{"id":1886,"date":"2019-06-23T18:43:31","date_gmt":"2019-06-23T16:43:31","guid":{"rendered":"http:\/\/vet-ecg.ddns.net\/?page_id=1886"},"modified":"2019-11-08T10:34:20","modified_gmt":"2019-11-08T09:34:20","slug":"bloc-sino-atrial","status":"publish","type":"page","link":"http:\/\/vet-ecg.ddns.net\/index.php\/bloc-sino-atrial\/","title":{"rendered":"Bloc sino-atrial"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1997\" height=\"2138\" src=\"http:\/\/vet-ecg.ddns.net\/wp-content\/uploads\/BSA.jpg\" alt=\"Bloc sino-atrial\" class=\"wp-image-1887\"\/><figcaption>bloc sino-atrial de type 2<\/figcaption><\/figure>\n\n\n<p>Le diagnostic de bloc sino-atrial (BSA) est toujours difficile&nbsp; chez le chien en raison de l&rsquo;existence d&rsquo;une arythmie respiratoire marqu\u00e9e.<\/p>\n<p>Tout comme pour les blocs atrioventriculaires, il existe 3 types de BSA.<\/p>\n<p>Le <strong>BSA-1<\/strong> n&rsquo;est pas visible sur l&rsquo;ECG et correspond \u00e0 un allongement du temps de conduction intra-atrial.<\/p>\n<p>Le <strong>BSA-2<\/strong>, celui qui nous concerne ici, est caract\u00e9ris\u00e9 par une interruption compl\u00e8te et intermittente de la conduction intra-atriale.<\/p>\n<p>L&rsquo;influx \u00e9lectrique est bien \u00e9mis par le n\u0153ud sinusal mais non transmis.<\/p>\n<p>Cela se traduit sur l&rsquo;ECG par un intervalle RR long, dont la dur\u00e9e correspond \u00e0 un multiple de l&rsquo;intervalle RR de base (ici: 2 fois).<\/p>\n<p>Le <strong>BSA-3<\/strong> correspond \u00e0 une interruption compl\u00e8te et prolong\u00e9e (voire permanente) de la conduction intra-atriale.<\/p>\n<p>Dans ce cas, un rythme d&rsquo;\u00e9chappement, souvent jonctionnel, maintient l&rsquo;animal en vie.<\/p>\n<p>Un bloc sino-atrial est un trouble de la conduction situ\u00e9 entre le noeud sinusal et l&rsquo;oreillette.<\/p>\n<p>Pour porter un diagnostic de BSA, il faut pouvoir \u00e9liminer une pause sinusale \u00e0 l&rsquo;origine d&rsquo;un intervalle RR long mais qui ne serait pas un multiple de l&rsquo;intervalle RR de base.<\/p>\n<p>Les blocs sino-atriaux sont donc&nbsp; une forme de dysfonction sinusale.<\/p>\n<p>Ici l&rsquo;intervalle RR long (600 ms) correspond exactement au double de l&rsquo;intervalle pr\u00e9c\u00e9dent (300 ms).<\/p>","protected":false},"excerpt":{"rendered":"<p>Le diagnostic de bloc sino-atrial (BSA) est toujours difficile&nbsp; chez le chien en raison de l&rsquo;existence d&rsquo;une arythmie respiratoire marqu\u00e9e. Tout comme pour les blocs atrioventriculaires, il existe 3 types de BSA. Le BSA-1 n&rsquo;est pas visible sur l&rsquo;ECG et correspond \u00e0 un allongement du temps de conduction intra-atrial. Le BSA-2, celui qui nous concerne &hellip; <a href=\"http:\/\/vet-ecg.ddns.net\/index.php\/bloc-sino-atrial\/\" class=\"more-link\">Continuer la lecture de <span class=\"screen-reader-text\">Bloc sino-atrial<\/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-1886","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Bloc sino-atrial - Blog d&#039;\u00e9lectrocardiographie v\u00e9t\u00e9rinaire<\/title>\n<meta name=\"description\" content=\"Bloc sino-atrial correspond \u00e0 l&#039;interruption momentan\u00e9e (BAS du 2e degr\u00e9) de la conduction de l&#039;influx sinusal \u00e0 l&#039;int\u00e9rieur de l&#039;oreillette .\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/vet-ecg.ddns.net\/index.php\/bloc-sino-atrial\/\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/bloc-sino-atrial\\\/\",\"url\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/bloc-sino-atrial\\\/\",\"name\":\"Bloc sino-atrial - Blog d&#039;\u00e9lectrocardiographie v\u00e9t\u00e9rinaire\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/bloc-sino-atrial\\\/#primaryimage\"},\"image\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/bloc-sino-atrial\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/BSA.jpg\",\"datePublished\":\"2019-06-23T16:43:31+00:00\",\"dateModified\":\"2019-11-08T09:34:20+00:00\",\"description\":\"Bloc sino-atrial correspond \u00e0 l'interruption momentan\u00e9e (BAS du 2e degr\u00e9) de la conduction de l'influx sinusal \u00e0 l'int\u00e9rieur de l'oreillette .\",\"breadcrumb\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/bloc-sino-atrial\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/bloc-sino-atrial\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/bloc-sino-atrial\\\/#primaryimage\",\"url\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/BSA.jpg\",\"contentUrl\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/BSA.jpg\",\"width\":1997,\"height\":2138,\"caption\":\"bloc sino-atrial de type 2\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/bloc-sino-atrial\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Bloc sino-atrial\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/#website\",\"url\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/\",\"name\":\"Blog d&#039;\u00e9lectrocardiographie v\u00e9t\u00e9rinaire\",\"description\":\"recueil d&#039;ECG de chiens et de chats\",\"publisher\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/#\\\/schema\\\/person\\\/fec4070a47e235fed904fab73cae00b4\"},\"alternateName\":\"\u00e9lectrocardiographie v\u00e9t\u00e9rinaire\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/#\\\/schema\\\/person\\\/fec4070a47e235fed904fab73cae00b4\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/2018\\\/04\\\/Zelda-2-ECG-248.jpg\",\"url\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/2018\\\/04\\\/Zelda-2-ECG-248.jpg\",\"contentUrl\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/2018\\\/04\\\/Zelda-2-ECG-248.jpg\",\"width\":248,\"height\":248,\"caption\":\"admin\"},\"logo\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/2018\\\/04\\\/Zelda-2-ECG-248.jpg\"},\"description\":\"Les trac\u00e9s publi\u00e9s sur ce site sont issus de diff\u00e9rentes cliniques v\u00e9t\u00e9rinaires de Paris et de sa banlieue durant les 10 derni\u00e8res ann\u00e9es. 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