{"id":3132,"date":"2020-09-01T17:56:49","date_gmt":"2020-09-01T15:56:49","guid":{"rendered":"http:\/\/vet-ecg.ddns.net\/?page_id=3132"},"modified":"2020-09-01T18:21:32","modified_gmt":"2020-09-01T16:21:32","slug":"tachycardie-jonctionnelle-antidromique","status":"publish","type":"page","link":"http:\/\/vet-ecg.ddns.net\/index.php\/tachycardie-jonctionnelle-antidromique\/","title":{"rendered":"tachycardie jonctionnelle antidromique"},"content":{"rendered":"

L’ecg ci-dessous est celui d’un golden retriever de 25 kg et \u00e2g\u00e9 d’une dizaine d’ann\u00e9es. Le motif de la consultation est ‘ un abattement soudain ‘. Son \u00e9chocardiographie ne met en \u00e9vidence aucune anomalie.<\/p>\n

Le ionogramme effectu\u00e9 est dans les normes.<\/p>\n

La distinction d’avec une tachycardie ventriculaire est, \u00e0 ce stade, impossible. Cependant la fr\u00e9quence cardiaque est inhabituelle sur un c\u0153ur qui ne pr\u00e9sente pas d’anomalies structurelles. L’hypoth\u00e8se retenue est celle d’une tachycardie jonctionnelle antidromique o\u00f9 l’influx issu du n\u0153ud sinusal emprunte un faisceau de conduction accessoire et remonte aux oreillettes par le tronc du faisceau de His et le n\u0153ud AV.<\/p>\n\n\n

\"\"
Tachycardie (>400 bpm) \u00e0 QRS larges et sans ondes P visibles<\/figcaption><\/figure>\n\n\n\n

Le traitement mis en place s’est montr\u00e9 inefficace malgr\u00e9 un retour momentan\u00e9 en rythme sinusal entrecoup\u00e9 de nombreuses extrasystole jonctionnelles avec ondes P r\u00e9trogrades (avant dernier trac\u00e9)<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
\"\"
Extrasystoles jonctionnelles avec ondes P r\u00e9trogrades<\/figcaption><\/figure>\n\n\n

Un nouvel acc\u00e8s de tachycardie survient, cette fois r\u00e9fractaire au traitement.<\/p>\n\n\n

\"Tachycardie
Tachycardie tr\u00e8s rapide \u00e0 QRS larges chez un golden retriever<\/figcaption><\/figure>\n\n\n

L’hypoth\u00e8se retenue est celle d’un faisceau accessoire qui conduit directement l’influx aux ventricules et remonte par la voie nodo-hissienne (conduction1:1) mais il n’a pas \u00e9t\u00e9 possible de mettre en \u00e9vidence un signe de pr\u00e9-excitation (absence d’onde delta).<\/p>","protected":false},"excerpt":{"rendered":"

L’ecg ci-dessous est celui d’un golden retriever de 25 kg et \u00e2g\u00e9 d’une dizaine d’ann\u00e9es. Le motif de la consultation est ‘ un abattement soudain ‘. Son \u00e9chocardiographie ne met en \u00e9vidence aucune anomalie. Le ionogramme effectu\u00e9 est dans les normes. La distinction d’avec une tachycardie ventriculaire est, \u00e0 ce stade, impossible. Cependant la fr\u00e9quence … Continuer la lecture de tachycardie jonctionnelle antidromique<\/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-3132","page","type-page","status-publish","hentry"],"yoast_head":"\ntachycardie jonctionnelle antidromique - Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire<\/title>\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\/tachycardie-jonctionnelle-antidromique\/\" \/>\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\\\/tachycardie-jonctionnelle-antidromique\\\/\",\"url\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/tachycardie-jonctionnelle-antidromique\\\/\",\"name\":\"tachycardie jonctionnelle antidromique - Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/tachycardie-jonctionnelle-antidromique\\\/#primaryimage\"},\"image\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/tachycardie-jonctionnelle-antidromique\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/antidromique-4-1024x684.jpg\",\"datePublished\":\"2020-09-01T15:56:49+00:00\",\"dateModified\":\"2020-09-01T16:21:32+00:00\",\"breadcrumb\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/tachycardie-jonctionnelle-antidromique\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/tachycardie-jonctionnelle-antidromique\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/tachycardie-jonctionnelle-antidromique\\\/#primaryimage\",\"url\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/antidromique-4-1024x684.jpg\",\"contentUrl\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/antidromique-4-1024x684.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/tachycardie-jonctionnelle-antidromique\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"tachycardie jonctionnelle antidromique\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/#website\",\"url\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/\",\"name\":\"Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire\",\"description\":\"recueil d'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. Les ECG r\u00e9alis\u00e9s ont \u00e9t\u00e9 r\u00e9alis\u00e9s sur des chiens et des chats qui ont tous b\u00e9n\u00e9fici\u00e9 d'une \u00e9chocardiographie.\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"tachycardie jonctionnelle antidromique - Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"http:\/\/vet-ecg.ddns.net\/index.php\/tachycardie-jonctionnelle-antidromique\/","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/vet-ecg.ddns.net\/index.php\/tachycardie-jonctionnelle-antidromique\/","url":"http:\/\/vet-ecg.ddns.net\/index.php\/tachycardie-jonctionnelle-antidromique\/","name":"tachycardie jonctionnelle antidromique - Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire","isPartOf":{"@id":"http:\/\/vet-ecg.ddns.net\/#website"},"primaryImageOfPage":{"@id":"http:\/\/vet-ecg.ddns.net\/index.php\/tachycardie-jonctionnelle-antidromique\/#primaryimage"},"image":{"@id":"http:\/\/vet-ecg.ddns.net\/index.php\/tachycardie-jonctionnelle-antidromique\/#primaryimage"},"thumbnailUrl":"http:\/\/vet-ecg.ddns.net\/wp-content\/uploads\/antidromique-4-1024x684.jpg","datePublished":"2020-09-01T15:56:49+00:00","dateModified":"2020-09-01T16:21:32+00:00","breadcrumb":{"@id":"http:\/\/vet-ecg.ddns.net\/index.php\/tachycardie-jonctionnelle-antidromique\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["http:\/\/vet-ecg.ddns.net\/index.php\/tachycardie-jonctionnelle-antidromique\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"http:\/\/vet-ecg.ddns.net\/index.php\/tachycardie-jonctionnelle-antidromique\/#primaryimage","url":"http:\/\/vet-ecg.ddns.net\/wp-content\/uploads\/antidromique-4-1024x684.jpg","contentUrl":"http:\/\/vet-ecg.ddns.net\/wp-content\/uploads\/antidromique-4-1024x684.jpg"},{"@type":"BreadcrumbList","@id":"http:\/\/vet-ecg.ddns.net\/index.php\/tachycardie-jonctionnelle-antidromique\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"http:\/\/vet-ecg.ddns.net\/"},{"@type":"ListItem","position":2,"name":"tachycardie jonctionnelle antidromique"}]},{"@type":"WebSite","@id":"http:\/\/vet-ecg.ddns.net\/#website","url":"http:\/\/vet-ecg.ddns.net\/","name":"Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire","description":"recueil d'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. Les ECG r\u00e9alis\u00e9s ont \u00e9t\u00e9 r\u00e9alis\u00e9s sur des chiens et des chats qui ont tous b\u00e9n\u00e9fici\u00e9 d'une \u00e9chocardiographie."}]}},"_links":{"self":[{"href":"http:\/\/vet-ecg.ddns.net\/index.php\/wp-json\/wp\/v2\/pages\/3132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/vet-ecg.ddns.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/vet-ecg.ddns.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/vet-ecg.ddns.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/vet-ecg.ddns.net\/index.php\/wp-json\/wp\/v2\/comments?post=3132"}],"version-history":[{"count":0,"href":"http:\/\/vet-ecg.ddns.net\/index.php\/wp-json\/wp\/v2\/pages\/3132\/revisions"}],"wp:attachment":[{"href":"http:\/\/vet-ecg.ddns.net\/index.php\/wp-json\/wp\/v2\/media?parent=3132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}