Formes de vie, formes de fuite

On explore ici la pertinence de la pensée de Catherine Malabou pour différentes pratiques artistiques – picturale, musicale, littéraire. À la lumière de ses diverses interventions philosophiques, on cherche à mettre en évidence toute l'importance des arts dans l'avènement des formes de fuite dans nos sociétés. La notion de l'ontologie de l'accident dans le cadre de la catastrophe écologique à venir nous offre également la possibilité de réfléchir à l'évolution d'une pensée multi-spéciste dans les arts. Le choc ontologique chez Malabou est mis en rapport avec la notion du style tardif dans les écrits d'Edward Saïd pour aboutir à une lecture de la fin de vie des artistes. L'analyse d'un tableau de Giotto nous permet de montrer enfin comment c'est le propre d'un certain type de plasticité de pouvoir interrompre sa propre automaticité.

CT coronary angiography and COVID-19: inpatient use in acute chest pain service.

OBJECTIVES: CT coronary angiography (CTCA) is a well-validated clinical tool in the evaluation of chest pain. In our institution, CTCA availability was increased in January 2020, and subsequently, expanded further to replace all exercise testing during the COVID-19 pandemic. Our objective was to assess the impact of increased utilisation of CTCA on length of stay in patients presenting with chest pain in the prepandemic era and during the COVID-19 pandemic. METHODS: Study design was retrospective. Patients referred for cardiology review between October 2019 and May 2020 with chest pain and/or dyspnoea were broken into three cohorts: a baseline cohort, a cohort with increased CTCA availability and a cohort with increased CTCA availability, but after the national lockdown due to COVID-19. Coronary angiography and revascularisation, length of stay and 30-day adverse outcomes were assessed. RESULTS: 513 patients (35.3% female) presented over cohorts 1 (n=179), 2 (n=182), and 3 (n=153). CTCA use increased from 7.8% overall in cohort 1% to 20.4% in cohort 3. Overall length of stay for the patients undergoing CTCA decreased from a median of 4.2 days in cohort 1 to 2.5 days in cohort 3, with no increase in 30 days adverse outcomes. Invasive coronary angiogram rates were 45.8%, 39% and 34.2% across the cohorts. 29.6% underwent revascularisation in cohort 1, 15.9% in cohort 2 and to 16.4% in cohort 3. CONCLUSIONS: Increased CTCA availability was associated with a significantly reduced length of stay both pre-COVID-19 and post-COVID-19 lockdown, without any increase in 30-day adverse outcomes.