[Recommendations update of the European Society of Cardiology about atrial fibrillation]. / Mise à jour des recommandations de la Société Européenne de Cardiologie : au sujet de la fibrillation auriculaire.

The 2020 recommendations of the European Society of Cardiology have been enriched on the basis of numerous data published over the past 4 years. They emphasize the importance of a comprehensive management of the arrhythmia and give an increasingly prominent place to treatment by ablation. In this article, we summarize all the new recommendations.

Les recommandations 2020 de la Société Européenne de Cardiologie se sont enrichies sur la base de nombreuses données publiées au cours des 4 dernières années. Elles mettent l'accent sur l'importance d'une prise en charge globale de l'arythmie et donnent une place de plus en plus prépondérante au traitement par ablation. Dans cet article, nous présentons un résumé de l'ensemble des nouvelles recommandations.

[Prevention of falls in the elderly and physiotherapy]. / La prévention des chutes chez la personne âgée et la kinésithérapie.

Frequency and dangerousness of falls in elderly people are a public health problem because of its prevalence and its consequences. Because of its high frequency a program designed to avoid the risk of fall and to restore the balance is of importance. Nowadays in Belgium, only the ones belonging to the F-pathology list are reimbursed for the walking functional reeducation. The troubles of walking and balance increasing the risk of falls, are evaluated by different tests like: Tinetti's test (POMA), Time-up-and-go tests. To screen the patient in its physical psychological and environmental sides is mandatory. The physiotherapist is the key to evaluate the patient globally. The main aim is to restore the patient's independence after a fall and to ensure an optimal quality of live. A functional reeducation including the relearning of walking, balance, standing up and proprioception is a must. A preventive way should be more adequate for the patient at risk and the society. A prevention program for fall involving a multidisciplinary team could be the solution of the public health's problem. A lost still remains to be done! In some countries such programs do exist. They inform the elderly about falls' risks and the sometimes tragic consequences. To prevent falls, GP's, ergotherapists, physiotherapists, nurses and social workers have to work together.