{"id":170269,"date":"2024-11-06T06:00:00","date_gmt":"2024-11-06T14:00:00","guid":{"rendered":"https:\/\/clarius.com\/blog\/lutilisation-du-pocus-cardiaque-pour-permettre-a-chaque-medecin-de-mieux-comprendre-la-maladie-coronarienne\/"},"modified":"2026-03-16T13:47:35","modified_gmt":"2026-03-16T20:47:35","slug":"lutilisation-du-pocus-cardiaque-pour-permettre-a-chaque-medecin-de-mieux-comprendre-la-maladie-coronarienne","status":"publish","type":"post","link":"https:\/\/clarius.com\/fr\/blog\/lutilisation-du-pocus-cardiaque-pour-permettre-a-chaque-medecin-de-mieux-comprendre-la-maladie-coronarienne\/","title":{"rendered":"L&rsquo;utilisation du POCUS cardiaque pour permettre \u00e0 chaque m\u00e9decin de mieux comprendre la maladie coronarienne"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Comme l&rsquo;a illustr\u00e9 le Dr Tom Cook lors d&rsquo;un r\u00e9cent webinaire r\u00e9unissant 2 400 participants non sp\u00e9cialistes en cardiologie, l&rsquo;\u00e9chographie n&rsquo;est plus r\u00e9serv\u00e9e aux cardiologues. La douleur thoracique est l&rsquo;une des plaintes les plus courantes dans les services d&rsquo;urgence et il y a g\u00e9n\u00e9ralement une large liste de diagnostics diff\u00e9rentiels, y compris la cardiopathie isch\u00e9mique. <a href=\"https:\/\/clarius.com\/fr\/webinar\/pocus-cardiaque-la-maladie-coronarienne-pour-le-non-cardiologue\/\" target=\"_blank\" rel=\"noreferrer noopener\">Regardez l&rsquo;enregistrement de<\/a> ce webinaire gratuit pour apprendre les techniques POCUS cardiaques permettant d&rsquo;\u00e9valuer la fonction ventriculaire gauche et les anomalies du mouvement de la paroi. Faites d\u00e9filer les images ci-dessous pour avoir un aper\u00e7u de ce que vous verrez.    <\/p>\n\n<h2 class=\"wp-block-heading\"><strong>Principaux enseignements du webinaire du Dr Tom Cook : Cardiac POCUS : Coronary Artery Disease for the Non-Cardiologist (en anglais)<\/strong> <\/h2>\n\n<p class=\"wp-block-paragraph\">Le POCUS cardiaque est un outil puissant qui peut \u00eatre utilis\u00e9 par tous les m\u00e9decins pour am\u00e9liorer leur sens du diagnostic et les r\u00e9sultats pour les patients. Un rapide sondage aupr\u00e8s des participants au webinaire a r\u00e9v\u00e9l\u00e9 que de nombreux m\u00e9decins qui n&rsquo;utilisent pas le POCUS pour les examens cardiaques sont impatients d&rsquo;apprendre.   <\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img decoding=\"async\" width=\"1024\" height=\"551\" data-src=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2024\/10\/image-2-1024x551.png.webp\" alt=\"\" class=\"wp-image-125502 lazyload\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/551;width:957px;height:auto\" data-srcset=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2024\/10\/image-2-1024x551.png.webp 1024w, https:\/\/clarius.com\/wp-content\/smush-webp\/2024\/10\/image-2-300x161.png.webp 300w, https:\/\/clarius.com\/wp-content\/smush-webp\/2024\/10\/image-2-600x323.png.webp 600w, https:\/\/clarius.com\/wp-content\/smush-webp\/2024\/10\/image-2.png.webp 1378w\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/figure>\n<\/div>\n<h2 class=\"wp-block-heading\"><strong>L&rsquo;importance du POCUS cardiaque<\/strong> <\/h2>\n\n<ul class=\"wp-block-list\">\n<li><strong>La douleur thoracique : un large diff\u00e9rentiel :<\/strong> La douleur thoracique est une plainte fr\u00e9quente aux urgences, avec un vaste diff\u00e9rentiel, y compris des conditions potentiellement mortelles comme le syndrome coronarien aigu (SCA).  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Limites de l&rsquo;ECG :<\/strong> L&rsquo;ECG peut passer \u00e0 c\u00f4t\u00e9 d&rsquo;un SCA, en particulier dans le cas d&rsquo;un infarctus du myocarde sans \u00e9l\u00e9vation du segment ST (NSTEMI), ce qui entra\u00eene un retard de diagnostic et une augmentation de la morbidit\u00e9.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Le POCUS change la donne :<\/strong> Le POCUS cardiaque permet de visualiser les anomalies du mouvement de la paroi dans les secondes qui suivent l&rsquo;isch\u00e9mie myocardique, ce qui permet un triage et une intervention rapides.  <\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\"><strong>POCUS pour la maladie coronarienne : Principaux avantages<\/strong> <\/h2>\n\n<ul class=\"wp-block-list\">\n<li><strong>D\u00e9tection pr\u00e9coce :<\/strong> Identifiez les anomalies du mouvement de la paroi sugg\u00e9rant une isch\u00e9mie, m\u00eame chez les patients pr\u00e9sentant des pr\u00e9sentations atypiques ou des ECG normaux.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Stratification du risque :<\/strong> \u00c9valuez la fonction ventriculaire gauche et la fraction d&rsquo;\u00e9jection pour mesurer la gravit\u00e9 de la maladie coronarienne et guider les d\u00e9cisions de prise en charge.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Conseils de proc\u00e9dure :<\/strong> Assister la p\u00e9ricardiocent\u00e8se en cas d&rsquo;\u00e9panchement p\u00e9ricardique et \u00e9valuer la tension ventriculaire droite en cas de suspicion d&#8217;embolie pulmonaire.  <\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\"><strong>Ma\u00eetriser les vues<\/strong> <\/h2>\n\n<ul class=\"wp-block-list\">\n<li><strong>Vues apicales :<\/strong> <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>4-Chambre :<\/strong> Visualisez les quatre cavit\u00e9s et \u00e9valuez la fonction globale du ventricule gauche.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>2-Chambre :<\/strong> \u00c9valuez les parois ant\u00e9rieure et inf\u00e9rieure.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>3-Chambre :<\/strong> \u00c9valuez la paroi inf\u00e9ro-lat\u00e9rale et la voie d&rsquo;\u00e9coulement du ventricule gauche.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Vues parasternales :<\/strong> <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Axe long :<\/strong> Visualisez les parois ant\u00e9rieures et inf\u00e9rieures, la valve mitrale et la voie de sortie du ventricule gauche.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Axe court :<\/strong> \u00e9valuer toutes les parois du ventricule gauche et identifier les anomalies r\u00e9gionales du mouvement de la paroi.  <\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\"><strong>Un examen des applications dans le monde r\u00e9el<\/strong> <\/h2>\n\n<p class=\"wp-block-paragraph\">Le Dr Cook a examin\u00e9 les cas r\u00e9els suivants au cours du webinaire, en montrant des images et des clips sains et pathologiques pour aider les participants \u00e0 reconna\u00eetre ce qu&rsquo;il faut rechercher au cours des examens POCUS cardiaques. <a href=\"https:\/\/clarius.com\/fr\/webinar\/pocus-cardiaque-la-maladie-coronarienne-pour-le-non-cardiologue\/\" target=\"_blank\" rel=\"noreferrer noopener\">Regardez le webinaire<\/a> pour apprendre ses techniques.  <\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Infarctus du myocarde chez le jeune<\/strong> homme <strong>:<\/strong> Un jeune homme de 21 ans pr\u00e9sentant des sympt\u00f4mes atypiques (vomissements) et des signes vitaux normaux pr\u00e9sentait une anomalie du mouvement de la paroi ant\u00e9rieure au POCUS, ce qui a conduit au diagnostic d&rsquo;une occlusion de la LAD.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Vertiges et ancien infarctus :<\/strong> Un patient \u00e2g\u00e9 souffrant de vertiges et dont l&rsquo;ECG \u00e9tait normal a pr\u00e9sent\u00e9 une anomalie du mouvement de la paroi inf\u00e9rieure au POCUS, r\u00e9v\u00e9lant un ancien infarctus et une importante maladie coronarienne.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Palpitations et cardiomyopathie dilat\u00e9e :<\/strong> Une femme d&rsquo;\u00e2ge moyen pr\u00e9sentant des palpitations et une troponine normale avait un ventricule gauche dilat\u00e9 avec une akin\u00e9sie apicale au POCUS, indiquant un infarctus ant\u00e9rieur et un risque d&rsquo;arythmie.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Crise et infarctus post\u00e9rieur :<\/strong> Un jeune homme ayant eu une crise d&rsquo;\u00e9pilepsie et des modifications subtiles de l&rsquo;ECG pr\u00e9sentait une anomalie du mouvement de la paroi post\u00e9rieure au POCUS, ce qui a entra\u00een\u00e9 l&rsquo;activation imm\u00e9diate du laboratoire de cath\u00e9t\u00e9risme et la pose d&rsquo;une endoproth\u00e8se pour une occlusion de l&rsquo;art\u00e8re descendante post\u00e9rieure.  <\/li>\n<\/ul>\n\n<ul class=\"wp-block-list\">\n<li><strong>Fatigue et Takotsubo :<\/strong> Une femme souffrant de fatigue et d&rsquo;anomalies diffuses de l&rsquo;onde ST-T pr\u00e9sentait un ventricule gauche dilat\u00e9 avec une hypokin\u00e9sie globale au POCUS, ce qui a conduit au diagnostic de cardiomyopathie de Takotsubo.  <\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\"><strong>VID\u00c9O : \u00c9valuation rapide de la fonction du ventricule gauche<\/strong> <\/h2>\n\n<p class=\"wp-block-paragraph\">Regardez cette <a href=\"https:\/\/www.youtube.com\/watch?v=eII_dmvIVd8\">vid\u00e9o de 2 minutes<\/a> pour voir le Dr Tom Cook montrer comment vous pouvez \u00e9valuer rapidement le fonctionnement du c\u0153ur de votre patient au chevet du patient. Le Dr Cook utilise le <a href=\"https:\/\/clarius.com\/fr\/classroom\/evaluation-de-la-fonction-ventriculaire-gauche\/\" target=\"_blank\" rel=\"noreferrer noopener\">Clarius PA HD3<\/a> dans cette vid\u00e9o.   <\/p>\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Assessing LV Function\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/eII_dmvIVd8?feature=oembed&#038;modestbranding=1&#038;showinfo=0&#038;rel=0&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n<h2 class=\"wp-block-heading\"><strong>L&rsquo;IA au service d&rsquo;une imagerie cardiaque optimale  <\/strong> <\/h2>\n\n<p class=\"wp-block-paragraph\">De format de poche et sans fils \u00e0 maintenir propres, les \u00e9chographes Clarius acc\u00e9l\u00e8rent la d\u00e9sinfection et permettent aux m\u00e9decins de trier et de surveiller rapidement les patients. Le <a href=\"https:\/\/clarius.com\/fr\/scanners\/pa\/\" target=\"_blank\" rel=\"noreferrer noopener\">Clarius PA HD3<\/a>offre l&rsquo;imagerie haute d\u00e9finition et les performances des syst\u00e8mes d&rsquo;\u00e9chographie traditionnels dans un scanner ultra-mobile tr\u00e8s abordable qui s&rsquo;associe \u00e0 la plupart des appareils iOS et Android. Offrant plus de flexibilit\u00e9 pour l&rsquo;imagerie du corps entier, le <a href=\"https:\/\/clarius.com\/fr\/scanners\/pal\/\" target=\"_blank\" rel=\"noreferrer noopener\">Clarius PAL<\/a> HD3 combine la puissance d&rsquo;imagerie du r\u00e9seau phas\u00e9 basse fr\u00e9quence pour l&rsquo;imagerie cardiaque, pulmonaire et abdominale profonde jusqu&rsquo;\u00e0 40 cm avec la haute fr\u00e9quence lin\u00e9aire pour une imagerie superficielle sup\u00e9rieure.   <\/p>\n\n<p class=\"wp-block-paragraph\">En savoir plus sur Clarius pour la <a href=\"https:\/\/clarius.com\/specialties\/emed\/\" target=\"_blank\" rel=\"noreferrer noopener\">m\u00e9decine d&rsquo;urgence<\/a> et les <a href=\"https:\/\/clarius.com\/fr\/specialties\/primary-care\/\" target=\"_blank\" rel=\"noreferrer noopener\">soins primaires<\/a>. Contactez-nous pour une <a href=\"https:\/\/clarius.com\/specialties\/emed\/#book-a-demo\">d\u00e9monstration virtuelle personnelle<\/a> si vous souhaitez discuter du scanner Clarius qui convient \u00e0 votre cabinet.   <\/p>\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Comme l&rsquo;a illustr\u00e9 le Dr Tom Cook lors d&rsquo;un r\u00e9cent webinaire r\u00e9unissant 2 400 participants non sp\u00e9cialistes en cardiologie, l&rsquo;\u00e9chographie n&rsquo;est plus r\u00e9serv\u00e9e aux cardiologues. La douleur thoracique est l&rsquo;une des plaintes les plus courantes dans les services d&rsquo;urgence et il y a g\u00e9n\u00e9ralement une large liste de diagnostics diff\u00e9rentiels, y compris la cardiopathie isch\u00e9mique&#8230;.<\/p>\n","protected":false},"author":10,"featured_media":125514,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"categories":[277,1054,1055],"tags":[],"specialities":[230,54,48],"class_list":["post-170269","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-des-articles-fr","category-video","category-webinaire","specialities-cardiology","specialities-emergency-medicine","specialities-primary-care"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>L&#039;utilisation du POCUS cardiaque pour permettre \u00e0 chaque m\u00e9decin de mieux comprendre la maladie coronarienne | Clarius | Blog Post<\/title>\n<meta name=\"description\" content=\"Comme l&#039;a illustr\u00e9 le Dr Tom Cook lors d&#039;un r\u00e9cent webinaire r\u00e9unissant 2 400 participants non sp\u00e9cialistes en cardiologie, l&#039;\u00e9chographie n&#039;est plus\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clarius.com\/fr\/blog\/lutilisation-du-pocus-cardiaque-pour-permettre-a-chaque-medecin-de-mieux-comprendre-la-maladie-coronarienne\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" 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