{"id":1895,"date":"2019-06-25T11:30:13","date_gmt":"2019-06-25T09:30:13","guid":{"rendered":"http:\/\/vet-ecg.ddns.net\/?page_id=1895"},"modified":"2020-01-30T12:46:53","modified_gmt":"2020-01-30T11:46:53","slug":"sus-decalage-st","status":"publish","type":"page","link":"http:\/\/vet-ecg.ddns.net\/index.php\/sus-decalage-st\/","title":{"rendered":"Sus-d\u00e9calage ST traumatique"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"2299\" height=\"2518\" src=\"http:\/\/vet-ecg.ddns.net\/wp-content\/uploads\/sus-decalage.jpg\" alt=\"\" class=\"wp-image-1896\"\/><figcaption>sus-d\u00e9calage ST<\/figcaption><\/figure>\n\n\n<p>Ce trac\u00e9 est r\u00e9alis\u00e9 quelques heures apr\u00e8s la d\u00e9fenestration de ce chat.<\/p>\n<p>La fr\u00e9quence cardiaque est de 270 bpm.&nbsp; L&rsquo;onde T est g\u00e9ante et son d\u00e9but est sur-\u00e9lev\u00e9 de pr\u00e8s de 2 mm par rapport \u00e0 la ligne de base, alors que l&rsquo;amplitude des QRS ne d\u00e9passe pas 0,25 mV.<\/p>\n<p>L&rsquo;\u00e9chographie ne met en \u00e9vidence qu&rsquo;un l\u00e9ger \u00e9paississement des parois ventriculaires, sans rapport avec l&rsquo;accident et sans r\u00e9percussions cliniques.<\/p>\n<p><\/p>\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"684\" height=\"591\" src=\"http:\/\/vet-ecg.ddns.net\/wp-content\/uploads\/details-ST.jpg\" alt=\"\" class=\"wp-image-1897\"\/><figcaption>sus-d\u00e9calage ST et onde de Pardee<\/figcaption><\/figure>\n\n\n<p>Le point J correspond\u00a0 \u00e0 l&rsquo;intersection de la fin du QRS et du d\u00e9but de l&rsquo;onde T. Il sert \u00e0 mesurer le d\u00e9calage du d\u00e9but de la repolarisation (onde T) par rapport \u00e0 la ligne de base.<\/p>\n<p>L&rsquo;onde T g\u00e9ante, appel\u00e9e aussi onde de Pardee, se rencontre dans diff\u00e9rentes situations (hypothermie, infarctus du myocarde).<\/p>\n<p>Ce trac\u00e9 permet de suspecter un infarctus d&rsquo;origine traumatique (l\u00e9sion du r\u00e9seau coronarien).<\/p>\n<p>Ces l\u00e9sions myocardiques d&rsquo;origine traumatique ne sont pas exceptionnelles chez le chat comme le montre le trac\u00e9 ci-dessous r\u00e9alis\u00e9, lui aussi, sur un chat d\u00e9fenestr\u00e9. Sur cet animal, l&rsquo;\u00e9chographie ne fait apparaitre aucune anomalie.<\/p>\n<p>\u00a0<\/p>\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"2030\" src=\"http:\/\/vet-ecg.ddns.net\/wp-content\/uploads\/idm.jpg\" alt=\"s\u00e9v\u00e8res l\u00e9sions myocardiques d'origine traumatique\" class=\"wp-image-2993\"\/><figcaption>sus-d\u00e9calage ST, onde T g\u00e9ante et BAV du premier degr\u00e9<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Ce trac\u00e9 est r\u00e9alis\u00e9 quelques heures apr\u00e8s la d\u00e9fenestration de ce chat. La fr\u00e9quence cardiaque est de 270 bpm.&nbsp; L&rsquo;onde T est g\u00e9ante et son d\u00e9but est sur-\u00e9lev\u00e9 de pr\u00e8s de 2 mm par rapport \u00e0 la ligne de base, alors que l&rsquo;amplitude des QRS ne d\u00e9passe pas 0,25 mV. L&rsquo;\u00e9chographie ne met en \u00e9vidence &hellip; <a href=\"http:\/\/vet-ecg.ddns.net\/index.php\/sus-decalage-st\/\" class=\"more-link\">Continuer la lecture de <span class=\"screen-reader-text\">Sus-d\u00e9calage ST traumatique<\/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-1895","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>Sus-d\u00e9calage ST traumatique - Blog d&#039;\u00e9lectrocardiographie v\u00e9t\u00e9rinaire<\/title>\n<meta name=\"description\" content=\"Ce sus-d\u00e9calage ST est d&#039;origine traumatique, suite \u00e0 la d\u00e9fenstration de ce chat. 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