop a reference standard for ADR (RS-ADR) to streamline the systematic detection, assessment, and understanding of almost all drug-ADR associations suggested by RWD analyses.... We integrated well-known reference sets for drug-ADR pairs, including Side Effect Resource, Observational Medical Outcomes Partnership, and EU-ADR. We created a pharmacovigilance dictionary using cont... The RS-ADR consisted of 1344 drugs, 4485 ADRs, and 6,027,840 drug-ADR pairs with positive and negative consensus votes as pharmacovigilance reference sets. After the curation of the initial version of... RS-ADRs enriched with the pharmacovigilance dictionary, ADR knowledge, and real-world evidence from EHRs may streamline the systematic detection, evaluation, and causality assessment of computationall...

Reference Standards for Peak Rating of Perceived Exertion during Cardiopulmonary Exercise Testing: Data from FRIEND.

Peak rating of perceived exertion (RPE) is measured during clinical cardiopulmonary exercise testing (CPX) and is commonly used as a subjective indicator of maximal effort. However, no study to date h... This study aimed to determine reference standards for peak RPE when using the 6-20 Borg scale for both treadmill and cycle tests.... The analysis included 9551 tests (8821 treadmill, 730 cycle ergometer) from 13 laboratories within the Fitness Registry and Importance of Exercise National Database (FRIEND). Using data from tests con... There were statistically significant differences in RPE between age groups whether the test was performed on a treadmill or cycle ergometer ( P < 0.05). However, the mean and median RPE for each sex, ... This report provides the first normative reference standards for peak RPE in both male and female individuals performing CPX on a treadmill or cycle ergometer. Furthermore, these reference standards h...

Comparison of the MOdified NARanjo Causality Scale (MONARCSi) for Individual Case Safety Reports vs. a Reference Standard.

In 2018, we published the MONARCSi algorithmic decision support tool showing high inter-rater agreement, moderate sensitivity, and high specificity compared with drug-event pairs (DEPs) previously rev... This paper describes the development of an independent reference standard (i.e., reference comparator) using a sample of DEPs evaluated by Roche subject matter experts (SMEs) and subsequent performanc... Roche collected a random sample of 131 DEPs evaluated by an external vendor using the MONARCSi prototype during 2020, and collectively referred to as the VMON (Vendor using the MONARCSi system for med... Binary comparison of the aggregate results showed substantial agreement (Gwet kappa = 0.81) between the VMON and reference standard CAUSMET assessments. Bayesian latent class modeling showed that both... Analysis of causality results from the assessments by independent internal SMEs using MONARCSi shows there is no obvious difference in performance between the aggregate CAUSMET and VMON assessments ba...

Diagnostic accuracy of a set of clinical and radiological criteria for screening of COVID-19 using RT-PCR as the reference standard.

The gold-standard method for establishing a microbiological diagnosis of COVID-19 is reverse-transcriptase polymerase chain reaction (RT-PCR). This study aimed to evaluate the accuracy, sensitivity, s... Diagnostic accuracy study including a historical cohort of 1009 patients consecutively admitted to ICUs across six hospitals in Curitiba (Brazil) from March to September, 2020. The sample was stratifi... With respect to RT-PCR, the proposed criteria had 98.5% (95% confidence interval [95% CI] 97.5-99.5%) sensitivity, 70% (95% CI 65.8-74.2%) specificity, 85.5% (95% CI 83.4-87.7%) accuracy, PPV of 79.7%... The proposed set of clinical-radiological criteria were accurate in identifying patients with strong versus weak suspicion for COVID-19 and had high sensitivity and considerable specificity with respe...