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Ljubljana, Slovenia\u003Cbr>+386 1 620 34 87\u003Cbr>\u003Ca href=\"mailto:info@mesimedical.com\">info@mesimedical.com\u003C/a>\u003C/p>\n\u003Cdiv class=\"col-span-full lg:col-span-8 lg:text-lg _body_eh76t_2\">\n\u003Cp>\u003Cspan style=\"background-color: transparent; color: gray; font-family: inherit; font-size: 0.75em; font-style: inherit; font-variant-ligatures: inherit; font-variant-caps: inherit; font-weight: inherit; letter-spacing: 0px;\">VAT: SI67221998\u003Cbr>\u003C/span>\u003Cspan style=\"background-color: transparent; color: gray; font-family: inherit; font-size: 0.75em; font-style: inherit; font-variant-ligatures: inherit; font-variant-caps: inherit; font-weight: inherit; letter-spacing: 0px;\">SWIFT: KBMASI2X\u003Cbr>\u003C/span>\u003Cspan style=\"background-color: transparent; color: gray; font-family: inherit; font-size: 0.75em; font-style: inherit; font-variant-ligatures: inherit; font-variant-caps: inherit; font-weight: inherit; letter-spacing: 0px;\">Registration no.: 3844501000\u003Cbr>\u003C/span>\u003Cspan style=\"background-color: transparent; color: gray; font-family: inherit; font-size: 0.75em; font-style: inherit; font-variant-ligatures: inherit; font-variant-caps: inherit; font-weight: inherit; letter-spacing: 0px;\">IBAN: SI56 0400 0027 7670 492\u003C/span>\u003C/p>\n\u003C/div>\n\u003Cdiv>\u003Cstrong>\u003Ca href=\"https://mesimedical.com/fr/bureaux/\">Nos bureaux\u003C/a>\u003C/strong>\u003C/div>",[1839,1844],{"__typename":1840,"id":1841,"name":1842,"slug":1843},"TestimonialCategoryRecord","MNHwibozRKW6-VR3MyEUSQ","Test","test",{"__typename":1840,"id":1845,"name":1846,"slug":1847},"CQjUIWNRQACzz9LRyXBnnA","Test v2","test-v2",[1849,1850,1851,1852,1853,1854,1855,1856,1857,1858],{"__typename":73,"id":72,"title":67,"slug":75},{"__typename":73,"id":84,"title":80,"slug":85},{"__typename":73,"id":93,"title":89,"slug":94},{"__typename":73,"id":102,"title":98,"slug":103},{"__typename":73,"id":111,"title":107,"slug":112},{"__typename":73,"id":131,"title":133,"slug":132},{"__typename":73,"id":588,"title":590,"slug":589},{"__typename":73,"id":579,"title":575,"slug":580},{"__typename":73,"id":598,"title":594,"slug":599},{"__typename":73,"id":607,"title":603,"slug":608},{"__typename":1860,"id":1861,"text":1862,"active":68,"link":18},"PromoBannerRecord","IZN2vWtySLe3lCbELb1Rfw","\u003Cp>Placerat tortor massa aenean diam elementum risus facilisis sed eget elementum vestibulum ut.\u003C/p>",[1864,1877,1893,1907,1924,1941,1951,1965,1979,1993,2007,2016,2029,2044,2057],{"id":1865,"__typename":1866,"_modelApiKey":1867,"title":148,"media":1868,"description":1870,"reference":1871,"category":1872},"Mc_O5HIMSxi-WJWg9zWgTQ","PageLinkRecord","page_link",{"alt":151,"url":152,"width":153,"height":154,"responsiveImage":1869},{"srcSet":156,"webpSrcSet":157,"sizes":158,"src":159,"width":160,"height":161,"aspectRatio":162,"alt":151,"title":151,"bgColor":163,"base64":164},"\u003Cp>\u003Cspan data-olk-copy-source=\"MessageBody\">Examens rapides, dossiers instantanés, plus de temps pour vos patients.\u003C/span>\u003C/p>",{"id":167,"__typename":44,"_modelApiKey":45,"slug":168,"title":169},{"__typename":1873,"id":1874,"name":1875,"slug":1876},"SpecialityCategoryRecord","ThcnPekuQbCQz_fv8O3SxA","Doctor’s practice","doctor-s-practice",{"id":1878,"__typename":1866,"_modelApiKey":1867,"title":1879,"media":1880,"description":1890,"reference":1891,"category":1892},"UbP8NN0KTf6zMJRnBnBgvw","Médecine générale",{"alt":1881,"url":1882,"width":1883,"height":1883,"responsiveImage":1884},"MESI mTABLET for Primary care","https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png",4500,{"srcSet":1885,"webpSrcSet":1886,"sizes":158,"src":1887,"width":160,"height":160,"aspectRatio":76,"alt":1881,"title":1881,"bgColor":1888,"base64":1889},"https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&fm=webp&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&fm=webp&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&fm=webp&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&fm=webp&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080","#9dbe4b","data:image/jpeg;base64,/9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAoHBwgHBgoIEggTFhAVDiQaDg0ODhUNDw4OIR8ZGBYVIhUdHysjGikoKSEWJDUlKC0vMjIyGSI4PTcwPCsxMi8BCgsLDg0PHA0QHC8oFhwvLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vL//AABEIABgAGAMBIgACEQEDEQH/xAAZAAEBAAMBAAAAAAAAAAAAAAAABAEFBwP/xAAfEAABAwQDAQAAAAAAAAAAAAABAAIDBAURQRMUIRL/xAAXAQADAQAAAAAAAAAAAAAAAAAAAQIE/8QAGBEBAQEBAQAAAAAAAAAAAAAAAAECEhH/2gAMAwEAAhEDEQA/AOsz1DWVAGVjnY0l2dKK4QvFYPV6tpS6M+6UatU18V5jiuThlFLFZOW5uP1tEvaF9yrT3AFkVkmMZ0iLRrMJNRVEvfJyiIjmB//Z","\u003Cp>Optimisez votre flux de travail quotidien et soignez plus de patients en moins de temps grâce au MESI mTABLET - des diagnostics intelligents conçus pour les établissements de soins primaires très occupés.\u003C/p>",{"id":221,"__typename":44,"_modelApiKey":45,"slug":222,"title":223},{"__typename":1873,"id":1874,"name":1875,"slug":1876},{"id":1894,"__typename":1866,"_modelApiKey":1867,"title":624,"media":1895,"description":1904,"reference":1905,"category":1906},"U7D5H1iEREmkDO6M8pKgFg",{"alt":1896,"url":1897,"width":1883,"height":1883,"responsiveImage":1898},"MESI mTABLET for Nurse practice","https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png",{"srcSet":1899,"webpSrcSet":1900,"sizes":158,"src":1901,"width":160,"height":160,"aspectRatio":76,"alt":1896,"title":1896,"bgColor":1902,"base64":1903},"https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&fm=webp&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&fm=webp&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&fm=webp&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&fm=webp&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080","#dec23c","data:image/jpeg;base64,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","\u003Cp>Moins d’administratif, plus de temps pour vos patients avec la MESI mTABLET.\u003C/p>",{"id":627,"__typename":44,"_modelApiKey":45,"slug":628,"title":629},{"__typename":1873,"id":1874,"name":1875,"slug":1876},{"id":1908,"__typename":1866,"_modelApiKey":1867,"title":1909,"media":1910,"description":1921,"reference":1922,"category":1923},"ItL6F5RSSumENHKqIVydzQ","Gestion des maladies chroniques",{"alt":724,"url":1911,"width":1912,"height":154,"responsiveImage":1913},"https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg",2560,{"srcSet":1914,"webpSrcSet":1915,"sizes":158,"src":1916,"width":160,"height":1917,"aspectRatio":1918,"alt":724,"title":724,"bgColor":1919,"base64":1920},"https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1080 270w,https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1080 540w,https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&w=1080 810w,https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&fit=crop&w=1080 1080w,https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&w=1080 1620w,https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&dpr=2&fit=crop&w=1080 2160w","https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1080 270w,https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1080 540w,https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1080 810w,https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1080 1080w,https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&fm=webp&w=1080 1620w,https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&dpr=2&fit=crop&fm=webp&w=1080 2160w","https://www.datocms-assets.com/160495/1764668488-solutions_cover-image_chronic-disease-management.jpg?auto=compress&crop=focalpoint&fit=crop&w=1080",463,2.3326133909287257,"#fbe667","data:image/jpeg;base64,/9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAoHBwgHBgoICAgLCgoVDhgQFQ0NDhUdHREYLysaJh4VKhUmHysjHR0oHRUWJEElKC0vMjIyGSI4PTcwPCsxMi8BCgsLDg0OFg4QHDsoIhw7Oy8vOy87LzsvLy87Oy87Ly8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vL//AABEIAAsAGAMBIgACEQEDEQH/xAAXAAEAAwAAAAAAAAAAAAAAAAAEAAUH/8QAHRAAAQMFAQAAAAAAAAAAAAAAAQACAwUGERIhBP/EABcBAAMBAAAAAAAAAAAAAAAAAAECAwD/xAAXEQADAQAAAAAAAAAAAAAAAAAAAiEB/9oADAMBAAIRAxEAPwDXxKXM6MI1Qk1iaQkvAESF6+huUGMtKS6arPBSRq1RLueNho4y0KJaWxcP/9k=","\u003Cp>Favorise l'évaluation holistique et la gestion des maladies chroniques.\u003C/p>",{"id":722,"__typename":44,"_modelApiKey":45,"slug":723,"title":724},{"__typename":1873,"id":1874,"name":1875,"slug":1876},{"id":1925,"__typename":1866,"_modelApiKey":1867,"title":1322,"media":1926,"description":48,"reference":1939,"category":1940},"Kk4TGC14T7mOsGs-i7WJZA",{"alt":1927,"url":1928,"width":1929,"height":1930,"responsiveImage":1931},"Preventive care program","https://www.datocms-assets.com/160495/1776857835-solutions_cover-image_preventive-care-programmes-edited.jpeg",1618,1038,{"srcSet":1932,"webpSrcSet":1933,"sizes":158,"src":1934,"width":160,"height":1935,"aspectRatio":1936,"alt":1927,"title":18,"bgColor":1937,"base64":1938},"https://www.datocms-assets.com/160495/1776857835-solutions_cover-image_preventive-care-programmes-edited.jpeg?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1080 270w,https://www.datocms-assets.com/160495/1776857835-solutions_cover-image_preventive-care-programmes-edited.jpeg?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1080 540w,https://www.datocms-assets.com/160495/1776857835-solutions_cover-image_preventive-care-programmes-edited.jpeg?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&w=1080 810w,https://www.datocms-assets.com/160495/1776857835-solutions_cover-image_preventive-care-programmes-edited.jpeg?auto=compress&crop=focalpoint&fit=crop&w=1080 1080w","https://www.datocms-assets.com/160495/1776857835-solutions_cover-image_preventive-care-programmes-edited.jpeg?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1080 270w,https://www.datocms-assets.com/160495/1776857835-solutions_cover-image_preventive-care-programmes-edited.jpeg?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1080 540w,https://www.datocms-assets.com/160495/1776857835-solutions_cover-image_preventive-care-programmes-edited.jpeg?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1080 810w,https://www.datocms-assets.com/160495/1776857835-solutions_cover-image_preventive-care-programmes-edited.jpeg?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1080 1080w","https://www.datocms-assets.com/160495/1776857835-solutions_cover-image_preventive-care-programmes-edited.jpeg?auto=compress&crop=focalpoint&fit=crop&w=1080",693,1.5584415584415585,"#0caff7","data:image/jpeg;base64,/9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAoHBwgHBgoICAgXFgoLDhgQFg8VDxEPFg0SFxkZGBYVFhoaHysjGh0oHSEWJDUlKC0vMjIyGSI4PTcwPCsxMi8BCgsLDg0OHBAQHS8oFhwvLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vL//AABEIABAAGAMBIgACEQEDEQH/xAAZAAABBQAAAAAAAAAAAAAAAAAGAAMEBQf/xAAbEAACAwADAAAAAAAAAAAAAAABAgADBAUSYf/EABYBAAMAAAAAAAAAAAAAAAAAAAECA//EABcRAAMBAAAAAAAAAAAAAAAAAAABAiH/2gAMAwEAAhEDEQA/ANP5K02YiBB4aWpzssvbrVOYgwV36lWzr7BaY8Xg7k2NUxYiKRtdyVYg4EUKTJu9P//Z",{"id":880,"__typename":44,"_modelApiKey":45,"slug":881,"title":882},{"__typename":1873,"id":1874,"name":1875,"slug":1876},{"id":1942,"__typename":1866,"_modelApiKey":1867,"title":173,"media":1943,"description":1945,"reference":1946,"category":1947},"Zcguqx5qRsqPskrN5oMUhg",{"alt":176,"url":177,"width":153,"height":154,"responsiveImage":1944},{"srcSet":179,"webpSrcSet":180,"sizes":158,"src":181,"width":160,"height":161,"aspectRatio":162,"alt":176,"title":176,"bgColor":182,"base64":183},"\u003Cp>Les hôpitaux et les cliniques sont confrontés à une dure réalité : plus de patients, moins de personnel et des outils fragmentés qui ralentissent la prise de décision. Conçue pour répondre aux défis actuels, la table MESI mTABLET simplifie les diagnostics et améliore l'efficacité diagnostique et opérationnelle dans n'importe quel environnement clinique.\u003C/p>",{"id":186,"__typename":44,"_modelApiKey":45,"slug":187,"title":188},{"__typename":1873,"id":1948,"name":1949,"slug":1950},"AHyOxAMJQfuZVYi0XPj5OA","Clincs & hospitals","clincs-hospitals",{"id":1952,"__typename":1866,"_modelApiKey":1867,"title":642,"media":1953,"description":1962,"reference":1963,"category":1964},"JkzJaEDOQ4iWhgn-DTcpXw",{"alt":1954,"url":1955,"width":1883,"height":1883,"responsiveImage":1956},"MESI mTABLET forDiabetology","https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png",{"srcSet":1957,"webpSrcSet":1958,"sizes":158,"src":1959,"width":160,"height":160,"aspectRatio":76,"alt":1954,"title":1954,"bgColor":1960,"base64":1961},"https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1080 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4320w","https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&fm=webp&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&fm=webp&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&fm=webp&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&fm=webp&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-diabetology-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080","#dfb949","data:image/jpeg;base64,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","\u003Cp>Comme pour la diabétologie, le MESI mTABLET favorise la détection précoce, les soins continus et de meilleurs résultats à long terme.\u003C/p>",{"id":645,"__typename":44,"_modelApiKey":45,"slug":646,"title":647},{"__typename":1873,"id":1948,"name":1949,"slug":1950},{"id":1966,"__typename":1866,"_modelApiKey":1867,"title":669,"media":1967,"description":1976,"reference":1977,"category":1978},"Ka8ME58SSGa7Ex9M4ThPxw",{"alt":1968,"url":1969,"width":1883,"height":1883,"responsiveImage":1970},"MESI mTABLET for Cardiology","https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png",{"srcSet":1971,"webpSrcSet":1972,"sizes":158,"src":1973,"width":160,"height":160,"aspectRatio":76,"alt":1968,"title":1968,"bgColor":1974,"base64":1975},"https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&fm=webp&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&fm=webp&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&fm=webp&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&fm=webp&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-cardiology-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080","#f1cc4c","data:image/jpeg;base64,/9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAoHBwgHBg8PDggLDwoIEhsNDRANFRENFg0NFxcZGCITFiEmHyslJh0oHSEWJDUlKC0vMjIyGSI4PTcwPCsxMi8BCgsLDg0OFhEOHC8dFh0vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vL//AABEIABgAGAMBIgACEQEDEQH/xAAZAAEAAwEBAAAAAAAAAAAAAAAAAgMEBwH/xAAcEAACAwEAAwAAAAAAAAAAAAAAAwIEMQEFEhT/xAAXAQEBAQEAAAAAAAAAAAAAAAACAwQB/8QAGBEBAQEBAQAAAAAAAAAAAAAAAQARAhL/2gAMAwEAAhEDEQA/AOnXWtjXJVXO7TwyWnsknCxVqSqeHNyIrT5J3rgKV+Q71eAXupjLbYxVhnbZ58gAOp8BYJXeLSeAErScl//Z","\u003Cp>MESI mTABLET équipe les services de cardiologie avec tous les diagnostics clés dans un seul appareil, éliminant ainsi la complexité d'une évaluation complète.\u003C/p>",{"id":672,"__typename":44,"_modelApiKey":45,"slug":673,"title":674},{"__typename":1873,"id":1948,"name":1949,"slug":1950},{"id":1980,"__typename":1866,"_modelApiKey":1867,"title":660,"media":1981,"description":1990,"reference":1991,"category":1992},"Lq1iaUAiRzeQlERD5r3kxQ",{"alt":1982,"url":1983,"width":1883,"height":1883,"responsiveImage":1984},"MESI mTABLET for Pharmacies","https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png",{"srcSet":1985,"webpSrcSet":1986,"sizes":158,"src":1987,"width":160,"height":160,"aspectRatio":76,"alt":1982,"title":1982,"bgColor":1988,"base64":1989},"https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&fm=webp&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&fm=webp&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&fm=webp&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&fm=webp&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-vascular-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080","#e7ce18","data:image/jpeg;base64,/9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAoHBwgHBgoICAgTEBURDhgZDxYQFhYQDw4VFxsdGCITFiEdHysjHSkoHSEWJDUlKC0vMjIyGSI4PTcwPCsxMi8BCgsLDg0OHA4QHC8pIh07LzAvLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vL//AABEIABgAGAMBIgACEQEDEQH/xAAZAAACAwEAAAAAAAAAAAAAAAAABAEDBQf/xAAfEAABBQACAwEAAAAAAAAAAAAAAQIDBBEFQRUxcRP/xAAXAQADAQAAAAAAAAAAAAAAAAAAAQID/8QAFxEBAQEBAAAAAAAAAAAAAAAAAAIRAf/aAAwDAQACEQMRAD8A69I5UhK7Orx7vgtadI2DdKprbvGKm9CqjTwjl1yEiHA2F/R2u7AjlDGhJXmlqexN/G2H0nJoAa0GdSoWYHLigAEYb//Z","\u003Cp>MESI mTABLET fournit des informations essentielles sur l'ABI, le TBI et la PWV dans un seul appareil intelligent, éliminant ainsi la complexité des évaluations des membres inférieurs et permettant des soins efficaces.\u003C/p>",{"id":663,"__typename":44,"_modelApiKey":45,"slug":664,"title":665},{"__typename":1873,"id":1948,"name":1949,"slug":1950},{"id":1994,"__typename":1866,"_modelApiKey":1867,"title":651,"media":1995,"description":2004,"reference":2005,"category":2006},"TNoi-SNfTfqXHaK-sH7jGA",{"alt":1996,"url":1997,"width":1883,"height":1883,"responsiveImage":1998},"MESI mTABLET for Podiatry","https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png",{"srcSet":1999,"webpSrcSet":2000,"sizes":158,"src":2001,"width":160,"height":160,"aspectRatio":76,"alt":1996,"title":1996,"bgColor":2002,"base64":2003},"https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1080 270w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1080 540w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1080 810w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1080 1080w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&fm=webp&w=1080 1620w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&fm=webp&w=1080 2160w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&fm=webp&w=1080 3240w,https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&fm=webp&w=1080 4320w","https://www.datocms-assets.com/160495/1759468929-podiatry-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080","#df8a33","data:image/jpeg;base64,/9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAoHBwgHBgoICAgRFRQTEBUQDg0NFBIQCg8NFxkZGCIfFhUmHysvGh0oHRUWJDUlKC0vMjIyGSI4PTcwPCsxMi8BCgsLDg0OGQ0NHC8oGyg1Ly8vLy87Ly8vLy8vLy8vLy8vLy81Ly8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vL//AABEIABgAGAMBIgACEQEDEQH/xAAZAAADAAMAAAAAAAAAAAAAAAAAAwUBBAb/xAAcEAACAgMBAQAAAAAAAAAAAAAAAwECBAUREhP/xAAWAQEBAQAAAAAAAAAAAAAAAAADAgH/xAAWEQEBAQAAAAAAAAAAAAAAAAACAQD/2gAMAwEAAhEDEQA/AO4xdReuTFoLy32VxZJ1Gzu60xao1+bNMyOwElmJmpL9/b1wDWnarrwDY9lGTiTjIdyKmc2imN9RAAW5MQVyka+HsMgBMmuq7//Z","\u003Cp>MESI mTABLET permet aux podologues d'effectuer des évaluations rapides et précises des membres inférieurs, du pied diabétique aux soins des ulcères, favorisant ainsi la détection précoce de la MAP et la prise de décisions thérapeutiques en toute confiance.\u003C/p>",{"id":654,"__typename":44,"_modelApiKey":45,"slug":655,"title":656},{"__typename":1873,"id":1948,"name":1949,"slug":1950},{"id":2008,"__typename":1866,"_modelApiKey":1867,"title":192,"media":2009,"description":2011,"reference":2012,"category":2013},"KLQY-uIKT--AmXBU36HY7w",{"alt":195,"url":196,"width":153,"height":154,"responsiveImage":2010},{"srcSet":198,"webpSrcSet":199,"sizes":158,"src":200,"width":160,"height":161,"aspectRatio":162,"alt":195,"title":195,"bgColor":201,"base64":202},"\u003Cdiv class=\"x_elementToProof\" data-olk-copy-source=\"MessageBody\">\n\u003Cp>Le MESI mTABLET vous permet d'obtenir le même niveau de diagnostic en cabinet, quel que soit l'endroit où vous vous trouvez, ce qui garantit des soins sûrs, rapides et 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England Journal of Medicine.\u003C/b> 2017;376(24):2367–2375. \u003Co:p>\u003C/o:p>\u003C/span>\u003C/li>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\">International Working Group on the Diabetic Foot (IWGDF). \u003Ci>IWGDF Guidelines on the prevention and management of diabetic foot disease. \u003C/i>\u003C/span>\u003Cb>\u003Cspan lang=\"FR\">IWGDF Guidelines.\u003C/span>\u003C/b>\u003Cspan lang=\"FR\"> 2023.\u003Cspan style=\"mso-spacerun: yes;\">  \u003C/span>Disponible sur : www.iwgdfguidelines.org \u003Co:p>\u003C/o:p>\u003C/span>\u003C/li>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\">Aboyans V, \u003Ci>et al\u003C/i>. \u003Ci>2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS). \u003C/i>\u003Cb>European Heart Journal.\u003C/b> 2018;39(9):763–816. \u003Co:p>\u003C/o:p>\u003C/span>\u003C/li>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan lang=\"EN-US\" style=\"mso-ansi-language: EN-US;\">Armstrong DG, Swerdlow MA, Armstrong AA, Conte MS, Padula WV, Bus SA. Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer. J Foot Ankle Res. (2020) 13:16. 10.1186/s13047-020-00383-2\u003Cspan style=\"mso-spacerun: yes;\">  \u003C/span>\u003Co:p>\u003C/o:p>\u003C/span>\u003C/li>\n\u003C/ol>",[2227,2231,2232],{"_modelApiKey":2167,"__typename":2198,"id":2228,"slug":2229,"title":2230},"HjgOLnMrRxScmuOosFsQrA","levaluation-vasculaire-en-podologie","L’évaluation vasculaire en podologie",{"_modelApiKey":74,"__typename":73,"id":72,"slug":75,"title":67},{"_modelApiKey":74,"__typename":73,"id":131,"slug":132,"title":133},{"schema":2234,"document":2235},"dast",{"type":2236,"children":2237},"root",[2238,2246,2261,2265,2297,2301,2306,2310,2314,2316,2323,2331,2335,2340,2347,2352,2360,2365,2378,2382,2387,2395,2400,2411,2415,2429,2433,2456,2460,2464,2468,2473,2477,2506,2513,2518,2522,2526,2550,2558,2562,2567,2571,2616,2617,2622,2629,2647,2654,2661],{"type":2239,"level":467,"children":2240},"heading",[2241],{"type":2242,"marks":2243,"value":2245},"span",[2244],"strong","Une complication fréquente du diabète, à fort risque d’amputation",{"type":2247,"children":2248},"paragraph",[2249,2251,2254,2256,2259],{"type":2242,"value":2250},"Le pied diabétique constitue l’une des complications les plus sévères du diabète. On estime que ",{"type":2242,"marks":2252,"value":2253},[2244],"15 à 25 % des patients diabétiques développeront une plaie du pied au cours de leur vie",{"type":2242,"value":2255},", avec un risque élevé d’infection, d’hospitalisation et d’amputation ",{"type":2242,"marks":2257,"value":2258},[2244],"(1)",{"type":2242,"value":2260},". Après une amputation, la survie globale à 5 ans est d’environ 70 %, chutant à seulement 43 % après une amputation majeure (4). C’est pourquoi une évaluation précoce revêt une importance majeure pour le pronostic des patients.",{"type":2247,"children":2262},[2263],{"type":2242,"value":2264},"Dans la majorité des cas, ces lésions résultent de la combinaison de deux mécanismes majeurs :",{"type":2266,"style":2267,"children":2268},"list","bulleted",[2269,2281],{"type":2270,"children":2271},"listItem",[2272],{"type":2247,"children":2273},[2274,2276,2279],{"type":2242,"value":2275},"la ",{"type":2242,"marks":2277,"value":2278},[2244],"neuropathie périphérique",{"type":2242,"value":2280},", responsable de la perte de sensibilité,",{"type":2270,"children":2282},[2283],{"type":2247,"children":2284},[2285,2287,2290,2292,2295],{"type":2242,"value":2286},"et l’",{"type":2242,"marks":2288,"value":2289},[2244],"artériopathie des membres inférieurs (AOMI)",{"type":2242,"value":2291},", qui compromet la perfusion tissulaire et la cicatrisation ",{"type":2242,"marks":2293,"value":2294},[2244],"(2,3)",{"type":2242,"value":2296},".",{"type":2247,"children":2298},[2299],{"type":2242,"value":2300}," L’identification précoce de ces deux composantes est essentielle, car elle conditionne directement le pronostic et la stratégie thérapeutique.",{"type":2239,"level":467,"children":2302},[2303],{"type":2242,"marks":2304,"value":2305},[2244],"Une particularité clinique majeure : l’absence de douleur",{"type":2247,"children":2307},[2308],{"type":2242,"value":2309},"Contrairement à d’autres pathologies, les patients atteints de pied diabétique consultent rarement pour une douleur.",{"type":2247,"children":2311},[2312],{"type":2242,"value":2313},"Comme le souligne Mme Véronique Labbé-Gentils, podologue :",{"item":2206,"type":2315},"block",{"type":2317,"children":2318},"blockquote",[2319],{"type":2247,"children":2320},[2321],{"type":2242,"value":2322},"« Dès la première minute de consultation, la première chose que j’évalue, c’est que mon patient n’a pas de douleur. »",{"type":2247,"children":2324},[2325,2327,2330],{"type":2242,"value":2326},"Cette absence de symptomatologie est directement liée à la neuropathie périphérique. Elle explique en partie le retard diagnostique et la gravité des lésions observées à la prise en charge ",{"type":2242,"marks":2328,"value":2329},[2244],"(2)",{"type":2242,"value":2296},{"type":2247,"children":2332},[2333],{"type":2242,"value":2334},"Dans la pratique, les patients sont le plus souvent adressés par un professionnel de santé (médecin généraliste, infirmier, service d’urgence) après la découverte d’une plaie, et non de leur propre initiative. ",{"type":2239,"level":467,"children":2336},[2337],{"type":2242,"marks":2338,"value":2339},[2244],"Trois types de lésions, trois pronostics différents",{"type":2247,"children":2341},[2342,2344,2346],{"type":2242,"value":2343},"La prise en charge du pied diabétique repose sur l’identification du type de lésion, qui conditionne l’évolution et la stratégie thérapeutique ",{"type":2242,"marks":2345,"value":2329},[2244],{"type":2242,"value":2296},{"type":2247,"children":2348},[2349],{"type":2242,"marks":2350,"value":2351},[2244],"1. Les lésions neuropathiques pures",{"type":2247,"children":2353},[2354,2356,2359],{"type":2242,"value":2355},"Ces plaies surviennent en l’absence d’atteinte artérielle significative. Lorsqu’elles sont prises en charge précocement, idéalement dans les 48 heures, le pronostic est favorable, avec des délais de cicatrisation généralement compris entre ",{"type":2242,"marks":2357,"value":2358},[2244],"4 et 8 semaines",{"type":2242,"value":2296},{"type":2247,"children":2361},[2362],{"type":2242,"marks":2363,"value":2364},[2244],"2. Les lésions neuro-ischémiques",{"type":2247,"children":2366},[2367,2369,2372,2374,2377],{"type":2242,"value":2368},"Elles associent neuropathie et artériopathie. Leur prise en charge est plus complexe et repose en premier lieu sur une ",{"type":2242,"marks":2370,"value":2371},[2244],"évaluation vasculaire approfondie",{"type":2242,"value":2373}," ",{"type":2242,"marks":2375,"value":2376},[2244],"(3)",{"type":2242,"value":2296},{"type":2247,"children":2379},[2380],{"type":2242,"value":2381},"Dans ces situations, une revascularisation peut être nécessaire, à condition que celle-ci soit techniquement réalisable. La présence de médiacalcose peut compliquer, voire empêcher, toute stratégie de revascularisation.",{"type":2247,"children":2383},[2384],{"type":2242,"marks":2385,"value":2386},[2244],"3. Les lésions ischémiques pures",{"type":2247,"children":2388},[2389,2391,2393],{"type":2242,"value":2390},"Elles correspondent à des formes avancées d’artériopathie, souvent non revascularisables. La prise en charge est alors palliative dans de nombreux cas, avec un risque élevé d’amputation ",{"type":2242,"marks":2392,"value":2376},[2244],{"type":2242,"value":2394},", même si les stratégies conservatrices permettent aujourd’hui de préserver davantage la structure du pied.",{"type":2239,"level":467,"children":2396},[2397],{"type":2242,"marks":2398,"value":2399},[2244],"L’évaluation vasculaire : un élément clé dès la première consultation",{"type":2247,"children":2401},[2402,2404,2409],{"type":2242,"value":2403},"Face à une plaie du pied diabétique,",{"item":2228,"type":2405,"children":2406},"itemLink",[2407],{"type":2242,"value":2408}," l’évaluation vasculaire",{"type":2242,"value":2410}," ne doit jamais être retardée.",{"type":2247,"children":2412},[2413],{"type":2242,"value":2414},"L’examen clinique initial repose sur :",{"type":2266,"style":2267,"children":2416},[2417,2423],{"type":2270,"children":2418},[2419],{"type":2247,"children":2420},[2421],{"type":2242,"value":2422},"la palpation des pouls périphériques (pédieux et tibial postérieur),",{"type":2270,"children":2424},[2425],{"type":2247,"children":2426},[2427],{"type":2242,"value":2428},"complétée par des examens non invasifs.",{"type":2247,"children":2430},[2431],{"type":2242,"value":2432},"Aujourd’hui, plusieurs outils permettent d’objectiver rapidement le statut vasculaire :",{"type":2266,"style":2267,"children":2434},[2435,2441,2447],{"type":2270,"children":2436},[2437],{"type":2247,"children":2438},[2439],{"type":2242,"value":2440},"l’index de pression systolique (IPS),",{"type":2270,"children":2442},[2443],{"type":2247,"children":2444},[2445],{"type":2242,"value":2446},"la pression à l’orteil,",{"type":2270,"children":2448},[2449],{"type":2247,"children":2450},[2451,2453,2455],{"type":2242,"value":2452},"et, en seconde intention, l’écho-Doppler artériel ",{"type":2242,"marks":2454,"value":2376},[2244],{"type":2242,"value":2296},{"type":2247,"children":2457},[2458],{"type":2242,"value":2459},"Ces examens sont essentiels pour orienter la prise en charge.",{"type":2247,"children":2461},[2462],{"type":2242,"value":2463},"Comme le rappelleMme Véronique Labbé-Gentils :",{"type":2247,"children":2465},[2466],{"type":2242,"value":2467},"« Je n’aurai pas du tout le même protocole si l’IPS est inférieur à 0,9 ou s’il est normal. »",{"type":2239,"level":467,"children":2469},[2470],{"type":2242,"marks":2471,"value":2472},[2244],"Adapter la prise en charge en fonction du statut vasculaire",{"type":2247,"children":2474},[2475],{"type":2242,"value":2476}," Le statut vasculaire conditionne directement les stratégies thérapeutiques. Il est important de noter que chez les patients diabétiques, les calcifications artérielles peuvent limiter la fiabilité de l’IPS. Dans ce contexte, la mesure de l’IPSO (indice de pression systolique à l’orteil) est recommandée, car les valeurs d’IPS peuvent apparaître faussement normales, et pas uniquement élevées, malgré la présence d’une atteinte artérielle sous-jacente.",{"type":2266,"style":2267,"children":2478},[2479,2493],{"type":2270,"children":2480},[2481],{"type":2247,"children":2482},[2483,2488,2491],{"item":72,"type":2405,"children":2484},[2485],{"type":2242,"marks":2486,"value":2487},[2244],"IPS",{"type":2242,"marks":2489,"value":2490},[2244]," \u003C 0,9 ou pression d’orteil \u003C 30 mmHg indiquant une ischémie critique du membre",{"type":2242,"value":2492},"\n→ stratégie prudente : assèchement, débridement limité, éviter les techniques favorisant une cicatrisation en milieu humide; en cas de plaie artérielle, la compression ne doit pas être appliquée.",{"type":2270,"children":2494},[2495],{"type":2247,"children":2496},[2497,2501,2504],{"item":72,"type":2405,"children":2498},[2499],{"type":2242,"marks":2500,"value":2487},[2244],{"type":2242,"marks":2502,"value":2503},[2244],"  ≥ 0,9",{"type":2242,"value":2505},"\n→ prise en charge standard des plaies, avec des stratégies de cicatrisation plus actives",{"type":2247,"children":2507},[2508,2510,2512],{"type":2242,"value":2509},"Ces différences illustrent l’importance d’une évaluation objective et rapide, permettant d’éviter des gestes inadaptés pouvant aggraver la situation ",{"type":2242,"marks":2511,"value":2294},[2244],{"type":2242,"value":2296},{"type":2239,"level":467,"children":2514},[2515],{"type":2242,"marks":2516,"value":2517},[2244],"Un enjeu organisationnel : améliorer le parcours de soins",{"type":2247,"children":2519},[2520],{"type":2242,"value":2521},"L’une des principales difficultés reste aujourd’hui le retard d’orientation des patients.",{"type":2247,"children":2523},[2524],{"type":2242,"value":2525},"De nombreux patients arrivent avec :",{"type":2266,"style":2267,"children":2527},[2528,2534,2540],{"type":2270,"children":2529},[2530],{"type":2247,"children":2531},[2532],{"type":2242,"value":2533},"des plaies évoluant depuis plusieurs semaines ou mois,",{"type":2270,"children":2535},[2536],{"type":2247,"children":2537},[2538],{"type":2242,"value":2539},"des traitements prolongés inefficaces,",{"type":2270,"children":2541},[2542],{"type":2247,"children":2543},[2544,2546,2549],{"type":2242,"value":2545},"et surtout, ",{"type":2242,"marks":2547,"value":2548},[2244],"sans bilan vasculaire récent",{"type":2242,"value":2296},{"type":2247,"children":2551},[2552,2554,2557],{"type":2242,"value":2553},"Ce retard de prise en charge impacte directement le pronostic ",{"type":2242,"marks":2555,"value":2556},[2244],"(1,2)",{"type":2242,"value":2296},{"type":2247,"children":2559},[2560],{"type":2242,"value":2561},"Un autre enjeu majeur concerne la formation des professionnels de santé, notamment en première ligne.",{"type":2239,"level":467,"children":2563},[2564],{"type":2242,"marks":2565,"value":2566},[2244],"Points clés à retenir",{"type":2247,"children":2568},[2569],{"type":2242,"value":2570},"Optimal management of diabetic foot relies on a coordinated and stepwise approach:",{"type":2266,"style":2267,"children":2572},[2573,2579,2585,2604,2610],{"type":2270,"children":2574},[2575],{"type":2247,"children":2576},[2577],{"type":2242,"value":2578},"Le pied diabétique est une complication fréquente, associée à un risque élevé d’amputation et de morbi-mortalité.",{"type":2270,"children":2580},[2581],{"type":2247,"children":2582},[2583],{"type":2242,"value":2584},"La neuropathie périphérique masque les symptômes, ce qui retarde le diagnostic et la prise en charge.",{"type":2270,"children":2586},[2587],{"type":2247,"children":2588},[2589,2591,2595,2597,2599,2603],{"type":2242,"value":2590},"L’évaluation vasculaire est un élément central dès la première consultation, notamment via la palpation des pouls, ",{"item":72,"type":2405,"children":2592},[2593],{"type":2242,"marks":2594,"value":2487},[2244],{"type":2242,"marks":2596,"value":2373},[2244],{"type":2242,"value":2598},"et la",{"item":131,"type":2405,"children":2600},[2601],{"type":2242,"value":2602}," pression à l’orteil",{"type":2242,"value":2296},{"type":2270,"children":2605},[2606],{"type":2247,"children":2607},[2608],{"type":2242,"value":2609},"Le statut vasculaire conditionne directement les stratégies thérapeutiques et les modalités de cicatrisation.",{"type":2270,"children":2611},[2612],{"type":2247,"children":2613},[2614],{"type":2242,"value":2615},"Un dépistage vasculaire précoce et systématique permet d’optimiser l’orientation des patients et de réduire le risque de complications sévères.",{"item":2221,"type":2315},{"type":2239,"level":467,"children":2618},[2619],{"type":2242,"marks":2620,"value":2621},[2244],"FAQ – Pied diabétique et évaluation vasculaire",{"type":2247,"children":2623},[2624,2627],{"type":2242,"marks":2625,"value":2626},[2244],"Pourquoi l’évaluation vasculaire est-elle indispensable chez un patient diabétique présentant une plaie du pied ?",{"type":2242,"value":2628},"\nL’évaluation vasculaire permet d’identifier une artériopathie associée, fréquente chez ces patients, et déterminante pour la cicatrisation. Elle conditionne les décisions thérapeutiques et le recours éventuel à une revascularisation.",{"type":2247,"children":2630},[2631,2634,2636,2641,2642,2645],{"type":2242,"marks":2632,"value":2633},[2244],"Quels examens doivent être réalisés en première intention ?",{"type":2242,"value":2635},"\nL’évaluation repose sur la palpation des pouls périphériques, complétée par des examens non invasifs tels que l’indice de pression systolique ",{"item":72,"type":2405,"children":2637},[2638],{"type":2242,"marks":2639,"value":2640},[2244],"(IPS) ",{"type":2242,"value":2598},{"item":131,"type":2405,"children":2643},[2644],{"type":2242,"value":2602},{"type":2242,"value":2646},". L’écho-Doppler artériel est indiqué en seconde intention pour une analyse morphologique.",{"type":2247,"children":2648},[2649,2652],{"type":2242,"marks":2650,"value":2651},[2244],"Quels seuils doivent alerter sur une insuffisance artérielle ?",{"type":2242,"value":2653},"\nUn IPS \u003C 0,9 ou une pression à l’orteil \u003C 30 mmHg sont associés à un risque élevé de mauvaise cicatrisation et nécessitent une prise en charge spécialisée rapide.",{"type":2247,"children":2655},[2656,2659],{"type":2242,"marks":2657,"value":2658},[2244],"Pourquoi certaines plaies évoluent-elles sans douleur ?",{"type":2242,"value":2660},"\nLa neuropathie diabétique entraîne une perte de sensibilité, notamment nociceptive, ce qui masque les symptômes et retarde la consultation, favorisant des formes avancées au diagnostic.",{"type":2247,"children":2662},[2663,2666],{"type":2242,"marks":2664,"value":2665},[2244],"Quand orienter un patient vers un spécialiste vasculaire ?",{"type":2242,"value":2667},"\nEn cas de suspicion d’ischémie, ou de plaie ne cicatrisant pas malgré une prise en charge adaptée, une évaluation spécialisée est nécessaire pour discuter d’une revascularisation.",{"alt":2154,"url":2210,"width":2211,"height":2212,"responsiveImage":2669},{"srcSet":2670,"webpSrcSet":2671,"sizes":2672,"src":2673,"width":2674,"height":974,"aspectRatio":2675,"alt":2154,"title":2154,"bgColor":2218,"base64":2676},"https://www.datocms-assets.com/160495/1780315857-ms-veronique-labbe-gentils.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1440 360w,https://www.datocms-assets.com/160495/1780315857-ms-veronique-labbe-gentils.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1440 720w,https://www.datocms-assets.com/160495/1780315857-ms-veronique-labbe-gentils.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.75&fit=crop&w=1440 1080w,https://www.datocms-assets.com/160495/1780315857-ms-veronique-labbe-gentils.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&fit=crop&w=1440 1440w","https://www.datocms-assets.com/160495/1780315857-ms-veronique-labbe-gentils.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1440 360w,https://www.datocms-assets.com/160495/1780315857-ms-veronique-labbe-gentils.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1440 720w,https://www.datocms-assets.com/160495/1780315857-ms-veronique-labbe-gentils.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1440 1080w,https://www.datocms-assets.com/160495/1780315857-ms-veronique-labbe-gentils.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1440 1440w","(max-width: 1440px) 100vw, 1440px","https://www.datocms-assets.com/160495/1780315857-ms-veronique-labbe-gentils.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&fit=crop&w=1440",1440,2.3338735818476497,"data:image/jpeg;base64,/9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAoHBwgHBgoICAgLCgoLDhgVDg0YDh0dHR0dHR8ZGBYfFiEaHyslGh0oHRYWJDUlKC0vMjIyGSI4PTcwPCsxMi8BCgsLDg0OHAoQHC8cFh0vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vL//AABEIAAsAGAMBIgACEQEDEQH/xAAXAAADAQAAAAAAAAAAAAAAAAAABQcG/8QAIxAAAgIABAcBAAAAAAAAAAAAAQIAAwQREzEGFBYhIjJBBf/EABUBAQEAAAAAAAAAAAAAAAAAAAIA/8QAFxEAAwEAAAAAAAAAAAAAAAAAAAECIf/aAAwDAQACEQMRAD8Aoa4vOxmJ+TJ2fq1HiAoWG8Yix9N/I7SY24i7q0jUPtBcCisKrbiF5gEGETUuxZcyT2hJSBvT/9k=","Pied diabétique : pourquoi l’évaluation vasculaire précoce est déterminante pour le pronostic",{"noIndex":68},{"left":2094,"top":2094,"width":2095,"height":2095,"rotate":2094,"vFlip":68,"hFlip":68,"body":2680},"\u003Cg fill=\"none\">\u003Cg id=\"arrow-down\">\n\u003Cpath id=\"Vector\" d=\"M19.281 14.0306L12.531 20.7806C12.4614 20.8504 12.3787 20.9057 12.2876 20.9434C12.1966 20.9812 12.099 21.0006 12.0004 21.0006C11.9019 21.0006 11.8043 20.9812 11.7132 20.9434C11.6222 20.9057 11.5394 20.8504 11.4698 20.7806L4.71979 14.0306C4.57906 13.8899 4.5 13.699 4.5 13.5C4.5 13.301 4.57906 13.1101 4.71979 12.9694C4.86052 12.8286 5.05139 12.7496 5.25042 12.7496C5.44944 12.7496 5.64031 12.8286 5.78104 12.9694L11.2504 18.4397V3.75C11.2504 3.55109 11.3294 3.36032 11.4701 3.21967C11.6107 3.07902 11.8015 3 12.0004 3C12.1993 3 12.3901 3.07902 12.5307 3.21967C12.6714 3.36032 12.7504 3.55109 12.7504 3.75V18.4397L18.2198 12.9694C18.3605 12.8286 18.5514 12.7496 18.7504 12.7496C18.9494 12.7496 19.1403 12.8286 19.281 12.9694C19.4218 13.1101 19.5008 13.301 19.5008 13.5C19.5008 13.699 19.4218 13.8899 19.281 14.0306Z\" fill=\"currentColor\"/>\n\u003C/g>\u003C/g>",1781079847634]