{"id":3228,"date":"2023-05-31T15:48:54","date_gmt":"2023-05-31T13:48:54","guid":{"rendered":"https:\/\/vsm.vivoptim-solutions.com\/?p=3228"},"modified":"2025-01-15T14:22:29","modified_gmt":"2025-01-15T13:22:29","slug":"mieux-connaitre-la-physiopathologie-des-insuffisances-coronaires","status":"publish","type":"post","link":"https:\/\/vsm.vivoptim-solutions.com\/?p=3228","title":{"rendered":"Mieux connaitre la physiopathologie des insuffisances coronaires"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3228\" class=\"elementor elementor-3228\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bdb4c4b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bdb4c4b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4e92125\" data-id=\"4e92125\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-79f5225 elementor-widget elementor-widget-heading\" data-id=\"79f5225\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Mieux connaitre la physiopathologie des insuffisances coronaires<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b79d753 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b79d753\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-536f282\" data-id=\"536f282\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4c8794b elementor-widget elementor-widget-text-editor\" data-id=\"4c8794b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div style=\"background: #e6f7fd; border-radius: 5px; color: #2980b9; margin-top: 1%; padding: 5%;\"><div class=\"row\"><div class=\"col-lg-4 col-md-5 col-sm-8 col-xl-4 col-xs-8\"><p style=\"text-align: left;\"><img decoding=\"async\" class=\"size-full wp-image-3230 alignleft\" src=\"https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/ref_002229_prof_puymirat.png\" alt=\"\" width=\"192\" height=\"205\" \/><br \/><br \/><span style=\"color: #2980b9;\"><strong style=\"font-size: 0.9em; font-weight: bold;\"><em>Professeur Etienne Puymirat<\/em><\/strong><\/span><\/p><\/div><div class=\"col-lg-8 col-md-7 col-sm-12 col-xl-8 col-xs-12\"><p style=\"font-size: 0.87em; text-align: left;\"><span style=\"color: #2980b9;\">Etienne Puymirat est responsable de l&rsquo;unit\u00e9 des soins intensif de Cardiologie de l&rsquo;h\u00f4pital europ\u00e9en Georges Pompidou \u00e0 Paris. Cardiologue r\u00e9animateur, il a \u00e9galement une activit\u00e9 de cardiologie interventionnelle.<br \/>Ses th\u00e9matiques de recherche sont centr\u00e9es sur la cardiopathie isch\u00e9mique et l&rsquo;insuffisance cardiaque. Il coordonne sur ces th\u00e9matiques plusieurs essais acad\u00e9miques nationaux. Enfin, il est enseignant \u00e0 la facult\u00e9 de M\u00e9decine de Paris.<br \/>Etienne Puymirat est le pr\u00e9sident actuel du groupe USIC de la Soci\u00e9t\u00e9 Fran\u00e7aise de Cardiologie.<\/span><\/p><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ca6b884 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ca6b884\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-163701d\" data-id=\"163701d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6346e7c elementor-widget elementor-widget-text-editor\" data-id=\"6346e7c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"margin-top: 0%; text-align: left;\">Si la physiologie traite du fonctionnement normal des \u00e9l\u00e9ments constitutifs du corps humain, la physiopathologie <strong>s\u2019int\u00e9resse quant \u00e0 elle au d\u00e9r\u00e8glement de ces fonctions<\/strong>. C\u2019est donc l\u2019\u00e9tude des troubles qui surviennent dans le fonctionnement des organes au cours d&rsquo;une maladie. Ce contenu propose donc de d\u00e9crypter le processus en cause dans les maladies coronariennes, plus sp\u00e9cifiquement dans les insuffisances coronariennes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d15d8ed elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d15d8ed\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6699f96\" data-id=\"6699f96\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc1059d elementor-widget elementor-widget-text-editor\" data-id=\"bc1059d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"font-size: 1.35em; margin-bottom: 3.5%; margin-top: %; text-align: left;\">1. L\u2019\u00e9tiologie des insuffisances coronariennes :<\/h2><p style=\"margin-bottom: 3.5%; text-align: left;\">L\u2019\u00e9tiologie se consacre \u00e0 l\u2019\u00e9tude des causes d\u2019une maladie, dans le cas des insuffisances coronariennes, <strong>la principale cause est l\u2019ath\u00e9roscl\u00e9rose.<\/strong><\/p><p style=\"margin-bottom: 3.5%; text-align: left;\">L\u2019ath\u00e9roscl\u00e9rose est une atteinte fr\u00e9quente, qui se d\u00e9veloppe avec l\u2019\u00e2ge d\u00e8s la fin de l\u2019adolescence, a fortiori chez les personnes expos\u00e9es \u00e0 certains comportements li\u00e9s \u00e0 l\u2019hygi\u00e8ne de vie et pr\u00e9sentant des facteurs de risque cardiovasculaires qui peuvent \u00eatre modifiables tel que la dyslipid\u00e9mie, l\u2019hypertension art\u00e9rielle, le diab\u00e8te, le tabagisme et la s\u00e9dentarit\u00e9\u2026) ou non-modifiables comme les facteurs g\u00e9n\u00e9tiques, l\u2019\u00e2ge et le sexe\u2026<\/p><p style=\"margin-bottom: 3.5%; text-align: left;\">Les autres causes sont plus rares et concernent un nombre de cas moins important<\/p><p style=\"margin-bottom: 3.5%; text-align: left;\">Il s\u2019agit de :<\/p><ul style=\"margin-bottom: 3.5%; text-align: left;\"><li style=\"margin-bottom: 3%;\"><span style=\"color: #3498db;\"><strong>Causes cong\u00e9nitales<\/strong><\/span> telles que les anomalies des coronaires (malformation \u00e0 la naissance) ;<\/li><li style=\"margin-bottom: 3%;\"><span style=\"color: #3498db;\"><strong>St\u00e9nose fibreuse<\/strong><\/span> cicatricielle sur coronarite inflammatoire;<\/li><li><span style=\"color: #3498db;\"><strong>Spasme coronaire<\/strong><\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c9f2f4c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c9f2f4c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cd6bc11\" data-id=\"cd6bc11\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5218531 elementor-widget elementor-widget-text-editor\" data-id=\"5218531\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><style type=\"text\/css\">table {<br \/>\n  border-collapse:collapse;<br \/>\n   border-radius:7px;<br \/>\n  width:100%;<br \/>\nmargin-bottom:5%;<br \/>\nmargin-top:-5%;<br \/>\n}<\/p>\n<p>td, th {<br \/>\n  border:2px solid #4cb5b8;<br \/>\n  \/*text-align:left;*\/<br \/>\n  padding:8px;<br \/>\n  text-align:center;<br \/>\n  background:;<br \/>\n}<br \/>\ntr {<br \/>\n padding:5px;<br \/>\n}<br \/>\ntr:nth-child(even) {<br \/>\n  background-color: ;<br \/>\n}<br \/>\n<\/style><\/p><table><tbody><tr><th colspan=\"2\">Les facteurs de risque<\/th><\/tr><tr><th><span style=\"color: #2980b9;\">Non-modifiables<\/span><\/th><th><span style=\"color: #2980b9;\">Modifiables<\/span><\/th><\/tr><tr><td rowspan=\"3\"><span style=\"color: #2980b9;\">Age<\/span><\/td><td><span style=\"color: #2980b9;\">Tabac<\/span><\/td><\/tr><tr><td><span style=\"color: #2980b9;\">Alcool<\/span><\/td><\/tr><tr><td><span style=\"color: #2980b9;\">Hypertension art\u00e9rielle<\/span><\/td><\/tr><tr><td rowspan=\"3\"><span style=\"color: #2980b9;\">Sexe<\/span><\/td><td><span style=\"color: #2980b9;\">Diab\u00e8te<\/span><\/td><\/tr><tr><td><span style=\"color: #2980b9;\">Exc\u00e8s de cholest\u00e9rol<\/span><\/td><\/tr><tr><td><span style=\"color: #2980b9;\">Ob\u00e9sit\u00e9\u202fou surpoids<\/span><\/td><\/tr><tr><td rowspan=\"3\"><span style=\"color: #2980b9;\">Facteurs g\u00e9n\u00e9tiques<\/span><\/td><td><p><span style=\"color: #2980b9;\">Tour de taille<\/span><\/p><p><span style=\"color: #2980b9;\">\u2265 88 cm chez la femme et \u2265 102 cm chez l\u2019homme<\/span><\/p><\/td><\/tr><tr><td><span style=\"color: #2980b9;\">S\u00e9dentarit\u00e9<\/span><\/td><\/tr><tr><td><span style=\"color: #2980b9;\">Insuffisance r\u00e9nale chronique, certains<br \/>m\u00e9dicaments (ex antir\u00e9troviraux), maladies<br \/>inflammatoires chroniques, s\u00e9dentarit\u00e9, stress<\/span><\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c38723e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c38723e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-eb90322\" data-id=\"eb90322\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-26ec70d elementor-widget elementor-widget-text-editor\" data-id=\"26ec70d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"font-size: 1.35em; margin-bottom: 3.5%; margin-top: %; text-align: left;\">2.\u00a0 Les m\u00e9canismes de l\u2019ath\u00e9roscl\u00e9rose<sup>1<\/sup><\/h2><p style=\"margin-bottom: 3.5%; text-align: left;\">L\u2019ath\u00e9roscl\u00e9rose est une <strong>maladie inflammatoire chronique<\/strong> qui se d\u00e9veloppe progressivement dans l&rsquo;intima des art\u00e8res (paroi interne des art\u00e8res) de gros et moyen calibre et qui consiste en une <strong>accumulation locale de lipides, de glucides complexes, de produits sanguins, de tissu fibreux, de cellules musculaires lisses, de cellules inflammatoires, de cellules mortes et de d\u00e9p\u00f4ts calcaires. \u00a0<\/strong><\/p><p style=\"margin-bottom: 3.5%; text-align: left;\"><strong>Ces d\u00e9p\u00f4ts forment les plaques d\u2019ath\u00e9romes<\/strong> qui restent asymptomatiques, mais leur \u00e9paississement peut progressivement g\u00eaner la circulation sanguine sur le long terme. \u00a0<\/p><p style=\"margin-bottom: 5%; text-align: left;\">Ces plaques se d\u00e9veloppement sur l\u2019ensemble du r\u00e9seau art\u00e9riel.<\/p><h3 style=\"color: #27ae60; font-size: 1.25em; margin-bottom: 3.5%; text-align: left;\">Les diff\u00e9rents stades du processus d\u2019ath\u00e9roscl\u00e9rose<sup>2<\/sup><\/h3><h4 style=\"color: #3498db; font-size: 1.13em; margin-bottom: 3.5%; text-align: left;\">La gen\u00e8se de la plaque ath\u00e9romateuse<\/h4><p style=\"margin-bottom: 3.5%; text-align: left;\">1)\u00a0La 1<sup>\u00e9re<\/sup> \u00e9tape de l&rsquo;ath\u00e9roscl\u00e9rose est la p\u00e9n\u00e9tration passive et <strong>l&rsquo;accumulation de LDL-cholest\u00e9rol<\/strong> (LDL-C, autrement appel\u00e9 mauvais cholest\u00e9rol) dans l\u2019intima, ce ph\u00e9nom\u00e8ne est directement en relation avec la quantit\u00e9 de LDL-Cholest\u00e9rol plasmatique.<\/p><p style=\"margin-bottom: 3.5%; text-align: left;\">2)\u00a0Cette infiltration lipidique est suivie d&rsquo;une <strong>oxydation des LDL-C<\/strong> qui les rend ath\u00e9rog\u00e8nes.\u00a0\u00a0<\/p><p style=\"margin-bottom: 3.5%; text-align: left;\">3)\u00a0Recrutement des <strong>monocytes<\/strong><sup>3<\/sup> du sang qui <strong>se transforment en macrophages.<\/strong><\/p><p style=\"margin-bottom: 3.5%; text-align: left;\">4)\u00a0Les macrophages <strong>vont se gorger de LDL-C<\/strong>.<\/p><p style=\"margin-bottom: 3.5%; text-align: left;\">5)\u00a0Ces derniers jouent un r\u00f4le d\u00e9l\u00e9t\u00e8re important dans les diff\u00e9rentes \u00e9tapes de l&rsquo;ath\u00e9roscl\u00e9rose, essentiellement en entra\u00eenant une <strong>r\u00e9action inflammatoire chronique locale<\/strong> et la <strong>production de cytokines pro-inflammatoire<\/strong>.<\/p><p style=\"margin-bottom: 3.5%; text-align: left;\">6)\u00a0Ces cytokines inflammatoires sont <strong>responsables<\/strong> \u00e0 la fois <strong>de<\/strong> <strong>la croissance de la plaque<\/strong>, et en m\u00eame temps <strong>de sa fragilisation<\/strong>. \u00a0<\/p><p style=\"margin-bottom: 5%; text-align: left;\">7)\u00a0Ces diff\u00e9rents processus forment <strong>une plaque mature et constitue dans la paroi de l\u2019art\u00e8re, un centre ath\u00e9romateux et une \u00ab chape \u00bb fibreuse qui l\u2019entoure<\/strong>.<\/p><p style=\"margin-bottom: %;\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone  wp-image-3231\" src=\"https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/formation_de_l_atheromateuse-300x213.jpg\" alt=\"\" width=\"1370\" height=\"973\" srcset=\"https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/formation_de_l_atheromateuse-300x213.jpg 300w, https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/formation_de_l_atheromateuse-768x545.jpg 768w, https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/formation_de_l_atheromateuse.jpg 1000w\" sizes=\"(max-width: 1370px) 100vw, 1370px\" \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-eb18dd2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"eb18dd2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-78c4079\" data-id=\"78c4079\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-99290b4 elementor-widget elementor-widget-image\" data-id=\"99290b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"468\" height=\"805\" src=\"https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/illustration_infarctus.jpg\" class=\"attachment-large size-large wp-image-3232\" alt=\"\" srcset=\"https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/illustration_infarctus.jpg 468w, https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/illustration_infarctus-174x300.jpg 174w\" sizes=\"(max-width: 468px) 100vw, 468px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6786f15 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6786f15\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5bb91c1\" data-id=\"5bb91c1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6e5921c elementor-widget elementor-widget-text-editor\" data-id=\"6e5921c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4 style=\"color: #3498db; margin-bottom: 3.5%; margin-top: %; text-align: left;\">Ce qu\u2019il faut retenir<\/h4><ul style=\"color: #2c3e50; text-align: left;\"><li style=\"margin-bottom: 3%;\">L\u2019ath\u00e9rog\u00e8nese ne survient pas selon un mod\u00e8le lin\u00e9aire pr\u00e9visible.<\/li><li style=\"margin-bottom: 3%;\"><span style=\"color: #2c3e50;\">Certaines l\u00e9sions se d\u00e9veloppent lentement et sont stables pendant de longues p\u00e9riodes, d\u2019autres se d\u00e9veloppent rapidement.<\/span><\/li><li><span style=\"color: #2c3e50;\">La r\u00e9gression partielle de l\u00e9sions molles lipidiques est possible avec une r\u00e9duction des facteurs de risque cardiovasculaire : arr\u00eat du tabac, pratique d\u2019une activit\u00e9 physique r\u00e9guli\u00e8re, \u00e9quilibrage de l\u2019alimentation, etc. d\u2019o\u00f9 l\u2019importance de la pr\u00e9vention et du changement des habitudes de vie au long cours.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Mieux connaitre la physiopathologie des insuffisances coronaires Professeur Etienne Puymirat Etienne Puymirat est responsable de l&rsquo;unit\u00e9 des soins intensif de Cardiologie de l&rsquo;h\u00f4pital europ\u00e9en Georges Pompidou \u00e0 Paris. Cardiologue r\u00e9animateur, il a \u00e9galement une activit\u00e9 de cardiologie interventionnelle.Ses th\u00e9matiques de recherche sont centr\u00e9es sur la cardiopathie isch\u00e9mique et l&rsquo;insuffisance cardiaque. Il coordonne sur ces th\u00e9matiques &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/vsm.vivoptim-solutions.com\/?p=3228\"> <span class=\"screen-reader-text\">Mieux connaitre la physiopathologie des insuffisances coronaires<\/span> Lire la suite\u00a0\u00bb<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[3],"tags":[],"class_list":["post-3228","post","type-post","status-publish","format-standard","hentry","category-gerer-et-vivre-avec-sa-maladie"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"wkhaloui@Vivoptim-solutions.com","author_link":"https:\/\/vsm.vivoptim-solutions.com\/author\/wkhalouivivoptim-solutions-com"},"uagb_comment_info":0,"uagb_excerpt":"Mieux connaitre la physiopathologie des insuffisances coronaires Professeur Etienne Puymirat Etienne Puymirat est responsable de l&rsquo;unit\u00e9 des soins intensif de Cardiologie de l&rsquo;h\u00f4pital europ\u00e9en Georges Pompidou \u00e0 Paris. Cardiologue r\u00e9animateur, il a \u00e9galement une activit\u00e9 de cardiologie interventionnelle.Ses th\u00e9matiques de recherche sont centr\u00e9es sur la cardiopathie isch\u00e9mique et l&rsquo;insuffisance cardiaque. Il coordonne sur ces th\u00e9matiques\u2026","_links":{"self":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts\/3228","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3228"}],"version-history":[{"count":4,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts\/3228\/revisions"}],"predecessor-version":[{"id":3236,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts\/3228\/revisions\/3236"}],"wp:attachment":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3228"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3228"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}