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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\u002Fp>",[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\u002Fspan>\u003C\u002Fp>",{"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:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-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:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1080 270w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1080 540w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&w=1080 810w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080 1080w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&w=1080 1620w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&w=1080 2160w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&w=1080 3240w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&w=1080 4320w","https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1080 270w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1080 540w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1080 810w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1080 1080w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=1.5&fit=crop&fm=webp&w=1080 1620w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=2&fit=crop&fm=webp&w=1080 2160w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=3&fit=crop&fm=webp&w=1080 3240w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&dpr=4&fit=crop&fm=webp&w=1080 4320w","https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-primary-care-1080-1080.png?auto=compress&crop=focalpoint&fit=crop&w=1080","#9dbe4b","data:image\u002Fjpeg;base64,\u002F9j\u002F4AAQSkZJRgABAQAAAQABAAD\u002F2wCEAAoHBwgHBgoIEggTFhAVDiQaDg0ODhUNDw4OIR8ZGBYVIhUdHysjGikoKSEWJDUlKC0vMjIyGSI4PTcwPCsxMi8BCgsLDg0PHA0QHC8oFhwvLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vL\u002F\u002FAABEIABgAGAMBIgACEQEDEQH\u002FxAAZAAEBAAMBAAAAAAAAAAAAAAAABAEFBwP\u002FxAAfEAABAwQDAQAAAAAAAAAAAAABAAIDBAURQRMUIRL\u002FxAAXAQADAQAAAAAAAAAAAAAAAAAAAQIE\u002F8QAGBEBAQEBAQAAAAAAAAAAAAAAAAECEhH\u002F2gAMAwEAAhEDEQA\u002FAOsz1DWVAGVjnY0l2dKK4QvFYPV6tpS6M+6UatU18V5jiuThlFLFZOW5uP1tEvaF9yrT3AFkVkmMZ0iLRrMJNRVEvfJyiIjmB\u002F\u002FZ","\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\u002Fp>",{"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:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-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:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1080 270w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1759468929-nurse-practices-1080-1080.png?auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1080 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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. 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cardiovasculaire",{"tag":2122,"attributes":2123,"content":18},"meta",{"property":2124,"content":2120},"og:title",{"tag":2122,"attributes":2126,"content":18},{"name":2127,"content":2120},"twitter:title",{"tag":2122,"attributes":2129,"content":18},{"name":2130,"content":2131},"description","Le MESI mTABLET fournit une évaluation médicale prédictive grâce à une large sélection de modules matériels, d'extensions logicielles et de différentes options 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ABI",{"tag":2122,"attributes":2155,"content":18},{"name":2156,"content":2141},"twitter:image",{"tag":2122,"attributes":2158,"content":18},{"name":2159,"content":2153},"twitter:image:alt",{"tag":2122,"attributes":2161,"content":18},{"property":2162,"content":33},"og:locale",{"tag":2122,"attributes":2164,"content":18},{"property":2165,"content":2166},"og:type","article",{"tag":2122,"attributes":2168,"content":18},{"property":2169,"content":6},"og:site_name",{"tag":2122,"attributes":2171,"content":18},{"property":2172,"content":2173},"article:modified_time","2026-07-20T08:26:03Z",{"tag":2122,"attributes":2175,"content":18},{"property":2176,"content":1670},"article:publisher",{"tag":2122,"attributes":2178,"content":18},{"name":2179,"content":2180},"twitter:card","summary_large_image",[2182,2184,2185,2186,2188,2189],{"value":2183,"locale":34},"why-the-abi-remains-a-key-tool-for-cardiovascular-screening",{"value":2183,"locale":32},{"value":2183,"locale":35},{"value":2187,"locale":33},"pourquoi-lindex-de-pression-systolique-reste-un-outil-cle-du-depistage-cardiovasculaire",{"value":2183,"locale":36},{"value":2183,"locale":37},[2191,2192,2193,2194,2195,2196],{"value":68,"locale":34},{"value":49,"locale":32},{"value":68,"locale":35},{"value":49,"locale":33},{"value":68,"locale":36},{"value":68,"locale":37},"ArticleRecord","2026-07-08T09:29:53+02:00",[2200],{"id":1698,"name":67},"EnTW7FfwREi7k3OXPg9jfw",{"blocks":2203,"links":2231,"value":2233},[2204,2225],{"id":2205,"_modelApiKey":2206,"__typename":2207,"backgroundVariant":2208,"mediaPosition":2209,"isMediaGraphic":68,"backgroundDots":49,"equalizeColumns":49,"title":2210,"tagline":48,"html":2211,"link":18,"media":2212},"EKQy8PlNQouctqNw1adtkw","section_cta_image_right","SectionCtaImageRightRecord","White","Right","Dr. Arthur Thery","\u003Cdiv data-slate-fragment=\"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\">\n\u003Cp class=\"MsoNormal\">\u003Cspan lang=\"FR\">Selon le \u003Cstrong>Dr Arthur Thery\u003C\u002Fstrong>, médecin vasculaire :\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fp>\n\u003Cblockquote>\n\u003Cp>\u003Cem>\"\u003C\u002Fem>\u003Cspan lang=\"FR\"> Souvent, on dit que les femmes ont des signes atypiques. En réalité, elles ont surtout des signes différents de ceux que l’on a appris à reconnaître.\u003C\u002Fspan>\u003Cem>\"\u003C\u002Fem>\u003C\u002Fp>\n\u003C\u002Fblockquote>\n\u003C\u002Fdiv>",{"alt":2210,"url":2213,"width":2214,"height":2215,"responsiveImage":2216},"https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png",868,820,{"srcSet":2217,"webpSrcSet":2218,"sizes":2219,"src":2220,"width":549,"height":2221,"aspectRatio":2222,"alt":2210,"title":2210,"bgColor":2223,"base64":2224},"https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1920 480w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png?auto=compress&crop=focalpoint&fit=crop&w=1920 1920w","https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png?auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1920 480w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png?auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1920 1920w","(max-width: 1920px) 100vw, 1920px","https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496055-dr-thery.png?auto=compress&crop=focalpoint&fit=crop&w=1920",1814,1.0584343991179714,"#c5917b","data:image\u002Fjpeg;base64,\u002F9j\u002F4AAQSkZJRgABAQAAAQABAAD\u002F2wCEAAoHBwgHBgoICAgLFgoXDhgQFxcNDh0dFRUZHR8fJBYTHh4dHyslGiIoHRUWJDUxKC0vMjIyGSI4PTcwPC0xMi8BCgsLDg0OHA0RHS8mIig7Lzs1Ly8vLzUvLy8vNTs1Ly8vLy8vLy8vNS8vNS8vLy8vLy8vLy8vNS8vLy8vLy8vL\u002F\u002FAABEIABcAGAMBIgACEQEDEQH\u002FxAAZAAEBAAMBAAAAAAAAAAAAAAAHAAQFBgH\u002FxAAiEAAABQQCAwEAAAAAAAAAAAAAAQIDBQQGERIhQiIxQRT\u002FxAAYAQADAQEAAAAAAAAAAAAAAAABAgQFAP\u002FEABkRAAIDAQAAAAAAAAAAAAAAAAACASExA\u002F\u002FaAAwDAQACEQMRAD8ARJS4mKePUaFFnAFromnKyRRr62HeSUBVIjVLWs8YBhKaM1yEmos7Boajk5jjbjyztJrY+ohgwRurtVvQ+NR4M52seUNxJU7lTCL8vgD5aAccmEmbncQhVGBQbYOO\u002FLazSM865EIQhfQn\u002F9k=",{"id":2226,"_modelApiKey":2227,"__typename":2228,"title":2229,"html":2230},"b-VkTaLVSpqdTvJbpysfOQ","resource","ResourceRecord","Références","\u003Col style=\"margin-top: 0in;\" start=\"1\" type=\"1\">\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">World Health Organization (WHO). Cardiovascular diseases (CVDs). 2023.\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">Song P, Rudan D, Zhu Y, et al. Global, regional, and national prevalence and risk factors for peripheral artery disease in 2015. The Lancet Global Health. 2019;7(8):e1020-e1030.\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">Criqui MH, Aboyans V. Epidemiology of peripheral artery disease. Circulation Research. 2015;116(9):1509-1526.\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">Fédération Française de Cardiologie. Cardiovascular disease in women: overview and prevention challenges. 2024.\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">Libby P. The changing landscape of atherosclerosis. Nature. 2021;592(7855):524-533.\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">Aboyans V, Ricco JB, Bartelink MEL, et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases. European Heart Journal. 2018;39(9):763-816.\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">Gerhard-Herman MD, Gornik HL, Barrett C, et al. 2016 AHA\u002FACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease. Circulation. 2017;135:e726-e779.\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">Wanhainen A, Verzini F, Van Herzeele I, et al. European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. European Journal of Vascular and Endovascular Surgery. 2019;57(1):8-93.\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fli>\n\u003Cli class=\"MsoNormal\" style=\"mso-list: l0 level1 lfo1; tab-stops: list .5in;\">\u003Cspan style=\"mso-ansi-language: SL;\">Hinchliffe RJ, Forsythe RO, Apelqvist J, et al. Guidelines on diagnosis, prognosis, and management of peripheral artery disease in patients with a foot ulcer and diabetes (IWGDF 2023). Diabetes Metabolism Research and Reviews. 2024;40(S1):e3709.\u003Co:p>\u003C\u002Fo:p>\u003C\u002Fspan>\u003C\u002Fli>\n\u003C\u002Fol>",[2232],{"_modelApiKey":74,"__typename":73,"id":72,"slug":75,"title":67},{"schema":2234,"document":2235},"dast",{"type":2236,"children":2237},"root",[2238,2246,2251,2255,2259,2261,2265,2270,2274,2278,2282,2289,2293,2322,2326,2331,2335,2339,2343,2381,2386,2390,2394,2398,2402,2406,2412,2416,2420,2425,2429,2433,2437,2441,2446,2450,2454,2458,2462,2466,2471,2475,2479,2485,2489,2494,2498,2510,2514,2519,2557,2562,2567,2571,2576,2580,2585,2589,2594,2598,2603,2607,2608],{"type":2239,"level":467,"children":2240},"heading",[2241],{"type":2242,"marks":2243,"value":2245},"span",[2244],"strong","Une maladie fréquente, sous-diagnostiquée et associée à un risque cardiovasculaire élevé",{"type":2247,"children":2248},"paragraph",[2249],{"type":2242,"value":2250},"Les maladies cardiovasculaires demeurent la première cause de mortalité dans le monde, représentant près de 18 millions de décès chaque année (1). Parmi elles, l’artériopathie oblitérante des membres inférieurs (AOMI), ou Peripheral Arterial Disease (PAD), touche plus de 230 millions de personnes dans le monde (2).",{"type":2247,"children":2252},[2253],{"type":2242,"value":2254},"Pourtant, cette pathologie reste largement sous-diagnostiquée. On estime qu’une proportion importante des patients atteints est asymptomatique ou présente des symptômes non spécifiques, retardant ainsi le diagnostic et la prise en charge (3).",{"type":2247,"children":2256},[2257],{"type":2242,"value":2258},"Cette problématique est particulièrement importante chez certaines populations à risque, notamment les femmes. Les maladies cardiovasculaires constituent aujourd’hui la première cause de mortalité chez les femmes en France, devant tous les cancers réunis (4).",{"item":2205,"type":2260},"block",{"type":2247,"children":2262},[2263],{"type":2242,"value":2264},"Cette différence de présentation clinique contribue à un retard diagnostique encore fréquent chez les femmes, tant pour les coronaropathies que pour l’artériopathie des membres inférieurs.",{"type":2239,"level":467,"children":2266},[2267],{"type":2242,"marks":2268,"value":2269},[2244],"L’AOMI : une manifestation locale d’une maladie systémique",{"type":2247,"children":2271},[2272],{"type":2242,"value":2273},"L’AOMI résulte d’un processus athéroscléreux progressif conduisant à un épaississement de la paroi artérielle et à une réduction du calibre des vaisseaux sanguins (5).",{"type":2247,"children":2275},[2276],{"type":2242,"value":2277},"Cependant, il est essentiel de considérer cette pathologie comme une maladie systémique plutôt que comme une atteinte localisée des membres inférieurs.",{"type":2247,"children":2279},[2280],{"type":2242,"value":2281},"Comme l’explique le Dr Thery :",{"type":2283,"children":2284},"blockquote",[2285],{"type":2247,"children":2286},[2287],{"type":2242,"value":2288},"« C’est une maladie systémique. Théoriquement, toutes les artères peuvent être atteintes par ce mécanisme. »",{"type":2247,"children":2290},[2291],{"type":2242,"value":2292},"L’athérosclérose peut ainsi toucher plusieurs territoires vasculaires :",{"type":2294,"style":2295,"children":2296},"list","bulleted",[2297,2304,2310,2316],{"type":2298,"children":2299},"listItem",[2300],{"type":2247,"children":2301},[2302],{"type":2242,"value":2303},"les carotides, avec un risque d’accident vasculaire cérébral (AVC) ou d’accident ischémique transitoire (AIT) ;",{"type":2298,"children":2305},[2306],{"type":2247,"children":2307},[2308],{"type":2242,"value":2309},"les artères coronaires, pouvant conduire à un infarctus du myocarde ;",{"type":2298,"children":2311},[2312],{"type":2247,"children":2313},[2314],{"type":2242,"value":2315},"les artères des membres inférieurs ;",{"type":2298,"children":2317},[2318],{"type":2247,"children":2319},[2320],{"type":2242,"value":2321},"l’aorte abdominale, avec le risque d’anévrisme de l’aorte abdominale  (5,6).",{"type":2247,"children":2323},[2324],{"type":2242,"value":2325},"Cette dimension systémique explique pourquoi la présence d’une AOMI doit être considérée comme un marqueur majeur de risque cardiovasculaire global (6).",{"type":2239,"level":467,"children":2327},[2328],{"type":2242,"marks":2329,"value":2330},[2244],"Une maladie silencieuse qui nécessite un dépistage actif",{"type":2247,"children":2332},[2333],{"type":2242,"value":2334},"L’athérosclérose est souvent qualifiée de « silent killer » en raison de sa progression lente et asymptomatique pendant de nombreuses années.",{"type":2247,"children":2336},[2337],{"type":2242,"value":2338},"Les manifestations cliniques apparaissent généralement lorsque les lésions artérielles sont déjà avancées, exposant les patients à des complications potentiellement graves (5,6).",{"type":2247,"children":2340},[2341],{"type":2242,"value":2342},"Cette évolution silencieuse justifie l’importance d’un dépistage précoce chez les patients présentant des facteurs de risque cardiovasculaire tels que :",{"type":2294,"style":2295,"children":2344},[2345,2351,2357,2363,2369,2375],{"type":2298,"children":2346},[2347],{"type":2247,"children":2348},[2349],{"type":2242,"value":2350},"le tabagisme ;",{"type":2298,"children":2352},[2353],{"type":2247,"children":2354},[2355],{"type":2242,"value":2356},"l’hypertension artérielle ;",{"type":2298,"children":2358},[2359],{"type":2247,"children":2360},[2361],{"type":2242,"value":2362},"le diabète ;",{"type":2298,"children":2364},[2365],{"type":2247,"children":2366},[2367],{"type":2242,"value":2368},"la dyslipidémie ;",{"type":2298,"children":2370},[2371],{"type":2247,"children":2372},[2373],{"type":2242,"value":2374},"l’âge avancé ;",{"type":2298,"children":2376},[2377],{"type":2247,"children":2378},[2379],{"type":2242,"value":2380},"les antécédents cardiovasculaires (6,7).",{"type":2239,"level":467,"children":2382},[2383],{"type":2242,"marks":2384,"value":2385},[2244],"L’IPS : un examen simple qui peut changer le parcours du patient",{"type":2247,"children":2387},[2388],{"type":2242,"value":2389},"Contrairement à certaines idées reçues, le diagnostic initial de l’AOMI ne repose pas nécessairement sur des examens d’imagerie complexes.",{"type":2247,"children":2391},[2392],{"type":2242,"value":2393},"L’index de pression systolique (IPS), ou Ankle-Brachial Index (ABI), constitue l’examen de première intention recommandé par les sociétés savantes internationales (6,7).",{"type":2247,"children":2395},[2396],{"type":2242,"value":2397},"Cet examen repose sur la comparaison de la pression artérielle mesurée à la cheville avec celle mesurée au bras.",{"type":2247,"children":2399},[2400],{"type":2242,"value":2401},"Un IPS inférieur à 0,90 est considéré comme diagnostique d’une AOMI (6,7).",{"type":2247,"children":2403},[2404],{"type":2242,"value":2405},"Selon le Dr Arthur Thery :",{"type":2283,"children":2407},[2408],{"type":2247,"children":2409},[2410],{"type":2242,"value":2411},"« Si vous faites juste ça, que vous avez un IPS inférieur à 0,9, vous avez gagné. Vous avez diagnostiqué une artériopathie oblitérante des membres inférieurs. »",{"type":2247,"children":2413},[2414],{"type":2242,"value":2415},"Au-delà du diagnostic de l’AOMI, l’IPS permet d’identifier un patient à très haut risque cardiovasculaire et d’initier une démarche globale de prévention secondaire.",{"type":2247,"children":2417},[2418],{"type":2242,"value":2419},"La découverte d’un IPS pathologique doit ainsi conduire à rechercher d’autres atteintes athéroscléreuses, à optimiser le contrôle des facteurs de risque et à renforcer le suivi cardiovasculaire (6).",{"type":2239,"level":467,"children":2421},[2422],{"type":2242,"marks":2423,"value":2424},[2244],"Ne pas s’arrêter à l’IPS : penser à l’anévrisme de l’aorte abdominale",{"type":2247,"children":2426},[2427],{"type":2242,"value":2428},"Si l’IPS constitue un excellent outil de dépistage, il ne permet pas d’identifier toutes les manifestations de l’athérosclérose.",{"type":2247,"children":2430},[2431],{"type":2242,"value":2432},"Le Dr Thery insiste notamment sur la nécessité de ne pas négliger le dépistage de l’anévrisme de l’aorte abdominale chez certains patients à risque.",{"type":2247,"children":2434},[2435],{"type":2242,"value":2436},"Les recommandations européennes préconisent notamment un dépistage échographique ciblé chez les hommes âgés présentant des facteurs de risque cardiovasculaire, en particulier les fumeurs ou anciens fumeurs (8).",{"type":2247,"children":2438},[2439],{"type":2242,"value":2440},"L’anévrisme de l’aorte abdominale reste en effet asymptomatique dans la majorité des cas jusqu’à sa rupture, complication associée à une mortalité extrêmement élevée (8).",{"type":2239,"level":467,"children":2442},[2443],{"type":2242,"marks":2444,"value":2445},[2244],"Que faire lorsque l’IPS est supérieur à 1,4 ?",{"type":2247,"children":2447},[2448],{"type":2242,"value":2449},"L’interprétation de l’IPS nécessite également de connaître ses limites.",{"type":2247,"children":2451},[2452],{"type":2242,"value":2453},"Un IPS supérieur à 1,40 traduit généralement une incompressibilité artérielle liée à une médiacalcose, situation fréquemment observée chez les patients diabétiques, insuffisants rénaux ou très âgés (6,9).",{"type":2247,"children":2455},[2456],{"type":2242,"value":2457},"Dans ces situations, la pression d’orteil constitue un complément diagnostique particulièrement utile.",{"type":2247,"children":2459},[2460],{"type":2242,"value":2461},"Les artères digitales étant généralement moins affectées par la médiacalcose, la mesure de la pression d’orteil permet une évaluation plus fiable du statut hémodynamique distal (9).",{"type":2247,"children":2463},[2464],{"type":2242,"value":2465},"Cette mesure est particulièrement intéressante chez les patients présentant des plaies, des troubles trophiques ou des suspicions d’ischémie critique de membre.",{"type":2239,"level":467,"children":2467},[2468],{"type":2242,"marks":2469,"value":2470},[2244],"Vers une approche intégrée du dépistage cardiovasculaire",{"type":2247,"children":2472},[2473],{"type":2242,"value":2474},"Pour le Dr Thery, l’AOMI ne doit pas être considérée comme une pathologie isolée mais comme une porte d’entrée vers une évaluation cardiovasculaire plus globale.",{"type":2247,"children":2476},[2477],{"type":2242,"value":2478},"Lorsqu’une artériopathie est diagnostiquée, la première étape consiste à rechercher d’éventuelles atteintes dans les autres territoires vasculaires.",{"type":2283,"children":2480},[2481],{"type":2247,"children":2482},[2483],{"type":2242,"value":2484},"« Quand je diagnostique une artériopathie, la première chose que je fais est de proposer au patient un dépistage des autres atteintes potentielles. »",{"type":2247,"children":2486},[2487],{"type":2242,"value":2488},"L’association de plusieurs examens complémentaires, notamment l’électrocardiogramme et l’IPS, permet ainsi d’obtenir une vision plus complète du risque cardiovasculaire du patient et d’améliorer la coordination du parcours de soins.",{"type":2239,"level":467,"children":2490},[2491],{"type":2242,"marks":2492,"value":2493},[2244],"Pour conclure",{"type":2247,"children":2495},[2496],{"type":2242,"value":2497},"L’artériopathie oblitérante des membres inférieurs reste une pathologie fréquente, sous-diagnostiquée et fortement associée à la morbi-mortalité cardiovasculaire.",{"type":2247,"children":2499},[2500,2502,2508],{"type":2242,"value":2501},"Grâce à sa simplicité, son faible coût et sa valeur pronostique,",{"item":72,"type":2503,"children":2504},"itemLink",[2505],{"type":2242,"marks":2506,"value":2507},[2244]," l’index de pression systolique",{"type":2242,"value":2509}," demeure l’un des outils les plus efficaces pour identifier précocement les patients à haut risque cardiovasculaire (6,7).",{"type":2247,"children":2511},[2512],{"type":2242,"value":2513},"Utilisé dans une stratégie globale de prévention, il permet non seulement de dépister l’AOMI, mais également de détecter plus précocement l’ensemble de la maladie athéroscléreuse et ses complications potentielles.",{"type":2239,"level":467,"children":2515},[2516],{"type":2242,"marks":2517,"value":2518},[2244],"Points clés à retenir",{"type":2294,"style":2295,"children":2520},[2521,2527,2533,2539,2545,2551],{"type":2298,"children":2522},[2523],{"type":2247,"children":2524},[2525],{"type":2242,"value":2526},"L’AOMI touche plus de 230 millions de personnes dans le monde (2).",{"type":2298,"children":2528},[2529],{"type":2247,"children":2530},[2531],{"type":2242,"value":2532},"Elle constitue une manifestation locale d’une maladie athéroscléreuse systémique (5,6).",{"type":2298,"children":2534},[2535],{"type":2247,"children":2536},[2537],{"type":2242,"value":2538},"Les femmes restent insuffisamment diagnostiquées en raison de présentations cliniques souvent différentes de celles décrites historiquement (4).",{"type":2298,"children":2540},[2541],{"type":2247,"children":2542},[2543],{"type":2242,"value":2544},"L’IPS est l’examen de première intention recommandé pour le dépistage de l’AOMI (6,7).",{"type":2298,"children":2546},[2547],{"type":2247,"children":2548},[2549],{"type":2242,"value":2550},"Un IPS pathologique permet d’identifier des patients à très haut risque cardiovasculaire (6).",{"type":2298,"children":2552},[2553],{"type":2247,"children":2554},[2555],{"type":2242,"value":2556},"La pression d’orteil est particulièrement utile chez les patients présentant une médiacalcose ou un IPS supérieur à 1,4 (9).",{"type":2239,"level":467,"children":2558},[2559],{"type":2242,"marks":2560,"value":2561},[2244],"FAQ – IPS et dépistage de l’artériopathie",{"type":2247,"children":2563},[2564],{"type":2242,"marks":2565,"value":2566},[2244],"Pourquoi l’AOMI est-elle considérée comme une maladie systémique ?",{"type":2247,"children":2568},[2569],{"type":2242,"value":2570},"Parce que l’athérosclérose peut affecter simultanément plusieurs territoires vasculaires, notamment les coronaires, les carotides, l’aorte abdominale et les artères des membres inférieurs (5,6).",{"type":2247,"children":2572},[2573],{"type":2242,"marks":2574,"value":2575},[2244],"Quel seuil d’IPS permet de diagnostiquer une AOMI ?",{"type":2247,"children":2577},[2578],{"type":2242,"value":2579},"Un IPS inférieur à 0,90 est considéré comme diagnostique d’une artériopathie des membres inférieurs (6,7).",{"type":2247,"children":2581},[2582],{"type":2242,"marks":2583,"value":2584},[2244],"Pourquoi mesurer la pression d’orteil ?",{"type":2247,"children":2586},[2587],{"type":2242,"value":2588},"La pression d’orteil est particulièrement utile chez les patients présentant une médiacalcose, lorsque l’IPS devient difficilement interprétable (9), par exemple chez les patients diabétiques et ceux atteints d'une insuffisance rénale chronique.",{"type":2247,"children":2590},[2591],{"type":2242,"marks":2592,"value":2593},[2244],"Pourquoi rechercher un anévrisme de l’aorte abdominale chez certains patients ?",{"type":2247,"children":2595},[2596],{"type":2242,"value":2597},"Parce que cette pathologie est généralement asymptomatique jusqu’à sa rupture et partage les mêmes facteurs de risque que l’athérosclérose (8).",{"type":2247,"children":2599},[2600],{"type":2242,"marks":2601,"value":2602},[2244],"L’IPS est-il réservé aux spécialistes vasculaires ?",{"type":2247,"children":2604},[2605],{"type":2242,"value":2606},"Non. L’IPS peut être utile en médecine générale, en cardiologie, en diabétologie ou dans toute spécialité prenant en charge des patients à risque cardiovasculaire (6,7).",{"item":2226,"type":2260},{"type":2247,"children":2609},[2610],{"type":2242,"value":48},{"alt":2153,"url":2612,"width":2613,"height":2614,"responsiveImage":2615},"https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg",2600,1733,{"srcSet":2616,"webpSrcSet":2617,"sizes":2618,"src":2619,"width":2620,"height":974,"aspectRatio":2621,"alt":2153,"title":2153,"bgColor":2622,"base64":2623},"https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.25&fit=crop&w=1440 360w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.5&fit=crop&w=1440 720w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.75&fit=crop&w=1440 1080w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&fit=crop&w=1440 1440w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=1.5&fit=crop&w=1440 2160w","https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.25&fit=crop&fm=webp&w=1440 360w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.5&fit=crop&fm=webp&w=1440 720w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=0.75&fit=crop&fm=webp&w=1440 1080w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&fit=crop&fm=webp&w=1440 1440w,https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&dpr=1.5&fit=crop&fm=webp&w=1440 2160w","(max-width: 1440px) 100vw, 1440px","https:\u002F\u002Fwww.datocms-assets.com\u002F160495\u002F1783496412-mesi-mtablet-abi-squareme.jpg?ar64=MjE6OQ&auto=compress&crop=focalpoint&fit=crop&w=1440",1440,2.3338735818476497,"#e5592c","data:image\u002Fjpeg;base64,\u002F9j\u002F4AAQSkZJRgABAQAAAQABAAD\u002F2wCEAAoHBwgHBgoICAgLCgoLDhgQFQ0NGh0aFQ0YLCUZHhYVFhUdKysjHR0oHRoWJDUlKC0vMjIyGSI4PTcwPCsxMi8BCgsLDg0OHBAQHC8cFigvLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vLy8vL\u002F\u002FAABEIAAsAGAMBIgACEQEDEQH\u002FxAAZAAABBQAAAAAAAAAAAAAAAAADAAIEBQb\u002FxAAdEAACAwACAwAAAAAAAAAAAAABBQACAwQhESI0\u002F8QAFAEBAAAAAAAAAAAAAAAAAAAAAf\u002FEABYRAQEBAAAAAAAAAAAAAAAAAAIBAP\u002FaAAwDAQACEQMRAD8A07lNxtmlddAD4Me0a4r+JTLOo6EO3+wSuaY53yBtQGKuCcZa3HJp3WKRFlK0HqPEUIrinf\u002FZ",{"left":2094,"top":2094,"width":2095,"height":2095,"rotate":2094,"vFlip":68,"hFlip":68,"body":2625},"\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\"\u002F>\n\u003C\u002Fg>\u003C\u002Fg>",1787202247534]