{"id":3381,"date":"2023-01-10T23:46:13","date_gmt":"2023-01-10T22:46:13","guid":{"rendered":"http:\/\/vet-ecg.ddns.net\/?page_id=3381"},"modified":"2023-01-11T10:09:05","modified_gmt":"2023-01-11T09:09:05","slug":"super-wolff","status":"publish","type":"page","link":"http:\/\/vet-ecg.ddns.net\/index.php\/super-wolff\/","title":{"rendered":"Super Wolff"},"content":{"rendered":"\n
\"Fibrillation
Trac\u00e9 obtenu \u00e0 l’arriv\u00e9e<\/figcaption><\/figure>\n\n\n\n
\"Enregistrement
Enregistrement \u00e0 50 mm\/s<\/figcaption><\/figure>\n\n\n\n
\"ondes
Ondes delta (traits rouges)<\/figcaption><\/figure>\n\n\n

Ce chien de race cairn \u00e2g\u00e9 de 8 ans est pr\u00e9sent\u00e9 pour abattement soudain mais l’abattement est mod\u00e9r\u00e9 compte-tenu de la fr\u00e9quence ventriculaire observ\u00e9e. Un faisceau accessoire est suspect\u00e9 devant l’emp\u00e2tement de l’onde R (onde delta=QRS \u00e9largis). Le diagnostic\u00a0 de super wolff est suspect\u00e9.<\/p>\n

Une premi\u00e8re \u00e9chocardiographie r\u00e9v\u00e8le une hypertrophie excentrique du ventricule droit, une dilatation atriale marqu\u00e9e (Ag\/Ao=1,82). Par ailleurs le ventricule gauche\u00a0 et la valvule mitrale ne pr\u00e9sentent aucune anomalie. Aucun souffle cardiaque n’avait jusqu’alors \u00e9t\u00e9 identifi\u00e9.<\/p>\n

Ce trac\u00e9 frappe par la fr\u00e9quence inhabituelle de cette fibrillation atriale. En effet certains intervalles RR sont mesur\u00e9s \u00e0 157 ms, ce qui correspond \u00e0 une fr\u00e9quence de 380 bpm. L’axe des QRS est de -45 degr\u00e9s.<\/p>\n

Une cardioversion m\u00e9dicamenteuse a \u00e9t\u00e9 obtenue en quelques heures, comme le montre le trac\u00e9 ci-dessous obtenu 12 h apr\u00e8s l’admission.<\/p>\n

\u00a0<\/p>\n\n\n

<\/p>\n\n\n\n

\"Rythme
Trac\u00e9 obtenu apr\u00e8s la cardioversion<\/figcaption><\/figure>\n\n\n

Le rythme est redevenu sinusal, on visualise un complexe de fusion (3e systole) et des ondes P d’allure pulmonaire. La pr\u00e9excitation n’est plus visible (QRS fins)<\/p>\n

Une deuxi\u00e8me \u00e9chocardiographie est r\u00e9alis\u00e9e maintenant que la fr\u00e9quence est normalis\u00e9e afin d’obtenir des mesures Doppler plus fiables. Elle confirme les premiers r\u00e9sultats mais permet de visualiser cette fois une masse sur le septum interventriculaire.<\/p>","protected":false},"excerpt":{"rendered":"

Ce chien de race cairn \u00e2g\u00e9 de 8 ans est pr\u00e9sent\u00e9 pour abattement soudain mais l’abattement est mod\u00e9r\u00e9 compte-tenu de la fr\u00e9quence ventriculaire observ\u00e9e. Un faisceau accessoire est suspect\u00e9 devant l’emp\u00e2tement de l’onde R (onde delta=QRS \u00e9largis). Le diagnostic\u00a0 de super wolff est suspect\u00e9. Une premi\u00e8re \u00e9chocardiographie r\u00e9v\u00e8le une hypertrophie excentrique du ventricule droit, une … Continuer la lecture de Super Wolff<\/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-3381","page","type-page","status-publish","hentry"],"yoast_head":"\nSuper Wolff - Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire<\/title>\n<meta name=\"description\" content=\"Fibrillation atriale extr\u00eamement rapide. Certains intervalles RR sont mesur\u00e9s \u00e0 157 ms, ce qui correspond \u00e0 une fr\u00e9quence de 380 bpm.\" \/>\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\/super-wolff\/\" \/>\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\\\/super-wolff\\\/\",\"url\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/super-wolff\\\/\",\"name\":\"Super Wolff - Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/super-wolff\\\/#primaryimage\"},\"image\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/super-wolff\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/super-wolff-979x1024.jpg\",\"datePublished\":\"2023-01-10T22:46:13+00:00\",\"dateModified\":\"2023-01-11T09:09:05+00:00\",\"description\":\"Fibrillation atriale extr\u00eamement rapide. Certains intervalles RR sont mesur\u00e9s \u00e0 157 ms, ce qui correspond \u00e0 une fr\u00e9quence de 380 bpm.\",\"breadcrumb\":{\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/super-wolff\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/super-wolff\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/super-wolff\\\/#primaryimage\",\"url\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/super-wolff.jpg\",\"contentUrl\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/wp-content\\\/uploads\\\/super-wolff.jpg\",\"width\":1959,\"height\":2050},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/index.php\\\/super-wolff\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"http:\\\/\\\/vet-ecg.ddns.net\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Super Wolff\"}]},{\"@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":"Super Wolff - Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire","description":"Fibrillation atriale extr\u00eamement rapide. Certains intervalles RR sont mesur\u00e9s \u00e0 157 ms, ce qui correspond \u00e0 une fr\u00e9quence de 380 bpm.","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\/super-wolff\/","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\/super-wolff\/","url":"http:\/\/vet-ecg.ddns.net\/index.php\/super-wolff\/","name":"Super Wolff - Blog d'\u00e9lectrocardiographie v\u00e9t\u00e9rinaire","isPartOf":{"@id":"http:\/\/vet-ecg.ddns.net\/#website"},"primaryImageOfPage":{"@id":"http:\/\/vet-ecg.ddns.net\/index.php\/super-wolff\/#primaryimage"},"image":{"@id":"http:\/\/vet-ecg.ddns.net\/index.php\/super-wolff\/#primaryimage"},"thumbnailUrl":"http:\/\/vet-ecg.ddns.net\/wp-content\/uploads\/super-wolff-979x1024.jpg","datePublished":"2023-01-10T22:46:13+00:00","dateModified":"2023-01-11T09:09:05+00:00","description":"Fibrillation atriale extr\u00eamement rapide. Certains intervalles RR sont mesur\u00e9s \u00e0 157 ms, ce qui correspond \u00e0 une fr\u00e9quence de 380 bpm.","breadcrumb":{"@id":"http:\/\/vet-ecg.ddns.net\/index.php\/super-wolff\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["http:\/\/vet-ecg.ddns.net\/index.php\/super-wolff\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"http:\/\/vet-ecg.ddns.net\/index.php\/super-wolff\/#primaryimage","url":"http:\/\/vet-ecg.ddns.net\/wp-content\/uploads\/super-wolff.jpg","contentUrl":"http:\/\/vet-ecg.ddns.net\/wp-content\/uploads\/super-wolff.jpg","width":1959,"height":2050},{"@type":"BreadcrumbList","@id":"http:\/\/vet-ecg.ddns.net\/index.php\/super-wolff\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"http:\/\/vet-ecg.ddns.net\/"},{"@type":"ListItem","position":2,"name":"Super Wolff"}]},{"@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\/3381","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=3381"}],"version-history":[{"count":0,"href":"http:\/\/vet-ecg.ddns.net\/index.php\/wp-json\/wp\/v2\/pages\/3381\/revisions"}],"wp:attachment":[{"href":"http:\/\/vet-ecg.ddns.net\/index.php\/wp-json\/wp\/v2\/media?parent=3381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}