{"id":1228,"date":"2018-12-04T22:18:16","date_gmt":"2018-12-04T21:18:16","guid":{"rendered":"http:\/\/192.168.1.104\/?page_id=1228"},"modified":"2019-11-12T12:26:26","modified_gmt":"2019-11-12T11:26:26","slug":"cmd-10","status":"publish","type":"page","link":"http:\/\/vet-ecg.ddns.net\/index.php\/cmd-10\/","title":{"rendered":"cmd et \u00e9panchement pleural"},"content":{"rendered":"
\"Hypertrophie
Trac\u00e9s avant et apr\u00e8s \u00e9vacuation d’un \u00e9panchement pleural abondant.<\/figcaption><\/figure>\n

Trac\u00e9 de gauche:<\/strong><\/h3>\n

Le rythme est sinusal \u00e0 145 bpm. Cette fr\u00e9quence, pour un chien de ce format, peut \u00eatre assimil\u00e9 \u00e0 une tachycardie sinusale. L’arythmie respiratoire a disparu.<\/p>\n

L’amplitude des QRS (2,1 mV) et des ondes P (0,2 mV) sont habituelles (limites basses).<\/p>\n

Les ondes T sont biphasiques.<\/p>\n

L’aspect bifide des ondes P est bien visible en d\u00e9rivation D3.<\/p>\n

Les segments PR et ST sont iso\u00e9lectriques.<\/p>\n

Le plus anormal sur ce trac\u00e9, sont les dur\u00e9es des ondes P et de QRS.
\nElles sont respectivement de 70 et 100 ms. Ces mesures doivent \u00eatre interpr\u00e9t\u00e9es en fonction du format de l’animal.<\/p>\n

L’\u00e9tat g\u00e9n\u00e9ral de l’animal est tr\u00e8s d\u00e9grad\u00e9.<\/p>\n

Trac\u00e9 de droite:<\/strong><\/h3>\n

Ce trac\u00e9 a \u00e9t\u00e9 r\u00e9alis\u00e9\u00a0 quelques heures apr\u00e8s l’\u00e9vacuation d’un \u00e9panchement pleural de 2,5 litres.<\/p>\n

La fr\u00e9quence a diminu\u00e9 de 145 \u00e0 120 bpm mais on voit une extrasystole atriale apparaitre (5e complexe).<\/p>\n

Les dur\u00e9es de P et de QRS n’ont pas chang\u00e9.<\/p>\n

Le segment PR n’est plus iso\u00e9lectrique.<\/p>\n

La morphologie des QRS a chang\u00e9: Des ondes S sont maintenant visibles en D2, D3 et AVF.<\/p>\n

Le crochetage de la pente descendante de l’onde R en D1 s’est accentu\u00e9.<\/p>\n

Les ondes T ne sont plus biphasiques mais amples, sym\u00e9triques et pointues. L’amplitude des ondes T a consid\u00e9rablement augment\u00e9 (T\/R=0,45 alors qu’il \u00e9tait de 0,2 la veille).<\/p>\n

La ponction a fait apparaitre des ondes S en D2, D3 et AVF ainsi qu’un sous-d\u00e9calage du segment PR probablement en rapport avec des modifications du c\u0153ur droit et a mis en \u00e9vidence la souffrance myocardique (ondes T).<\/p>\n

Malgr\u00e9 la ponction, l’\u00e9tat de l’animal s’est encore d\u00e9grad\u00e9.<\/p>\n

La radiographie n’a pas mis \u00e9vidence de masse thoracique et l’\u00e9chocardiographie r\u00e9v\u00e9lait une cardiomyopathie dilat\u00e9e avanc\u00e9e.<\/p>\n","protected":false},"excerpt":{"rendered":"

Trac\u00e9 de gauche: Le rythme est sinusal \u00e0 145 bpm. Cette fr\u00e9quence, pour un chien de ce format, peut \u00eatre assimil\u00e9 \u00e0 une tachycardie sinusale. L’arythmie respiratoire a disparu. L’amplitude des QRS (2,1 mV) et des ondes P (0,2 mV) sont habituelles (limites basses). Les ondes T sont biphasiques. L’aspect bifide des ondes P est … Continuer la lecture de cmd et \u00e9panchement pleural<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1228","page","type-page","status-publish","hentry"],"yoast_head":"\ncmd et \u00e9panchement pleural - Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire<\/title>\n<meta name=\"description\" content=\"cmd et \u00e9panchement pleural chez un dogue allemand de 65 kg. L'\u00e9tat de l'animal est d\u00e9grad\u00e9. 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