Revue médicale de Bruxelles
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The initial development of cardiac surgery at Erasme Hospital was closely related to the achievements in thoracic organ transplantation, with numerous synergies between other clinical and research units of the Faculty of Medicine. New advances in biology and biotechnology have met the challenges of modern cardiology, in the fields of advanced heart failure, refractory angina, rhythm disturbances or minimally invasive surgery. Fundamental aspects of clinical practice have been the subject of laboratory investigations, resulting in fruitful interactions and promising scientific outlooks.
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Created in 1982 to encourage the scientific research in the Erasme Hospital, the Erasme Foundation has founded 174 research grants, has financially supported the building of the Cellular and Molecular Therapy Unit, and has organized more than 60 lectures in various biomedical fields.
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The opportunity of the 25th anniversary of the Erasme hospital was taken for drawing up an inventory of the scientific publications issued from the medical teams of the institution. The inventory was established in accordance with the missions of an academic hospital, namely, evaluation and development of new diagnostic and therapeutic tools, creation of new knowledge in basic science as well as in clinical research, translation of new biomedical findings to patient's care by the fruitful back and forth between the laboratory and the bedside and, finally, launching of new skills to be prepared for the medicine of the new millennium. The assessment is positive. However, the future is uncertain due to the under reimbursement of the academic medicine.
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Peripartum cardiomyopathy is a rare, potentially life-threatening cardiomyopathy of unknown cause. Diagnosis includes clinical (development of cardiac failure in the last month of pregnancy or within 5 months after delivery, absence of an identifiable cause of cardiac failure and absence of recognizable heart disease prior to the last month of pregnancy) and echographic (left ventricular systolic dysfunction) criteria. Therapy is standard, except for angiotensin converting enzyme inhibitors, which should be avoided at the end of pregnancy, and heart transplantation if medical treatment fails. We report the case of a 24 year-old woman who required left ventricular assistance as a bridge before cardiac transplantation.
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Any general practitioner can be confronted with bleeding complication, the most frequent complication after a dental extraction. As with all complications prevention of bleeding is the best way to manage this problem. ⋯ The goal of this paper is to review the different steps of hemostasis as well as the most frequent anomalies associated to each step. The treatment will be discussed but it's more specific to specialists in odontostomatology.