Congenital anomalous origin of a single coronary artery and high-level sporting competition.

Using a single clinical case of a professional soccer player presenting an anomalous origin of the right coronary artery, cardiac screening and surgical treatment are described taking into account the recommendations of cardiac and sports societies.

[Non-medical and non-instrumental therapy in heart failure].

Chronic heart failure is a disease justifying the initiation of a medical treatment, of which the well-established modalities require cooperation between the general practitioner and the cardiologist. However, this chronic disease also requires patient's active participation in their own treatment, especially through the adoption of new health behaviors: self-monitoring of progression signs, following nutritional recommendations, maintaining adequate physical activity and taking a medical treatment, which may be associated with side effects. Therapeutic education programs or cardiac rehabilitation can help patients to develop these new skills.

[Education and multidisciplinary management in chronic heart failure].

Heart failure is a common, serious and expensive disease. It causes repeated hospitalizations, decreases patients' quality of life, and reduces the independence of elderly patients. It constitutes a major public health problem for which a new organization of care appears necessary.

[Main issues and contributions of the evaluation of health care networks].

Health care networks correspond to a form of horizontal and flexible organisation, which consists in dealing with complex problems of health and long-term care. Networks rest entirely on the mechanisms of coordination between the various actors of care, whose keystone is the medical information flow. The challenge of the health networks evaluation is to prove the added value of a network organization, instead of a conventional disease-centred health care.