Renal impairment and heart failure with preserved ejection fraction early post-myocardial infarction
Identifieur interne : 002483 ( Pmc/Checkpoint ); précédent : 002482; suivant : 002484Renal impairment and heart failure with preserved ejection fraction early post-myocardial infarction
Auteurs : Vinod Jorapur ; Gervasio A. Lamas ; Zygmunt P. Sadowski ; Harmony R. Reynolds ; Antonio C. Carvalho ; Christopher E. Buller ; James M. Rankin ; Jean Renkin ; Philippe Gabriel Steg ; Harvey D. White ; Carlos Vozzi ; Eduardo Balcells ; Michael Ragosta ; C Edwin Martin ; Vankeepuram S. Srinivas ; William W. Wharton Iii ; Staci Abramsky ; Ana C. Mon ; Shari S. Kronsberg ; Judith S. HochmanSource :
- World Journal of Cardiology [ 1949-8462 ] ; 2010.
Abstract
AIM: To study if impaired renal function is associated with increased risk of peri-infarct heart failure (HF) in patients with preserved ejection fraction (EF).
METHODS: Patients with occluded infarct-related arteries (IRAs) between 1 to 28 d after myocardial infarction (MI) were grouped into chronic kidney disease (CKD) stages based on estimated glomerular filtration rate (eGFR). Rates of early post-MI HF were compared among eGFR groups. Logistic regression was used to explore independent predictors of HF.
RESULTS: Reduced eGFR was present in 71.1% of 2160 patients, with significant renal impairment (eGFR < 60 mL/min every 1.73 m2) in 14.8%. The prevalence of HF was higher with worsening renal function: 15.5%, 17.8% and 29.4% in patients with CKD stages 1, 2 and 3 or 4, respectively (
CONCLUSION: A significant proportion of post-MI patients with occluded IRAs have impaired renal function. Impaired renal function was associated with an increased rate of early post-MI HF, the association being strongest in patients with preserved EF. These findings have implications for management of peri-infarct HF.
Url:
DOI: 10.4330/wjc.v2.i1.13
PubMed: 20885993
PubMed Central: 2946261
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Renal impairment and heart failure with preserved ejection fraction early post-myocardial infarction</title><author><name sortKey="Jorapur, Vinod" sort="Jorapur, Vinod" uniqKey="Jorapur V" first="Vinod" last="Jorapur">Vinod Jorapur</name></author><author><name sortKey="Lamas, Gervasio A" sort="Lamas, Gervasio A" uniqKey="Lamas G" first="Gervasio A" last="Lamas">Gervasio A. Lamas</name></author><author><name sortKey="Sadowski, Zygmunt P" sort="Sadowski, Zygmunt P" uniqKey="Sadowski Z" first="Zygmunt P" last="Sadowski">Zygmunt P. Sadowski</name></author><author><name sortKey="Reynolds, Harmony R" sort="Reynolds, Harmony R" uniqKey="Reynolds H" first="Harmony R" last="Reynolds">Harmony R. Reynolds</name></author><author><name sortKey="Carvalho, Antonio C" sort="Carvalho, Antonio C" uniqKey="Carvalho A" first="Antonio C" last="Carvalho">Antonio C. Carvalho</name></author><author><name sortKey="Buller, Christopher E" sort="Buller, Christopher E" uniqKey="Buller C" first="Christopher E" last="Buller">Christopher E. Buller</name></author><author><name sortKey="Rankin, James M" sort="Rankin, James M" uniqKey="Rankin J" first="James M" last="Rankin">James M. Rankin</name></author><author><name sortKey="Renkin, Jean" sort="Renkin, Jean" uniqKey="Renkin J" first="Jean" last="Renkin">Jean Renkin</name></author><author><name sortKey="Steg, Philippe Gabriel" sort="Steg, Philippe Gabriel" uniqKey="Steg P" first="Philippe Gabriel" last="Steg">Philippe Gabriel Steg</name></author><author><name sortKey="White, Harvey D" sort="White, Harvey D" uniqKey="White H" first="Harvey D" last="White">Harvey D. White</name></author><author><name sortKey="Vozzi, Carlos" sort="Vozzi, Carlos" uniqKey="Vozzi C" first="Carlos" last="Vozzi">Carlos Vozzi</name></author><author><name sortKey="Balcells, Eduardo" sort="Balcells, Eduardo" uniqKey="Balcells E" first="Eduardo" last="Balcells">Eduardo Balcells</name></author><author><name sortKey="Ragosta, Michael" sort="Ragosta, Michael" uniqKey="Ragosta M" first="Michael" last="Ragosta">Michael Ragosta</name></author><author><name sortKey="Martin, C Edwin" sort="Martin, C Edwin" uniqKey="Martin C" first="C Edwin" last="Martin">C Edwin Martin</name></author><author><name sortKey="Srinivas, Vankeepuram S" sort="Srinivas, Vankeepuram S" uniqKey="Srinivas V" first="Vankeepuram S" last="Srinivas">Vankeepuram S. Srinivas</name></author><author><name sortKey="Wharton Iii, William W" sort="Wharton Iii, William W" uniqKey="Wharton Iii W" first="William W" last="Wharton Iii">William W. Wharton Iii</name></author><author><name sortKey="Abramsky, Staci" sort="Abramsky, Staci" uniqKey="Abramsky S" first="Staci" last="Abramsky">Staci Abramsky</name></author><author><name sortKey="Mon, Ana C" sort="Mon, Ana C" uniqKey="Mon A" first="Ana C" last="Mon">Ana C. Mon</name></author><author><name sortKey="Kronsberg, Shari S" sort="Kronsberg, Shari S" uniqKey="Kronsberg S" first="Shari S" last="Kronsberg">Shari S. Kronsberg</name></author><author><name sortKey="Hochman, Judith S" sort="Hochman, Judith S" uniqKey="Hochman J" first="Judith S" last="Hochman">Judith S. Hochman</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20885993</idno><idno type="pmc">2946261</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2946261</idno><idno type="RBID">PMC:2946261</idno><idno type="doi">10.4330/wjc.v2.i1.13</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">001C35</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C35</idno><idno type="wicri:Area/Pmc/Curation">001A93</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001A93</idno><idno type="wicri:Area/Pmc/Checkpoint">002483</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002483</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Renal impairment and heart failure with preserved ejection fraction early post-myocardial infarction</title><author><name sortKey="Jorapur, Vinod" sort="Jorapur, Vinod" uniqKey="Jorapur V" first="Vinod" last="Jorapur">Vinod Jorapur</name></author><author><name sortKey="Lamas, Gervasio A" sort="Lamas, Gervasio A" uniqKey="Lamas G" first="Gervasio A" last="Lamas">Gervasio A. Lamas</name></author><author><name sortKey="Sadowski, Zygmunt P" sort="Sadowski, Zygmunt P" uniqKey="Sadowski Z" first="Zygmunt P" last="Sadowski">Zygmunt P. Sadowski</name></author><author><name sortKey="Reynolds, Harmony R" sort="Reynolds, Harmony R" uniqKey="Reynolds H" first="Harmony R" last="Reynolds">Harmony R. Reynolds</name></author><author><name sortKey="Carvalho, Antonio C" sort="Carvalho, Antonio C" uniqKey="Carvalho A" first="Antonio C" last="Carvalho">Antonio C. Carvalho</name></author><author><name sortKey="Buller, Christopher E" sort="Buller, Christopher E" uniqKey="Buller C" first="Christopher E" last="Buller">Christopher E. Buller</name></author><author><name sortKey="Rankin, James M" sort="Rankin, James M" uniqKey="Rankin J" first="James M" last="Rankin">James M. Rankin</name></author><author><name sortKey="Renkin, Jean" sort="Renkin, Jean" uniqKey="Renkin J" first="Jean" last="Renkin">Jean Renkin</name></author><author><name sortKey="Steg, Philippe Gabriel" sort="Steg, Philippe Gabriel" uniqKey="Steg P" first="Philippe Gabriel" last="Steg">Philippe Gabriel Steg</name></author><author><name sortKey="White, Harvey D" sort="White, Harvey D" uniqKey="White H" first="Harvey D" last="White">Harvey D. White</name></author><author><name sortKey="Vozzi, Carlos" sort="Vozzi, Carlos" uniqKey="Vozzi C" first="Carlos" last="Vozzi">Carlos Vozzi</name></author><author><name sortKey="Balcells, Eduardo" sort="Balcells, Eduardo" uniqKey="Balcells E" first="Eduardo" last="Balcells">Eduardo Balcells</name></author><author><name sortKey="Ragosta, Michael" sort="Ragosta, Michael" uniqKey="Ragosta M" first="Michael" last="Ragosta">Michael Ragosta</name></author><author><name sortKey="Martin, C Edwin" sort="Martin, C Edwin" uniqKey="Martin C" first="C Edwin" last="Martin">C Edwin Martin</name></author><author><name sortKey="Srinivas, Vankeepuram S" sort="Srinivas, Vankeepuram S" uniqKey="Srinivas V" first="Vankeepuram S" last="Srinivas">Vankeepuram S. Srinivas</name></author><author><name sortKey="Wharton Iii, William W" sort="Wharton Iii, William W" uniqKey="Wharton Iii W" first="William W" last="Wharton Iii">William W. Wharton Iii</name></author><author><name sortKey="Abramsky, Staci" sort="Abramsky, Staci" uniqKey="Abramsky S" first="Staci" last="Abramsky">Staci Abramsky</name></author><author><name sortKey="Mon, Ana C" sort="Mon, Ana C" uniqKey="Mon A" first="Ana C" last="Mon">Ana C. Mon</name></author><author><name sortKey="Kronsberg, Shari S" sort="Kronsberg, Shari S" uniqKey="Kronsberg S" first="Shari S" last="Kronsberg">Shari S. Kronsberg</name></author><author><name sortKey="Hochman, Judith S" sort="Hochman, Judith S" uniqKey="Hochman J" first="Judith S" last="Hochman">Judith S. Hochman</name></author></analytic><series><title level="j">World Journal of Cardiology</title><idno type="ISSN">1949-8462</idno><idno type="eISSN">1949-8462</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>AIM: To study if impaired renal function is associated with increased risk of peri-infarct heart failure (HF) in patients with preserved ejection fraction (EF).</p><p>METHODS: Patients with occluded infarct-related arteries (IRAs) between 1 to 28 d after myocardial infarction (MI) were grouped into chronic kidney disease (CKD) stages based on estimated glomerular filtration rate (eGFR). Rates of early post-MI HF were compared among eGFR groups. Logistic regression was used to explore independent predictors of HF.</p><p>RESULTS: Reduced eGFR was present in 71.1% of 2160 patients, with significant renal impairment (eGFR < 60 mL/min every 1.73 m<sup>2</sup>) in 14.8%. The prevalence of HF was higher with worsening renal function: 15.5%, 17.8% and 29.4% in patients with CKD stages 1, 2 and 3 or 4, respectively (<italic>P</italic> < 0.0001), despite a small absolute difference in mean EF across eGFR groups: 48.2 ± 10.0, 47.9 ± 11.3 and 46.2 ± 12.1, respectively (<italic>P</italic> = 0.02). The prevalence of HF was again higher with worsening renal function among patients with preserved EF: 10.1%, 13.6% and 23.6% (<italic>P</italic> < 0.0001), but this relationship was not significant among patients with depressed EF: 27.1%, 26.2% and 37.9% (<italic>P</italic> = 0.071). Moreover, eGFR was an independent correlate of HF in patients with preserved EF (<italic>P</italic> = 0.003) but not in patients with depressed EF (<italic>P</italic> = 0.181).</p><p>CONCLUSION: A significant proportion of post-MI patients with occluded IRAs have impaired renal function. Impaired renal function was associated with an increased rate of early post-MI HF, the association being strongest in patients with preserved EF. These findings have implications for management of peri-infarct HF.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Cardiol</journal-id><journal-id journal-id-type="publisher-id">WJC</journal-id><journal-title-group><journal-title>World Journal of Cardiology</journal-title></journal-title-group><issn pub-type="ppub">1949-8462</issn><issn pub-type="epub">1949-8462</issn><publisher><publisher-name>Baishideng Publishing Group Co., Limited</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20885993</article-id><article-id pub-id-type="pmc">2946261</article-id><article-id pub-id-type="other">jWJC.v2.i1.pg13</article-id><article-id pub-id-type="doi">10.4330/wjc.v2.i1.13</article-id><article-categories><subj-group subj-group-type="heading"><subject>Brief Article</subject></subj-group></article-categories><title-group><article-title>Renal impairment and heart failure with preserved ejection fraction early post-myocardial infarction</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Jorapur</surname><given-names>Vinod</given-names></name></contrib><contrib contrib-type="author"><name><surname>Lamas</surname><given-names>Gervasio A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Sadowski</surname><given-names>Zygmunt P</given-names></name></contrib><contrib contrib-type="author"><name><surname>Reynolds</surname><given-names>Harmony R</given-names></name></contrib><contrib contrib-type="author"><name><surname>Carvalho</surname><given-names>Antonio C</given-names></name></contrib><contrib contrib-type="author"><name><surname>Buller</surname><given-names>Christopher E</given-names></name></contrib><contrib contrib-type="author"><name><surname>Rankin</surname><given-names>James M</given-names></name></contrib><contrib contrib-type="author"><name><surname>Renkin</surname><given-names>Jean</given-names></name></contrib><contrib contrib-type="author"><name><surname>Steg</surname><given-names>Philippe Gabriel</given-names></name></contrib><contrib contrib-type="author"><name><surname>White</surname><given-names>Harvey D</given-names></name></contrib><contrib contrib-type="author"><name><surname>Vozzi</surname><given-names>Carlos</given-names></name></contrib><contrib contrib-type="author"><name><surname>Balcells</surname><given-names>Eduardo</given-names></name></contrib><contrib contrib-type="author"><name><surname>Ragosta</surname><given-names>Michael</given-names></name></contrib><contrib contrib-type="author"><name><surname>Martin</surname><given-names>C Edwin</given-names></name></contrib><contrib contrib-type="author"><name><surname>Srinivas</surname><given-names>Vankeepuram S</given-names></name></contrib><contrib contrib-type="author"><name><surname>Wharton III</surname><given-names>William W</given-names></name></contrib><contrib contrib-type="author"><name><surname>Abramsky</surname><given-names>Staci</given-names></name></contrib><contrib contrib-type="author"><name><surname>Mon</surname><given-names>Ana C</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kronsberg</surname><given-names>Shari S</given-names></name></contrib><contrib contrib-type="author"><name><surname>Hochman</surname><given-names>Judith S</given-names></name></contrib><aff>Vinod Jorapur, Gervasio A Lamas, Ana C Mon, Columbia University Division of Cardiology, Mount Sinai Medical Center, Miami Beach, FL 33140, United States</aff><aff>Zygmunt P Sadowski, II Ischemic Heart Disease Department, National Institute of Cardiology, Warsaw, 04628, Poland</aff><aff>Harmony R Reynolds, Staci Abramsky, Judith S Hochman, Leon Charney Division of Cardiology, New York University School of Medicine, NY 10016, United States</aff><aff>Antonio C Carvalho, Cardiology Division - Hospital Sao Paulo, Federal University of Sao Paulo, Sao Paulo, 04080004, Brazil</aff><aff>Christopher E Buller, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, L8L 2X2, Canada</aff><aff>James M Rankin, Department of Cardiovascular Medicine, Royal Perth Hospital, Perth 6000, Australia</aff><aff>Jean Renkin, Department of Cardiology, UCL St Luc University Hospital, Brussels 1200, Belgium</aff><aff>Philippe Gabriel Steg, INSERM U-698, Department of Cardiology, Hopital Bichat, AP-HP, and Université Paris 7, Paris 75877, France</aff><aff>Harvey D White, Cardiology Department, Green Lane Cardiovascular Service, Auckland City Hospital, Auckland 1142, New Zealand</aff><aff>Carlos Vozzi, Interventional Cardiology, Instituto de Intervenciones Cardiovasculares S.A., Rosario 2000, Argentina</aff><aff>Eduardo Balcells, Cardiovascular Associates, Wellmont Holston Valley Medical Center, Kingsport, TN 37660, United States</aff><aff>Michael Ragosta, Cardiovascular Division, University of Virginia, Charlottesville, VA 22908, United States</aff><aff>C Edwin Martin, Department of Medicine - Division of Cardiology, York Hospital, York, PA 17405, United States</aff><aff>Vankeepuram S Srinivas, Division of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10468, United States</aff><aff>William W Wharton III, Research Department, Asheville Cardiology Associates, P.A., Asheville, NC 28803, United States</aff><aff>Shari S Kronsberg, Maryland Medical Research Institute, Baltimore, MD 21210, United States</aff></contrib-group><author-notes><fn><p>Author contributions: The authors had full access to the data and take responsibility for its integrity; all authors have read and agree to the manuscript as written.</p><p>Correspondence to: Judith S Hochman, MD, Leon Charney Division of Cardiology, New York University School of Medicine, NY 10016, United States. <email>judith.hochman@nyumc.org</email></p><p>Telephone: +1-212-2636927 Fax: +1-212-2637129</p></fn></author-notes><pub-date pub-type="ppub"><day>26</day><month>1</month><year>2010</year></pub-date><pub-date pub-type="epub"><day>26</day><month>1</month><year>2010</year></pub-date><volume>2</volume><issue>1</issue><fpage>13</fpage><lpage>18</lpage><history><date date-type="received"><day>16</day><month>1</month><year>2010</year></date><date date-type="rev-recd"><day>24</day><month>1</month><year>2010</year></date><date date-type="accepted"><day>25</day><month>1</month><year>2010</year></date></history><permissions><copyright-statement>©2010 Baishideng Publishing Group Co., Limited. All rights reserved.</copyright-statement><copyright-year>2010</copyright-year></permissions><abstract><p>AIM: To study if impaired renal function is associated with increased risk of peri-infarct heart failure (HF) in patients with preserved ejection fraction (EF).</p><p>METHODS: Patients with occluded infarct-related arteries (IRAs) between 1 to 28 d after myocardial infarction (MI) were grouped into chronic kidney disease (CKD) stages based on estimated glomerular filtration rate (eGFR). Rates of early post-MI HF were compared among eGFR groups. Logistic regression was used to explore independent predictors of HF.</p><p>RESULTS: Reduced eGFR was present in 71.1% of 2160 patients, with significant renal impairment (eGFR < 60 mL/min every 1.73 m<sup>2</sup>) in 14.8%. The prevalence of HF was higher with worsening renal function: 15.5%, 17.8% and 29.4% in patients with CKD stages 1, 2 and 3 or 4, respectively (<italic>P</italic> < 0.0001), despite a small absolute difference in mean EF across eGFR groups: 48.2 ± 10.0, 47.9 ± 11.3 and 46.2 ± 12.1, respectively (<italic>P</italic> = 0.02). The prevalence of HF was again higher with worsening renal function among patients with preserved EF: 10.1%, 13.6% and 23.6% (<italic>P</italic> < 0.0001), but this relationship was not significant among patients with depressed EF: 27.1%, 26.2% and 37.9% (<italic>P</italic> = 0.071). Moreover, eGFR was an independent correlate of HF in patients with preserved EF (<italic>P</italic> = 0.003) but not in patients with depressed EF (<italic>P</italic> = 0.181).</p><p>CONCLUSION: A significant proportion of post-MI patients with occluded IRAs have impaired renal function. Impaired renal function was associated with an increased rate of early post-MI HF, the association being strongest in patients with preserved EF. These findings have implications for management of peri-infarct HF.</p></abstract><kwd-group><kwd>Heart failure</kwd><kwd>Myocardial infarction</kwd><kwd>Kidney disease</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Abramsky, Staci" sort="Abramsky, Staci" uniqKey="Abramsky S" first="Staci" last="Abramsky">Staci Abramsky</name><name sortKey="Balcells, Eduardo" sort="Balcells, Eduardo" uniqKey="Balcells E" first="Eduardo" last="Balcells">Eduardo Balcells</name><name sortKey="Buller, Christopher E" sort="Buller, Christopher E" uniqKey="Buller C" first="Christopher E" last="Buller">Christopher E. Buller</name><name sortKey="Carvalho, Antonio C" sort="Carvalho, Antonio C" uniqKey="Carvalho A" first="Antonio C" last="Carvalho">Antonio C. Carvalho</name><name sortKey="Hochman, Judith S" sort="Hochman, Judith S" uniqKey="Hochman J" first="Judith S" last="Hochman">Judith S. Hochman</name><name sortKey="Jorapur, Vinod" sort="Jorapur, Vinod" uniqKey="Jorapur V" first="Vinod" last="Jorapur">Vinod Jorapur</name><name sortKey="Kronsberg, Shari S" sort="Kronsberg, Shari S" uniqKey="Kronsberg S" first="Shari S" last="Kronsberg">Shari S. Kronsberg</name><name sortKey="Lamas, Gervasio A" sort="Lamas, Gervasio A" uniqKey="Lamas G" first="Gervasio A" last="Lamas">Gervasio A. Lamas</name><name sortKey="Martin, C Edwin" sort="Martin, C Edwin" uniqKey="Martin C" first="C Edwin" last="Martin">C Edwin Martin</name><name sortKey="Mon, Ana C" sort="Mon, Ana C" uniqKey="Mon A" first="Ana C" last="Mon">Ana C. Mon</name><name sortKey="Ragosta, Michael" sort="Ragosta, Michael" uniqKey="Ragosta M" first="Michael" last="Ragosta">Michael Ragosta</name><name sortKey="Rankin, James M" sort="Rankin, James M" uniqKey="Rankin J" first="James M" last="Rankin">James M. Rankin</name><name sortKey="Renkin, Jean" sort="Renkin, Jean" uniqKey="Renkin J" first="Jean" last="Renkin">Jean Renkin</name><name sortKey="Reynolds, Harmony R" sort="Reynolds, Harmony R" uniqKey="Reynolds H" first="Harmony R" last="Reynolds">Harmony R. Reynolds</name><name sortKey="Sadowski, Zygmunt P" sort="Sadowski, Zygmunt P" uniqKey="Sadowski Z" first="Zygmunt P" last="Sadowski">Zygmunt P. Sadowski</name><name sortKey="Srinivas, Vankeepuram S" sort="Srinivas, Vankeepuram S" uniqKey="Srinivas V" first="Vankeepuram S" last="Srinivas">Vankeepuram S. Srinivas</name><name sortKey="Steg, Philippe Gabriel" sort="Steg, Philippe Gabriel" uniqKey="Steg P" first="Philippe Gabriel" last="Steg">Philippe Gabriel Steg</name><name sortKey="Vozzi, Carlos" sort="Vozzi, Carlos" uniqKey="Vozzi C" first="Carlos" last="Vozzi">Carlos Vozzi</name><name sortKey="Wharton Iii, William W" sort="Wharton Iii, William W" uniqKey="Wharton Iii W" first="William W" last="Wharton Iii">William W. Wharton Iii</name><name sortKey="White, Harvey D" sort="White, Harvey D" uniqKey="White H" first="Harvey D" last="White">Harvey D. White</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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