{"id":389,"date":"2019-11-19T12:26:50","date_gmt":"2019-11-19T11:26:50","guid":{"rendered":"https:\/\/admsu.org\/w\/?p=389"},"modified":"2019-12-18T10:15:46","modified_gmt":"2019-12-18T09:15:46","slug":"ecg-n19","status":"publish","type":"post","link":"https:\/\/admsu.org\/w\/ecg-n19\/","title":{"rendered":"ECG n\u00b019"},"content":{"rendered":"\n<p>Patiente de 76 ans ayant des douleurs thoraciques intermittentes depuis 8 jours et persistantes depuis 2h00, constrictives r\u00e9trosternales irradiantes dans les 2 bras, dans la m\u00e2choire et en interscapulaire.<br>Facteurs de risque cardiovasculaire: DNID, HTA trait\u00e9e<br>Fc 80 &#8211; TA 160\/75<\/p>\n\n\n\n<p>Un premier ECG r\u00e9alis\u00e9 \u00e0 l&#8217;accueil est consid\u00e9r\u00e9 comme normal et la patiente est install\u00e9e en box d&#8217;examen<\/p>\n\n\n\n<p>Que faites vous ?<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg1-cas19-1.png\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"800\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg1-cas19-1-1024x800.png\" alt=\"\" class=\"wp-image-395\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg1-cas19-1-1024x800.png 1024w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg1-cas19-1-300x234.png 300w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg1-cas19-1-768x600.png 768w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg1-cas19-1.png 1546w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/a><\/figure>\n\n\n\n<p>Refaire un ECG et &#8230;..<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg2-cas19-3.png\"><img loading=\"lazy\" decoding=\"async\" width=\"928\" height=\"498\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg2-cas19-3.png\" alt=\"\" class=\"wp-image-436\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg2-cas19-3.png 928w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg2-cas19-3-300x161.png 300w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg2-cas19-3-768x412.png 768w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/a><\/figure>\n\n\n\n<p>avec 18 d\u00e9rivations<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg2-cas19-2.png\"><img loading=\"lazy\" decoding=\"async\" width=\"927\" height=\"497\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg2-cas19-2.png\" alt=\"\" class=\"wp-image-434\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg2-cas19-2.png 927w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg2-cas19-2-300x161.png 300w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/ecg2-cas19-2-768x412.png 768w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/a><\/figure>\n\n\n\n<p><strong>Voici le r\u00e9sultat de la coronarographie : l\u00e9sions bitronculaires.<\/strong><br> St\u00e9nose significative longue de l&#8217;art\u00e8re interventriculaire ant\u00e9rieure moyenne, englobant l&#8217;origine de la seconde diagonale (l\u00e9sion de bifurcation). Occlusion aig\u00fce de l&#8217;art\u00e8re circonflexe proximale d&#8217;aspect  thrombotique, englobant l&#8217;origine de la premi\u00e8re marginale (l\u00e9sion de bifurcation).<br> Succ\u00e8s de recanalisation de l&#8217;art\u00e8re circonflexe proximale. Implantation de 2 stents actifs.<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"792\" height=\"529\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/coro_cas19.png\" alt=\"\" class=\"wp-image-433\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/coro_cas19.png 792w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/coro_cas19-300x200.png 300w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2019\/11\/coro_cas19-768x513.png 768w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Patiente de 76 ans ayant des douleurs thoraciques intermittentes depuis 8 jours et persistantes depuis 2h00, constrictives r\u00e9trosternales irradiantes dans les 2 bras, dans la m\u00e2choire et en interscapulaire.Facteurs de risque cardiovasculaire: DNID, HTA trait\u00e9eFc 80 &#8211; TA 160\/75 Un premier ECG r\u00e9alis\u00e9 \u00e0 l&#8217;accueil est consid\u00e9r\u00e9 comme normal et la patiente est install\u00e9e en &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/admsu.org\/w\/ecg-n19\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;ECG n\u00b019&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-389","post","type-post","status-publish","format-standard","hentry","category-ecg-commente"],"_links":{"self":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/389","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/comments?post=389"}],"version-history":[{"count":8,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/389\/revisions"}],"predecessor-version":[{"id":442,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/389\/revisions\/442"}],"wp:attachment":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/media?parent=389"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/categories?post=389"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/tags?post=389"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}