{"id":23703,"date":"2026-11-02T09:55:10","date_gmt":"2026-11-02T14:55:10","guid":{"rendered":"https:\/\/foundation.ottawaheart.ca\/?p=23703"},"modified":"2026-11-03T14:46:00","modified_gmt":"2026-11-03T19:46:00","slug":"lusic-des-soins-intensifs-a-la-decouverte","status":"publish","type":"post","link":"https:\/\/foundation.ottawaheart.ca\/fr\/lusic-des-soins-intensifs-a-la-decouverte\/","title":{"rendered":"L\u2019USIC, des soins intensifs \u00e0 la d\u00e9couverte"},"content":{"rendered":"\t\t
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Les patients envoy\u00e9s d\u2019urgence \u00e0 l\u2019Unit\u00e9 de soins intensifs en cardiologie (USIC) arrivent souvent dans leurs v\u00eatements de tous les jours, sans acc\u00e8s intraveineux et dans un \u00e9tat extr\u00eamement pr\u00e9caire.<\/strong> En l\u2019absence d\u2019une zone de triage officielle, le personnel ne dispose que de quelques minutes pour \u00e9tablir le bon diagnostic et mettre en place un traitement vital.<\/p>

L\u2019USIC de l\u2019Institut de cardiologie accueille certains des cas les plus complexes au pays. Sa directrice m\u00e9dicale, la Dre Rebecca Mathew, explique que la capacit\u00e9 de l\u2019unit\u00e9 \u00e0 prendre en charge un volume \u00e9lev\u00e9 et un large \u00e9ventail de pathologies cardiaques permet aux patients d\u2019acc\u00e9der aux soins les plus complets qui soient. \u00ab Chaque quart de travail est diff\u00e9rent. Nous pouvons commencer une journ\u00e9e en stabilisant une crise cardiaque de type STEMI, puis pratiquer une reanimation cardiorespiratoire et assurer la gestion des voies respiratoires pour un arr\u00eat cardiaque et, une heure plus tard, r\u00e9animer un patient en choc cardiog\u00e9nique. Chaque jour est diff\u00e9rent du pr\u00e9c\u00e9dent. \u00bb<\/em><\/p>

Premi\u00e8re cardiologue certifi\u00e9e \u00e0 la fois en cardiologie et en soins intensifs recrut\u00e9e \u00e0 Ottawa, la Dre Mathew adore son m\u00e9tier et soutient le r\u00f4le de chef de file national de l\u2019Institut de cardiologie dans la tendance croissante \u00e0 recruter des cardiologues intensivistes pour orienter les soins cliniques dans les unit\u00e9s de soins intensifs. \u00ab J\u2019ai choisi cette carri\u00e8re pour le privil\u00e8ge de prendre soin des gens qui vivent les pires moments de leur vie. Nous sommes leur point d\u2019ancrage au milieu de la temp\u00eate que repr\u00e9sente une maladie cardiaque grave. \u00bb<\/em><\/p>

Passionn\u00e9e par l\u2019enseignement, la Dre Mathew affirme que l\u2019Institut attire les meilleurs stagiaires, qui en sortent pr\u00eats \u00e0 tout affronter. \u00ab Je dis aux r\u00e9sidents de se former dans un centre qui les poussera jusqu\u2019\u00e0 leurs limites absolues, mais en leur offrant un filet de s\u00e9curit\u00e9. Ainsi, ils en ressortent dot\u00e9s des comp\u00e9tences et de la confiance n\u00e9cessaires pour faire face \u00e0 n\u2019importe quelle crise et conservent ce profonde sentiment d\u2019humilit\u00e9 que seule la m\u00e9decine clinique permet de d\u00e9velopper. \u00bb<\/em><\/p>

L\u2019Institut de cardiologie faisant office de p\u00f4le r\u00e9gional pour les soins cardiovasculaires sp\u00e9cialis\u00e9s et complexes \u2014 il offre des services \u00e0 pr\u00e8s de deux millions de personnes \u2014, l\u2019USIC est aussi un groupe de r\u00e9flexion tr\u00e8s actif, cr\u00e9ant les conditions id\u00e9ales pour une recherche de pointe en soins intensifs cardiaques. Cochercheuse principale du groupe de recherche CAPITAL, la Dre Mathew est reconnaissante de pouvoir s\u2019appuyer sur les \u00ab g\u00e9ants de la recherche \u00bb qui ont tr\u00e8s t\u00f4t d\u00e9cid\u00e9 que l\u2019USIC m\u00e8nerait des essais cliniques. \u00ab Notre travail se concentre sur des questions de recherche pragmatiques qui d\u00e9coulent des soins prodigu\u00e9s au chevet des patients. Mes mentors ont toujours dit qu\u2019il est impossible d\u2019\u00eatre passionn\u00e9 par la m\u00e9decine Clinique sans l\u2019\u00eatre par la recherche. Il faut se poser des questions, et si on ne trouve pas la r\u00e9ponse, cela devrait donner lieu \u00e0 des recherches. \u00bb<\/em> D\u00e9crivant la recherche au sein de l\u2019USIC comme un effort d\u2019\u00e9quipe constant, la Dre Mathew rend hommage au grand nombre de r\u00e9sidents, de fellows et d\u2019infirmi\u00e8res \u2014 les cochercheurs officiels et officieux de l\u2019\u00e9quipe \u2014, qu\u2019elle consid\u00e8re comme les forces vives du travail du laboratoire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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L\u2019Unit\u00e9 de soins intensifs en cardiologie s\u2019occupe jour et nuit des patients cardiaques pr\u00e9sentant certains des cas les plus complexes de la r\u00e9gion.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Pr\u00e9occup\u00e9e par les taux de mortalit\u00e9 \u00e9lev\u00e9s associ\u00e9s au choc cardiog\u00e9nique et par le manque de donn\u00e9es probantes solides \u00e9tayant les traitements visant \u00e0 am\u00e9liorer les r\u00e9sultats cliniques, la Dre Mathew a lanc\u00e9 l\u2019essai clinique CAPITAL DOREMI (Comparaison de la milrinone et de la dobutamine pour traiter le choc cardiog\u00e9nique) afin de mieux comprendre et traiter le choc cardiog\u00e9nique, dans lequel un probl\u00e8me cardiaque primaire emp\u00eache une circulation sanguine ad\u00e9quate vers les organes du corps. La Dre Mathew a expliqu\u00e9 que, depuis longtemps, deux m\u00e9dicaments inotropes, la milrinone et la dobutamine, sont largement utilis\u00e9s pour traiter le choc cardiog\u00e9nique en Am\u00e9rique du Nord et qu\u2019elle souhaitait mettre fin au d\u00e9bat qui agite la communaut\u00e9 des soins intensifs cardiaques quant \u00e0 savoir lequel de ces deux m\u00e9dicaments offre les meilleurs r\u00e9sultats pour les patients. CAPITAL DOREMI est ainsi devenu le tout premier essai Clinique comparatif direct opposant ces deux m\u00e9dicaments dans le cadre du choc cardiog\u00e9nique. L\u2019\u00e9tude, qui a recrut\u00e9 192 patients, n\u2019a r\u00e9v\u00e9l\u00e9 aucune diff\u00e9rence significative au niveau des crit\u00e8res d\u2019\u00e9valuation cl\u00e9s, d\u00e9montrant ainsi que les traitements \u00e9taient \u00e9quivalents.<\/p>

Publi\u00e9 dans le New England Journal of Medicine, cet essai a r\u00e9affirm\u00e9 que les cliniciens devaient choisir l\u2019inotrope le mieux adapt\u00e9 aux besoins individuels de chaque patient. ondamentalement, CAPITAL DOREMI a contribu\u00e9 \u00e0 faire progresser les principes de la m\u00e9decine factuelle et des soins centr\u00e9s sur le patient.<\/p>

Alors que l\u2019\u00e9tude CAPITAL DOREMI 2, un essai multicentrique de plus grande envergure portant sur 346 patients, touche \u00e0 sa fin, la Dre Mathew cherche \u00e0 d\u00e9terminer si, compte tenu des bienfaits incertains et des effets secondaires n\u00e9gatifs des m\u00e9dicaments inotropes sp\u00e9cialis\u00e9, les patients ont vraiment besoin d\u2019un soutien inotrope, sous quelque forme que ce soit, lors du traitement initial du choc cardiog\u00e9nique.<\/p>

Fi\u00e8re des efforts de recherche de son laboratoire et du travail clinique men\u00e9 au sein de l\u2019USIC, la Dre Mathew explique qu\u2019en menant des recherches et en continuant \u00e0 d\u00e9velopper la culture de la recherche au sein de l\u2019USIC, les r\u00e9sidents et le personnel de l\u2019unit\u00e9 ont gagn\u00e9 en confiance pour mener des essais cliniques \u00e0 haut risque, mais \u00e0 fort potentiel. \u00ab C\u2019est passionnant de constater \u00e0 quel point notre processus d\u00e9cisionnel au sein de l\u2019USIC s\u2019appuie d\u00e9sormais sur des donn\u00e9es probantes. La recherche occupe une place pr\u00e9pond\u00e9rante \u00e0 l\u2019Institut de cardiologie et nous mettons chaque jour \u00e0 profit les r\u00e9sultats de ces \u00e9tudes cl\u00e9s pour offrir les meilleurs soins cliniques \u00e0 nos patients. \u00bb<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\u00c0 LIRE PLUS : Aujourd\u2019hui, l\u2019Institut est un acteur majeur des soins intensifs, tant dans la ville que dans la r\u00e9gion et ailleurs au pays>><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Les patients envoy\u00e9s d\u2019urgence \u00e0 l\u2019Unit\u00e9 de soins intensifs en cardiologie (USIC) arrivent souvent dans leurs v\u00eatements de tous les jours, sans acc\u00e8s intraveineux et dans un \u00e9tat extr\u00eamement pr\u00e9caire.<\/p>\n","protected":false},"author":6,"featured_media":23690,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[71],"tags":[],"class_list":["post-23703","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nouvelles-de-linstitut"],"acf":[],"yoast_head":"\nL\u2019USIC, des soins intensifs \u00e0 la d\u00e9couverte - uOttawa - Heart Institute<\/title>\n<meta name=\"description\" content=\"D\u00e9couvrez comment la Dre Rebecca Mathew et l\u2019USIC de l\u2019Institut de cardiologie font progresser les soins intensifs cardiaques gr\u00e2ce \u00e0 la...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/foundation.ottawaheart.ca\/dr-rebecca-mathew-describes-how-research-in-the-intensive-cardiac-care-unit-iccu-is-a-team-effort\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u2019USIC, des soins intensifs \u00e0 la d\u00e9couverte\" \/>\n<meta property=\"og:description\" content=\"D\u00e9couvrez comment la Dre Rebecca Mathew et l\u2019USIC de l\u2019Institut de cardiologie font progresser les soins intensifs cardiaques gr\u00e2ce \u00e0 la...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/foundation.ottawaheart.ca\/dr-rebecca-mathew-describes-how-research-in-the-intensive-cardiac-care-unit-iccu-is-a-team-effort\/\" \/>\n<meta property=\"og:site_name\" content=\"uOttawa - 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