Uness Cardiologie - Contributions [fr]

ECG Clinical case quizz:CMH

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2341",
"eccq_base": "A valider",
"ebt_id": "0",
"eccq_difficulte": "1",
"eccq_contexte": "Femme de 52 ans, adressée par son médecin traitant pour dyspnée d'effort progressive et douleurs thoraciques atypiques à l'effort.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "379",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "379",
"ep_filename": "ksuk57tr23.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "347",
"ecg_id": "379",
"emdl_id": "-7",
"eqz_contexte": "Quelle est votre hypothèse diagnostique principale ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Les ondes T négatives profondes en apicolatéral avec amplitude majorée des QRS orientent fortement vers une CMH.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "57",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "CMH"
}
}
]
},
{
"eqz_id": "348",
"ecg_id": "379",
"emdl_id": "-2",
"eqz_contexte": "Dans la CMH:",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "1",
"questions": [
{
"eqstl_id": "58",
"eqstl_weight": "1",
"eqstl_question": "La complication rythmique la plus fréquente est la fibrillation atriale",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "59",
"eqstl_weight": "2",
"eqstl_question": "Une TV non soutenue est un critère intégré dans le score de risque de mort subite",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "60",
"eqstl_weight": "3",
"eqstl_question": "L'amplitude des ondes T négatives est directement proportionnelle au gradient intraventriculaire dans la CMH obstructive",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "61",
"eqstl_weight": "4",
"eqstl_question": "Un ECG normal élimine le diagnostic de CMH",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "62",
"eqstl_weight": "5",
"eqstl_question": "Les CMH sarcomériques sont associées à des phénotypes plus sévères que les autres types de CMH",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:LQT3

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2372",
"eccq_base": "Brouillon",
"ebt_id": "0",
"eccq_difficulte": "1",
"eccq_contexte": "Homme de 19 ans sans antécédents, retrouvé en arrêt cardiaque dans son sommeil. ECG réalisé après stabilisation en soins intensifs.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "415",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "420",
"ep_filename": "dgsn655b9n4.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "387",
"ecg_id": "415",
"emdl_id": "-7",
"eqz_contexte": "De quel type de syndrome du QT long congénital cet ECG est caractéristique ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Le LQT1 se caractéristique par des ondes T à base large et symétrique, le LQT2 par un aspect d'onde U et le LQT3 par une onde T à pic tardif. Ici le QTc > 470 ms avec l'arrêt cardiaque confirme le diagnostic de syndrome du QT long congénital, après exclusion des causes réversibles.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "174",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "LQT3"
}
}
]
},
{
"eqz_id": "388",
"ecg_id": "415",
"emdl_id": "-2",
"eqz_contexte": "Le syndrome du QT long congénital de type III (LQT3) est confirmé avec mutation identifiée. Concernant le LQTS : ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "un QTc > 480 ms asymptomatique peut suffire à poser le diagnostic. Le dépistage se fait par analyse génétique si la mutation génétique est identifiée chez le cas index.",
"eqz_wait_previous": "1",
"questions": [
{
"eqstl_id": "175",
"eqstl_weight": "1",
"eqstl_question": "Le dépistage des apparentés peut se limiter à un ECG",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "176",
"eqstl_weight": "2",
"eqstl_question": "Un QTc > 440 ms chez l'homme suffit à poser le diagnostic de syndrome du QT long congénital",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "177",
"eqstl_weight": "3",
"eqstl_question": "La survenue nocturne de l'arrêt cardiaque est un argument en faveur d'un LQT3 plutôt qu'un LQT1",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "178",
"eqstl_weight": "4",
"eqstl_question": "Le pattern ECG observé ici permet de distinguer formellement un LQT3 congénital d'un allongement du QT médicamenteux",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "179",
"eqstl_weight": "5",
"eqstl_question": "La principale mutation associée est celle du gène SNC5A",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:CAVD (2)

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2338",
"eccq_base": "Brouillon",
"ebt_id": "0",
"eccq_difficulte": "1",
"eccq_contexte": "Femme de 31 ans, danseuse professionnelle, en bilan d'une mort subite récupérée, avec choc délivré par le défibrillateur semi-automatique.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "376",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "376",
"ep_filename": "x89i3hnz72.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "343",
"ecg_id": "376",
"emdl_id": "-2",
"eqz_contexte": "Concernant cet ECG:",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Les ondes T négatives de V1 à V3 sont un critère mineur de CAVD, mais l'ECG reste normal dans les formes débutantes. Elles peuvent aussi être présentes en cas d'embolie pulmonaire ou surcharge VD. La CAVD est l'hypothèse diagnostique principale devant une femme jeune sportive avec trouble du rythme ventriculaire et ondes T négatives V1-V3 à l'ECG.\nLe DAI en prévention primaire n'est pas indiqué devant des anomalies ECG seules et fait suite à une stratification du risque multiparamétrique.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "45",
"eqstl_weight": "1",
"eqstl_question": "L'inversion des ondes T de V1 à V3 est un critère majeur de CAVD",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "46",
"eqstl_weight": "2",
"eqstl_question": "Un ECG normal élimine le diagnostic de CAVD",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "47",
"eqstl_weight": "3",
"eqstl_question": "Ces anomalies ECG auraient dû conduire à l'implantation d'un DAI préventif avant l'arrêt cardiaque",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "48",
"eqstl_weight": "4",
"eqstl_question": "La cause ischémique est à évoquer en premier lieu",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "49",
"eqstl_weight": "5",
"eqstl_question": "L'embolie pulmonaire reste un diagnostic différentiel plausible",
"eqstl_answer": {
"correct": 1
}
}
]
},
{
"eqz_id": "344",
"ecg_id": "376",
"emdl_id": "-2",
"eqz_contexte": "À l'issue du bilan, le diagnostic de CAVD est confirmé. Quelle proposition est EXACTE concernant la suite de la prise en charge ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Les recommandations ESC 2023 sont formelles sur l'arrêt définitif d'activité sportive professionnelle. La mutation génétique peut ne pas être identifiée par les panels de dépistage génétique. Le substrat est sous-épicardique au niveau du VD ce qui justifie une ablation épicardique en cas d'orage rythmique/chocs répétés réfractaires (classe IIa ESC 2023).",
"eqz_wait_previous": "1",
"questions": [
{
"eqstl_id": "50",
"eqstl_weight": "1",
"eqstl_question": "L'implantation d'un DAI en prévention secondaire est indiqué",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "51",
"eqstl_weight": "2",
"eqstl_question": "L'arrêt définitif de la danse professionnelle est recommandé",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "52",
"eqstl_weight": "3",
"eqstl_question": "Une mutation génétique négative élimine la transmission familiale et dispense du dépistage",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "53",
"eqstl_weight": "4",
"eqstl_question": "En cas de chocs appropriés répétés malgré le DAI, l'ablation épicardique peut être discutée en centre expert",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "54",
"eqstl_weight": "5",
"eqstl_question": "La patiente peut reprendre une activité sportive après 3 mois de bêtabloquants",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:CAVD

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2337",
"eccq_base": "A valider",
"ebt_id": "373",
"eccq_difficulte": "2",
"eccq_contexte": "Homme de 28 ans, sportif de haut niveau, avec palpitations à l'effort et lipothymie récente.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "375",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "375",
"ep_filename": "0v36u42kk3hi.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-ysfvvh\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-ysfvvh\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-ysfvvh\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-ysfvvh\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-ysfvvh\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-ysfvvh\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-ysfvvh\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-ysfvvh\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs>"
}
],
"quizzes": [
{
"eqz_id": "341",
"ecg_id": "375",
"emdl_id": "-7",
"eqz_contexte": "Quelle cardiopathie sous-jacente suspectez-vous en priorité ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "La CAVD doit être suspectée chez un patient jeune présentant des palptations/syncopes, avec des ondes T négatives en V1-V3 à l'ECG. Le caractère sportif est un argument supplémentaire car favorise les troubles du rythmes dans la CAVD.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "39",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "CAVD"
}
}
]
},
{
"eqz_id": "342",
"ecg_id": "375",
"emdl_id": "-2",
"eqz_contexte": "Quelle est la prise en charge la plus adaptée ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "* La restriction sportive ne peut pas attendre : l'effort est un facteur de mort subite dans la CAVD dès la suspicion diagnostique. L'EEP n'est pas indiquée en urgence à ce stade ; elle peut être discutée secondairement pour la stratification du risque. Si traitement antiarythmique nécessaire, les bêtabloquants sont la première ligne.\n* Le profil (28 ans, sportif, ECG typique CAVD) n'oriente pas vers un SCA.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "40",
"eqstl_weight": "1",
"eqstl_question": "Holter ECG en externe, sans restriction d'activité en attendant le bilan",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "41",
"eqstl_weight": "2",
"eqstl_question": "Hospitalisation pour exploration électrophysiologique invasive en urgence",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "42",
"eqstl_weight": "3",
"eqstl_question": "Arrêt du sport, adressage en consultation rythmologie spécialisée avec IRM cardiaque et test génétique",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "43",
"eqstl_weight": "4",
"eqstl_question": "Instauration d'un traitement par amiodarone en urgence",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "44",
"eqstl_weight": "5",
"eqstl_question": "Coronarographie en urgence pour éliminer une ischémie",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:FA BAV3

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2359",
"eccq_base": "A valider",
"ebt_id": "406",
"eccq_difficulte": "1",
"eccq_contexte": "Patiente de 80 ans admise pour chute.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "398",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "399",
"ep_filename": "s1eqnakmal.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-wuxru4\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-wuxru4\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-wuxru4\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-wuxru4\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-wuxru4\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-wuxru4\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-wuxru4\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-wuxru4\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><ellipse cx=\"211.40327237728584\" cy=\"194.15591915303176\" rx=\"73.42444658325311\" ry=\"17.740134744947056\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.0146484375)\"></ellipse><text x=\"147.8344562078922\" y=\"162.5878344562079\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">Fibrillation atriale</text><line x1=\"125.1665062560154\" y1=\"83.77285851780559\" x2=\"294.68334937439846\" y2=\"84.75842155919153\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-wuxru4)\" marker-start=\"url(#arrow-red-reverse-wuxru4)\" transform=\"scale(1.0146484375)\"></line><line x1=\"304.66121270452356\" y1=\"84.27430221366699\" x2=\"473.66121270452356\" y2=\"85.27430221366699\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-wuxru4)\" marker-start=\"url(#arrow-red-reverse-wuxru4)\" transform=\"scale(1.0146484375)\"></line><line x1=\"472.8200192492782\" y1=\"85.27430221366699\" x2=\"641.8200192492784\" y2=\"86.27430221366699\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-wuxru4)\" marker-start=\"url(#arrow-red-reverse-wuxru4)\" transform=\"scale(1.0146484375)\"></line><text x=\"118.26756496631376\" y=\"33.4790760346487\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">Activité ventriculaire régulière : échappement / BAV complet</text>"
}
],
"quizzes": [
{
"eqz_id": "373",
"ecg_id": "398",
"emdl_id": "-2",
"eqz_contexte": "Quelles sont vos conclusions ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Rythme en fibrillation atriale. La régularité de l'activation ventriculaire confirme le trouble conductif. Il faut également noter la fréquence à 30bpm et la durée des QRS (160ms avec aspect retard droit) qui confirme un échappement ventriculaire). Il s'agit bien d'un BAV complet.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "122",
"eqstl_weight": "1",
"eqstl_question": "Fibrillation atriale",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "123",
"eqstl_weight": "2",
"eqstl_question": "Aberration de conduction",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "124",
"eqstl_weight": "3",
"eqstl_question": "Bloc de branche droit",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "125",
"eqstl_weight": "4",
"eqstl_question": "BAV complet",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "126",
"eqstl_weight": "5",
"eqstl_question": "Rythme sinusal",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:ESV tueuse

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2352",
"eccq_base": "A valider",
"ebt_id": "400",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 35 ans, admis pour syncope. Aucun antécédent. Examen clinique normal.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "391",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "392",
"ep_filename": "0bp1n830x2lp.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-6p8m10\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-6p8m10\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-6p8m10\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-6p8m10\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-6p8m10\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-6p8m10\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-6p8m10\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-6p8m10\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><ellipse cx=\"310.45236426345195\" cy=\"317.8440904956924\" rx=\"52.234834966576926\" ry=\"308.9740038257705\" fill=\"none\" stroke=\"green\" stroke-width=\"2\" transform=\"scale(1.0146484375)\"></ellipse><text x=\"56.177093358999095\" y=\"254.3936348051009\" fill=\"rgb(0, 128, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">Complexes normaux</text><ellipse cx=\"662.2983638113571\" cy=\"313.9018286814244\" rx=\"45.335899903753614\" ry=\"309.95957651588066\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.0146484375)\"></ellipse><text x=\"1416.2540904716075\" y=\"92.76129601780556\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">ESV maligne </text><text x=\"712.5620789220404\" y=\"60.23771565206929\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">ESV malignes</text><line x1=\"879.1222329162656\" y1=\"102.49855630413865\" x2=\"903.7613089509147\" y2=\"102.49855630413865\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-6p8m10)\" marker-start=\"url(#arrow-red-reverse-6p8m10)\" transform=\"scale(1.0146484375)\"></line><text x=\"1693.1973051010589\" y=\"346.0509976539943\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">Couplage très court</text>"
}
],
"quizzes": [
{
"eqz_id": "361",
"ecg_id": "391",
"emdl_id": "-2",
"eqz_contexte": "Quelles sont vos conclusions ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "ECG de surface normal avec une ESV couplage très court < 300ms (critère de malignité) ",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "94",
"eqstl_weight": "1",
"eqstl_question": "Extrasystole ventriculaire bénigne",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "95",
"eqstl_weight": "2",
"eqstl_question": "Syncope stratifiée à haut risque",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "96",
"eqstl_weight": "3",
"eqstl_question": "Extrasystole ventriculaire maligne",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "97",
"eqstl_weight": "4",
"eqstl_question": "Syncope stratifiée à faible risque",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "98",
"eqstl_weight": "5",
"eqstl_question": "Hospitalisation",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "99",
"eqstl_weight": "6",
"eqstl_question": "RAD avec mise en place d'un moniteur cardiaque implantable",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:BSA et hyperkaliémie quizz

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2334",
"eccq_base": "A valider",
"ebt_id": "462",
"eccq_difficulte": "1",
"eccq_contexte": "Femme de 78 ans, suivie pour une insuffisance rénale, admise pour syncope.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "372",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "372",
"ep_filename": "8ozblak8xwq.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-sm2s1b\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-sm2s1b\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-sm2s1b\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-sm2s1b\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-sm2s1b\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-sm2s1b\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-sm2s1b\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-sm2s1b\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><ellipse cx=\"560.2925890279114\" cy=\"126.15206929740134\" rx=\"100.0346487006737\" ry=\"22.6679499518768\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.0146484375)\"></ellipse><text x=\"648.5004812319538\" y=\"158.7940197906641\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">Absence d'activité atriale</text><line x1=\"484.89701636188636\" y1=\"533.1896053897979\" x2=\"463.21462945139547\" y2=\"498.69489894128975\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-sm2s1b)\" transform=\"scale(1.0146484375)\"></line><line x1=\"474.4331087584216\" y1=\"478.097208854668\" x2=\"453.43310875842155\" y2=\"443.097208854668\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-sm2s1b)\" transform=\"scale(1.0146484375)\"></line><line x1=\"485.1299326275265\" y1=\"587.6862367661212\" x2=\"464.1299326275265\" y2=\"552.6862367661212\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-sm2s1b)\" transform=\"scale(1.0146484375)\"></line><text x=\"492.78152069297414\" y=\"470.23194086862367\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">Onde T ample et pointue</text><text x=\"379.4417709335901\" y=\"29.68526136910491\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">BSA 3 et hyperkaliémie</text>"
}
],
"quizzes": [
{
"eqz_id": "337",
"ecg_id": "372",
"emdl_id": "-2",
"eqz_contexte": "Quel est votre diagnostic ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Absence d'onde P = BSA 3e degré",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "19",
"eqstl_weight": "1",
"eqstl_question": "Bloc sino-atrial du 2e degré",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "20",
"eqstl_weight": "2",
"eqstl_question": "Bloc sino-atrial du 3e degré",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "21",
"eqstl_weight": "3",
"eqstl_question": "BAV 1",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "22",
"eqstl_weight": "4",
"eqstl_question": "BAV 2 Mobitz 2",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "23",
"eqstl_weight": "5",
"eqstl_question": "BAV 3",
"eqstl_answer": {
"correct": 0
}
}
]
},
{
"eqz_id": "338",
"ecg_id": "372",
"emdl_id": "-1",
"eqz_contexte": "Quelle anomalie métabolique est probablement à l'origine du trouble conductif ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "1",
"questions": [
{
"eqstl_id": "24",
"eqstl_weight": "1",
"eqstl_question": "Hypercalcémie",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "25",
"eqstl_weight": "2",
"eqstl_question": "Hypocalcémie",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "26",
"eqstl_weight": "3",
"eqstl_question": "Hyperkaliémie",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "27",
"eqstl_weight": "4",
"eqstl_question": "Hypokaliémie",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Syncope BAV 2/1

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2332",
"eccq_base": "A valider",
"ebt_id": "461",
"eccq_difficulte": "1",
"eccq_contexte": "Homme de 75 ans admis pour syncope vraie. Aucun antécédent.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "369",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "369",
"ep_filename": "7g2p5bwe9q.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-ktutbe\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-ktutbe\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-ktutbe\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-ktutbe\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-ktutbe\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-ktutbe\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-ktutbe\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-ktutbe\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><line x1=\"578.5255052935514\" y1=\"587.3955726660249\" x2=\"563.1549566891241\" y2=\"559.2454282964388\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-ktutbe)\" transform=\"scale(1.0146484375)\"></line><line x1=\"635.4513955726659\" y1=\"587.288739172281\" x2=\"620.4513955726659\" y2=\"559.288739172281\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-ktutbe)\" transform=\"scale(1.0146484375)\"></line><line x1=\"701.3214629451395\" y1=\"585.3176130895091\" x2=\"686.3214629451395\" y2=\"557.3176130895091\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-ktutbe)\" transform=\"scale(1.0146484375)\"></line><line x1=\"752.5380173243503\" y1=\"586.2743022136669\" x2=\"737.5380173243503\" y2=\"558.2743022136669\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-ktutbe)\" transform=\"scale(1.0146484375)\"></line><text x=\"409.0086621751682\" y=\"20.815193996631372\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">BAV 2/1 infrahissien</text><ellipse cx=\"519.3917228103948\" cy=\"475.04138594802697\" rx=\"41.393647738209836\" ry=\"167.54571703561115\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.0146484375)\"></ellipse><text x=\"546.9874879692012\" y=\"324.3686107435033\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0146484375)\">QRS larges avec retard droit</text>"
}
],
"quizzes": [
{
"eqz_id": "403",
"ecg_id": "369",
"emdl_id": "-2",
"eqz_contexte": "Quel est votre diagnostic ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "BAV 2/1 avec critères de bloc infrahissiens : PR long, QRS larges avec retard droit, crochetés. Activité atriale bien visible en V5.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "229",
"eqstl_weight": "1",
"eqstl_question": "BAV 1",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "230",
"eqstl_weight": "2",
"eqstl_question": "BAV 2/1",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "231",
"eqstl_weight": "3",
"eqstl_question": "BAV 3",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "232",
"eqstl_weight": "4",
"eqstl_question": "Bloc probablement intrahissien",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "233",
"eqstl_weight": "5",
"eqstl_question": "Bloc probablement infrahissien",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:VA droite 2.4

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2415",
"eccq_base": "Brouillon",
"ebt_id": "0",
"eccq_difficulte": "1",
"eccq_contexte": "",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "465",
"ecg_comment": "Figure 1 : stimulation à l'apex du ventricule droit\nFigure 2 : stimulation à la base du ventricule droit",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "472",
"ep_filename": "51lorzr99k3.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
},
{
"ep_id": "473",
"ep_filename": "fuilg1nul4m.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "440",
"ecg_id": "465",
"emdl_id": "0",
"eqz_contexte": "Figure 1 : stimulation à l'apex du ventricule droit\nFigure 2 : stimulation à la base du ventricule droit",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": []
},
{
"eqz_id": "441",
"ecg_id": "465",
"emdl_id": "-1",
"eqz_contexte": "On observe",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "368",
"eqstl_weight": "1",
"eqstl_question": "Une activité atriale dissociée",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "369",
"eqstl_weight": "2",
"eqstl_question": "Une remontée par les voies de conduction normales",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "370",
"eqstl_weight": "3",
"eqstl_question": "Une remontée par une voie accessoire gauche",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "371",
"eqstl_weight": "4",
"eqstl_question": "Une remontée par une voie accessoire droite",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "372",
"eqstl_weight": "5",
"eqstl_question": "On ne peut pas conclure sur la présence ou pas d'une voie accessoire rétrograde",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:VA droite 2.3

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2414",
"eccq_base": "Brouillon",
"ebt_id": "353",
"eccq_difficulte": "1",
"eccq_contexte": "",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "464",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "471",
"ep_filename": "569mh6qgpe.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "439",
"ecg_id": "464",
"emdl_id": "-2",
"eqz_contexte": "Concernant cette manoeuvre",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "363",
"eqstl_weight": "1",
"eqstl_question": "Il s'agit d'une stimulation para hissienne",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "364",
"eqstl_weight": "2",
"eqstl_question": "On observe une capture de l'oreillette qui empêche d'interpréter la manoeuvre",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "365",
"eqstl_weight": "3",
"eqstl_question": "On observe une remontée concentrique en faveur d'une remontée par les voies normales",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "366",
"eqstl_weight": "4",
"eqstl_question": "On observe une remontée par une voie accessoire droite",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "367",
"eqstl_weight": "5",
"eqstl_question": "Elle permet d'éliminer une voie gauche cachée",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:VA droite 2.2

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2413",
"eccq_base": "Brouillon",
"ebt_id": "353",
"eccq_difficulte": "1",
"eccq_contexte": "",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "463",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "470",
"ep_filename": "1ikhdi0vdeq.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "438",
"ecg_id": "463",
"emdl_id": "-2",
"eqz_contexte": "Concernant cette manoeuvre",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "358",
"eqstl_weight": "1",
"eqstl_question": "On observe une stimulation ventriculaire",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "359",
"eqstl_weight": "2",
"eqstl_question": "On observe une capture atriale",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "360",
"eqstl_weight": "3",
"eqstl_question": "Ce tracé est en faveur de la présence d'une voie accessoire gauche",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "361",
"eqstl_weight": "4",
"eqstl_question": "Il s'agit d'une manoeuvre de Dandamudi",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "362",
"eqstl_weight": "5",
"eqstl_question": "ce tracé est en faveur d'une TRIN",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:VA droite 2.1

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2412",
"eccq_base": "Brouillon",
"ebt_id": "353",
"eccq_difficulte": "1",
"eccq_contexte": "",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "462",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "469",
"ep_filename": "xhi934uya.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "437",
"ecg_id": "462",
"emdl_id": "-2",
"eqz_contexte": "concernant ce conduction en Wenchebach rétrograde",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "353",
"eqstl_weight": "1",
"eqstl_question": "Il y a une activité atriale dissociée",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "354",
"eqstl_weight": "2",
"eqstl_question": "On observe un activité atriale concentrique",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "355",
"eqstl_weight": "3",
"eqstl_question": "On observe une activité atriale excentrique",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "356",
"eqstl_weight": "4",
"eqstl_question": "Elle est non décrémentielle en faveur d'une voie accessoire gauche",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "357",
"eqstl_weight": "5",
"eqstl_question": "Elle est non décrémentielle en faveur d'une voie accessoire droite",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:ESA BBG

2026-07-30T09:46:09Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2348",
"eccq_base": "A valider",
"ebt_id": "0",
"eccq_difficulte": "2",
"eccq_contexte": "Patiente de 72 ans, CMD coronaires saines, admise pour palpitations",
"eccq_remarque": "les arguments en défaveur de TVNS sont :\n\\- irrégularité des salves\n\\- degré de bloc variable au sein d'une même salve\n\\- pas de changement d'axe par rapport au BBG en RS",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "387",
"ecg_comment": "rythme sinusal avec BBG, avec salves d'ESA (pas d'argument pour de la TVNS car pas de changement d'axe + ESA initiatrice visible)",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "388",
"ep_filename": "3x8lmm2dhsr.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-zrheie\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-zrheie\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-zrheie\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-zrheie\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-zrheie\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-zrheie\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-zrheie\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-zrheie\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><line x1=\"412.6483935378472\" y1=\"360.6026502087493\" x2=\"419.1541114539844\" y2=\"382.9079687783627\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-zrheie)\" transform=\"scale(1.0759765625)\"></line><line x1=\"465.45797785442005\" y1=\"358.62406970412053\" x2=\"472.45797785442005\" y2=\"380.62406970412053\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-zrheie)\" transform=\"scale(1.0759765625)\"></line><line x1=\"517.45797785442\" y1=\"357.7652931566528\" x2=\"524.45797785442\" y2=\"379.7652931566528\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-zrheie)\" transform=\"scale(1.0759765625)\"></line><line x1=\"258.641495734253\" y1=\"356.38936286077325\" x2=\"265.64149573425306\" y2=\"378.38936286077325\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-zrheie)\" transform=\"scale(1.0759765625)\"></line><line x1=\"109.97567616627339\" y1=\"356.42566709021594\" x2=\"116.97567616627339\" y2=\"378.42566709021594\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-zrheie)\" transform=\"scale(1.0759765625)\"></line><line x1=\"181.0920312216373\" y1=\"355.9791250680704\" x2=\"188.0920312216373\" y2=\"377.9791250680704\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-zrheie)\" transform=\"scale(1.0759765625)\"></line><line x1=\"692.7384280268652\" y1=\"354.60319477219093\" x2=\"699.7384280268652\" y2=\"376.60319477219093\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-zrheie)\" transform=\"scale(1.0759765625)\"></line><line x1=\"762.9253948084952\" y1=\"356.94481757124703\" x2=\"769.9253948084952\" y2=\"378.9448175712469\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-zrheie)\" transform=\"scale(1.0759765625)\"></line><line x1=\"864.7115628970776\" y1=\"356.4982755491015\" x2=\"871.7115628970776\" y2=\"378.4982755491015\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-zrheie)\" transform=\"scale(1.0759765625)\"></line>"
}
],
"quizzes": [
{
"eqz_id": "357",
"ecg_id": "387",
"emdl_id": "-2",
"eqz_contexte": "Au vu de ce tracé, quel est votre diagnostic ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "rythme sinusal BBG, avec salves d'ESA (pas d'argument pour de la TVNS car pas de changement d'axe + ESA initiatrice visible)",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "79",
"eqstl_weight": "1",
"eqstl_question": "FA",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "80",
"eqstl_weight": "2",
"eqstl_question": "super wolff (FA + voie accessoire)",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "81",
"eqstl_weight": "3",
"eqstl_question": "TVNS",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "82",
"eqstl_weight": "4",
"eqstl_question": "ESA",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "83",
"eqstl_weight": "5",
"eqstl_question": "flutter à conduction variable",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:ESA multiples

2026-07-30T09:46:08Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2351",
"eccq_base": "Entrainement",
"ebt_id": "397",
"eccq_difficulte": "3",
"eccq_contexte": "Patient de 63 ans, diabétique, en surpoids, BPCO, admis pour dyspnée et palpitations",
"eccq_remarque": "cette situation peut être considérée comme \"pré fibrillatoire\" avec un continuum certain avec la FA",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "390",
"ecg_comment": "rythme sinusal entrecoupé de plusieurs ESA pouvant induire en erreur sur une fibrillation atriale",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "391",
"ep_filename": "va8s3r32knl.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-8lbjye\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-8lbjye\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-8lbjye\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-8lbjye\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-8lbjye\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-8lbjye\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-8lbjye\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-8lbjye\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><line x1=\"544.1157680388047\" y1=\"592.6975330422696\" x2=\"560.3096897066263\" y2=\"617.5282129329293\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-8lbjye)\" transform=\"scale(0.926273469002016)\"></line><line x1=\"449.56295354739416\" y1=\"592.5672939986141\" x2=\"465.56295354739416\" y2=\"617.5672939986141\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-8lbjye)\" transform=\"scale(0.926273469002016)\"></line><line x1=\"176.42981520135692\" y1=\"590.4081044429046\" x2=\"192.42981520135692\" y2=\"615.4081044429046\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-8lbjye)\" transform=\"scale(0.926273469002016)\"></line><line x1=\"268.3328501162697\" y1=\"591.6468887764689\" x2=\"284.3328501162697\" y2=\"616.6468887764689\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-8lbjye)\" transform=\"scale(0.926273469002016)\"></line><line x1=\"733.1258985924355\" y1=\"594.3733723307926\" x2=\"749.1258985924355\" y2=\"619.3733723307926\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-8lbjye)\" transform=\"scale(0.926273469002016)\"></line><line x1=\"823.2995591529957\" y1=\"593.8610715515518\" x2=\"839.2995591529957\" y2=\"618.8610715515518\" stroke=\"green\" stroke-width=\"2\" marker-end=\"url(#arrow-green-8lbjye)\" transform=\"scale(0.926273469002016)\"></line><text x=\"232.1128772387758\" y=\"710.7203556056015\" fill=\"rgb(0, 128, 0)\" font-size=\"24px\" transform=\"scale(0.926273469002016)\">complexes sinusaux</text>"
}
],
"quizzes": [
{
"eqz_id": "360",
"ecg_id": "390",
"emdl_id": "-7",
"eqz_contexte": "Quel est votre diagnostic ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "rythme sinusal entrecoupé de plusieurs ESA pouvant induire en erreur sur une fibrillation atriale",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "93",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "ESA"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Brugada (2)

2026-07-30T09:46:08Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2336",
"eccq_base": "A valider",
"ebt_id": "372",
"eccq_difficulte": "1",
"eccq_contexte": "Femme de 40 ans admise pour syncope vraie précédée de palpitations, aucun antécédent.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "374",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "374",
"ep_filename": "7l7i6jqwkbb.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-v274xf\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-v274xf\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-v274xf\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-v274xf\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-v274xf\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-v274xf\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-v274xf\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-v274xf\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><ellipse cx=\"613.7909940526764\" cy=\"60.03058623619373\" rx=\"10.005097706032302\" ry=\"12.180118946474085\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.1494140624999998)\"></ellipse><ellipse cx=\"617.7060322854717\" cy=\"123.10620220900597\" rx=\"13.050127442650819\" ry=\"22.185216652506377\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.1494140624999998)\"></ellipse><text x=\"520.2650807136789\" y=\"174.29006427357695\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140624999998)\">Sus-décalage concave du ST > 2mm</text><line x1=\"708.1869158878505\" y1=\"46.98045879354291\" x2=\"708.1869158878505\" y2=\"77.43075615972813\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-v274xf)\" marker-start=\"url(#arrow-blue-reverse-v274xf)\" transform=\"scale(1.1494140624999998)\"></line><line x1=\"708.1869158878507\" y1=\"107.01104502973664\" x2=\"708.1869158878507\" y2=\"140.07136788445203\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-v274xf)\" marker-start=\"url(#arrow-blue-reverse-v274xf)\" transform=\"scale(1.1494140624999998)\"></line><text x=\"297.54290569243847\" y=\"27.258628419711126\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140624999998)\">Aspect typique de syndrome de Brugada</text>"
}
],
"quizzes": [
{
"eqz_id": "340",
"ecg_id": "374",
"emdl_id": "-1",
"eqz_contexte": "Quel est votre diagnostic ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Aspect typique de syndrome de Brugada (anciennement type 1) avec élévation du point J > 2mm et sus-décalage concave en dôme du segment ST.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "34",
"eqstl_weight": "1",
"eqstl_question": "Infarctus du myocarde antérieur",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "35",
"eqstl_weight": "2",
"eqstl_question": "Bloc de branche gauche",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "36",
"eqstl_weight": "3",
"eqstl_question": "Syndrome de Brugada",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "37",
"eqstl_weight": "4",
"eqstl_question": "Bloc de branche droit",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "38",
"eqstl_weight": "5",
"eqstl_question": "Syndrome de repolarisation précoce",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Superwolff

2026-07-30T09:46:08Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2381",
"eccq_base": "A valider",
"ebt_id": "463",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 45 ans admis aux urgences pour palpitations et lipothymie.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "426",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "432",
"ep_filename": "n8zgpjaouk.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-47bgdk\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-47bgdk\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-47bgdk\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-47bgdk\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-47bgdk\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-47bgdk\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-47bgdk\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-47bgdk\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><ellipse cx=\"297.5429056924384\" cy=\"55.68054375531011\" rx=\"55.68054375531011\" ry=\"46.110450297366185\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.1494140625)\"></ellipse><text x=\"4.3500424808835945\" y=\"114.25947803738316\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">Fibrillation atriale QRS fins</text><line x1=\"375.84367034834327\" y1=\"358.44350042480886\" x2=\"354.0934579439252\" y2=\"336.69328802039087\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-47bgdk)\" transform=\"scale(1.1494140625)\"></line><line x1=\"378.4536958368734\" y1=\"324.51316907391674\" x2=\"353.2234494477485\" y2=\"300.15293118096855\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-47bgdk)\" transform=\"scale(1.1494140625)\"></line><line x1=\"373.23364485981307\" y1=\"397.59388275276126\" x2=\"351.4834324553951\" y2=\"374.1036533559898\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-47bgdk)\" transform=\"scale(1.1494140625)\"></line><text x=\"348.0033984706882\" y=\"430.94257064570945\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\"></text><text x=\"302.7629566694987\" y=\"435.29261312659304\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">Pré-excitation avec aspect \"en accordéon\"</text><text x=\"572.4655904842821\" y=\"22.908585938827535\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">SuperWolff</text>"
}
],
"quizzes": [
{
"eqz_id": "401",
"ecg_id": "426",
"emdl_id": "-2",
"eqz_contexte": "Quel(s) trouble(s) du rythme et/ou de la conduction identifiez-vous ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Fibrillation atriale avec alternance d'une conduction nodo-hissienne et conduction par voie accessoire antérograde avec aspect en accordéon typique",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "220",
"eqstl_weight": "1",
"eqstl_question": "Fibrillation atriale",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "221",
"eqstl_weight": "2",
"eqstl_question": "Bloc de branche gauche",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "222",
"eqstl_weight": "3",
"eqstl_question": "Tachycardie ventriculaire polymorphe",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "223",
"eqstl_weight": "4",
"eqstl_question": "Tachycardie ventriculaire monomorphe",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "224",
"eqstl_weight": "5",
"eqstl_question": "Voie accessoire à conduction antérograde",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Bloc de branche fréquence dépendant

2026-07-30T09:46:08Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2335",
"eccq_base": "A valider",
"ebt_id": "366",
"eccq_difficulte": "2",
"eccq_contexte": "Patiente de 82 ans, contexte d'insuffisance cardiaque à FEVG préservée, admise pour dyspnée et palpitations",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "373",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "3",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "373",
"ep_filename": "ugt2e4x6y7.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-7v6h1r\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-7v6h1r\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-7v6h1r\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-7v6h1r\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-7v6h1r\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-7v6h1r\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-7v6h1r\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-7v6h1r\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><line x1=\"696.1118170266836\" y1=\"17.658377200943914\" x2=\"710.0526411326921\" y2=\"51.116355055363954\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-7v6h1r)\" transform=\"scale(1.0759765625)\"></line><ellipse cx=\"388.94899255763295\" cy=\"306.2334361953167\" rx=\"12.546741695407519\" ry=\"20.91123615901253\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.0759765625)\"></ellipse><ellipse cx=\"222.4828462515883\" cy=\"309.4122345253222\" rx=\"12.546741695407519\" ry=\"20.91123615901253\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.0759765625)\"></ellipse><text x=\"765.8159375567254\" y=\"28.500903748411687\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0759765625)\">BBD</text><text x=\"552.0566345979307\" y=\"27.5715154746778\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0759765625)\">HBAG</text>"
}
],
"quizzes": [
{
"eqz_id": "339",
"ecg_id": "373",
"emdl_id": "-2",
"eqz_contexte": "Quels troubles du rythme ou de la conduction constatez vous ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "HBAG en FA, suivi d'un BBD en lien avec le QRS fléché arrivant plus précocément, suivi d'un autre complexe QRS en période réfractaire de la branche gauche, raison pour laquelle le QRS prend alors l'aspect d'un BBD",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "28",
"eqstl_weight": "1",
"eqstl_question": "FA",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "29",
"eqstl_weight": "2",
"eqstl_question": "flutter",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "30",
"eqstl_weight": "3",
"eqstl_question": "BBG",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "31",
"eqstl_weight": "4",
"eqstl_question": "BBD",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "32",
"eqstl_weight": "5",
"eqstl_question": "HBAG",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "33",
"eqstl_weight": "6",
"eqstl_question": "HBPG",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Syncope

2026-07-30T09:46:08Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2382",
"eccq_base": "A valider",
"ebt_id": "378",
"eccq_difficulte": "1",
"eccq_contexte": "Homme de 65 ans admis pour syncope vraie, pas d'antécédent particulier.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "427",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "433",
"ep_filename": "be9xxenpbt7.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-7g1z7q\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-7g1z7q\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-7g1z7q\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-7g1z7q\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-7g1z7q\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-7g1z7q\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-7g1z7q\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-7g1z7q\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><ellipse cx=\"607.2659303313508\" cy=\"225.33220050977062\" rx=\"32.19031435853867\" ry=\"201.84197111299915\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.1494140625)\"></ellipse><text x=\"641.196261682243\" y=\"111.64945254885302\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">BBDt complet</text><line x1=\"312.3330501274427\" y1=\"93.0909090909091\" x2=\"294.93288020390827\" y2=\"72.2107051826678\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-7g1z7q)\" transform=\"scale(1.1494140625)\"></line><line x1=\"311.4630416312659\" y1=\"158.34154630416313\" x2=\"295.80288870008496\" y2=\"133.98130841121494\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-7g1z7q)\" transform=\"scale(1.1494140625)\"></line><line x1=\"315.8130841121495\" y1=\"368.0135938827528\" x2=\"294.93288020390827\" y2=\"347.1333899745115\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-7g1z7q)\" transform=\"scale(1.1494140625)\"></line><text x=\"245.34239592183516\" y=\"230.84061652506372\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">Axe droit, HBPG</text><text x=\"327.99320305862364\" y=\"21.168568946474085\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">Bloc bi-fasciculaire : BBDt + HBPG</text>"
}
],
"quizzes": [
{
"eqz_id": "402",
"ecg_id": "427",
"emdl_id": "-1",
"eqz_contexte": "Quelle est probablement l'étiologie de cette syncope ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Troubles conductifs sévères sur l'ECG de repos avec BBDt complet associé à HBPG.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "225",
"eqstl_weight": "1",
"eqstl_question": "Un trouble du rythme ventriculaire en contexte de canalopathie",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "226",
"eqstl_weight": "2",
"eqstl_question": "Un mécanisme réflexe",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "227",
"eqstl_weight": "3",
"eqstl_question": "Un trouble conductif infra-hissien",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "228",
"eqstl_weight": "4",
"eqstl_question": "Un trouble du rythme ventriculaire en contexte de cardiopathie ischémique",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:TV ou TSV ?

2026-07-30T09:46:08Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2393",
"eccq_base": "A valider",
"ebt_id": "464",
"eccq_difficulte": "1",
"eccq_contexte": "Homme de 65 ans sans antécédent, admis aux urgences pour palpitations. Tracé per-critique.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "438",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "447",
"ep_filename": "u2k0fz1yxc.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-3ctf3k\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-3ctf3k\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-3ctf3k\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-3ctf3k\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-3ctf3k\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-3ctf3k\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-3ctf3k\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-3ctf3k\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><ellipse cx=\"555.0654205607477\" cy=\"58.72557349192863\" rx=\"8.700084961767232\" ry=\"18.705182667799487\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.1494140625)\"></ellipse><text x=\"582.9056924384028\" y=\"109.90943555649957\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">R>R'</text><ellipse cx=\"736.462192013594\" cy=\"337.56329651656756\" rx=\"15.225148683092641\" ry=\"308.8530161427358\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.1494140625)\"></ellipse><text x=\"765.607476635514\" y=\"223.88054855564997\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">Concordance positive</text><line x1=\"181.83177570093457\" y1=\"548.9753610875109\" x2=\"190.53186066270177\" y2=\"519.3950722175022\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-3ctf3k)\" transform=\"scale(1.1494140625)\"></line><text x=\"195.7519116397621\" y=\"551.8737516142736\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">Activité atriale dissociée</text><ellipse cx=\"149.20645709430755\" cy=\"399.768903993203\" rx=\"16.965165675446045\" ry=\"23.055225148683093\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.1494140625)\"></ellipse><text x=\"165.3016142735769\" y=\"366.5619419286321\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">Axe extrême</text><text x=\"294.6391211693895\" y=\"28.335773399957088\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">Tachycardie ventriculaire monomorphe</text>"
}
],
"quizzes": [
{
"eqz_id": "414",
"ecg_id": "438",
"emdl_id": "-1",
"eqz_contexte": "Quelle est le diagnostic le plus probable ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Tous les critères de TV sont présents : concordance positive, dissociation A/V, axe extrême avec aVR positif, R>R' en V1 (signe des \"oreilles de lapin\")",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "270",
"eqstl_weight": "1",
"eqstl_question": "Tachycardie jonctionnelle",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "271",
"eqstl_weight": "2",
"eqstl_question": "Tachycardie supra-ventriculaire",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "272",
"eqstl_weight": "3",
"eqstl_question": "Tachycardie ventriculaire",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Localiser cette ESV (2)

2026-07-30T09:46:08Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2373",
"eccq_base": "A valider",
"ebt_id": "402",
"eccq_difficulte": "1",
"eccq_contexte": "Patiente de 52 ans sans antécédent particulier, palpitations. Tracé per-critique.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "416",
"ecg_comment": "Extrasystole ventriculaire monomorphe bigéminée, couplage long. Morphologie compatible infundibulum VD.",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "421",
"ep_filename": "zwlmqo84dt.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-ato9ff\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-ato9ff\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-ato9ff\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-ato9ff\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-ato9ff\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-ato9ff\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-ato9ff\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-ato9ff\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><ellipse cx=\"599.4358538657606\" cy=\"53.505522514868325\" rx=\"19.140186915887853\" ry=\"17.835174171622775\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.1494140624999998)\"></ellipse><ellipse cx=\"599.4358538657606\" cy=\"120.4961767204758\" rx=\"19.140186915887853\" ry=\"19.57519116397622\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.1494140624999998)\"></ellipse><text x=\"616.8360237892949\" y=\"92.50926563296522\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140624999998)\">Négatif V1-V2</text><ellipse cx=\"609.0059473237045\" cy=\"209.2370433305013\" rx=\"19.140186915887853\" ry=\"45.67544604927784\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.1494140624999998)\"></ellipse><text x=\"641.1962616822431\" y=\"222.14053156329655\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140624999998)\">Transition V3-V4</text><line x1=\"274.052676295667\" y1=\"85.26083262531863\" x2=\"274.052676295667\" y2=\"135.72132540356841\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-ato9ff)\" marker-start=\"url(#arrow-blue-reverse-ato9ff)\" transform=\"scale(1.1494140624999998)\"></line><line x1=\"275.7926932880204\" y1=\"154.86151231945627\" x2=\"276.66270178419717\" y2=\"201.84197111299918\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-ato9ff)\" marker-start=\"url(#arrow-blue-reverse-ato9ff)\" transform=\"scale(1.1494140624999998)\"></line><line x1=\"273.1826677994903\" y1=\"340.17332200509776\" x2=\"274.052676295667\" y2=\"390.6338147833476\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-ato9ff)\" marker-start=\"url(#arrow-blue-reverse-ato9ff)\" transform=\"scale(1.1494140624999998)\"></line><text x=\"198.3619371282923\" y=\"229.97060802888703\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140624999998)\">Positivité inférieure</text><text x=\"376.7136788445201\" y=\"24.648602931180967\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140624999998)\">ESV infundibulaire droite</text>"
}
],
"quizzes": [
{
"eqz_id": "389",
"ecg_id": "416",
"emdl_id": "-1",
"eqz_contexte": "Quelle est la localisation de cette ESV ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Extrasystole ventriculaire monomorphe bigéminée, couplage long. Morphologie compatible infundibulum VD : négatif V1/V2, transition V3/V4, positivité inférieure.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "180",
"eqstl_weight": "1",
"eqstl_question": "Infundibulaire gauche",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "181",
"eqstl_weight": "2",
"eqstl_question": "Latéro-VG",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "182",
"eqstl_weight": "3",
"eqstl_question": "Inféro-VG",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "183",
"eqstl_weight": "4",
"eqstl_question": "Infundibulaire droite",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "184",
"eqstl_weight": "5",
"eqstl_question": "Septal-VG",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:BAV 2 pour 1

2026-07-30T09:46:07Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "1727",
"eccq_base": "A valider",
"ebt_id": "368",
"eccq_difficulte": "2",
"eccq_contexte": "Asthénie",
"eccq_remarque": "BAV 2 pour 1, il s'agit d'une entité qui ne peut pas être classée d'emblée BAV de bas grade (supra hissien ou nodal) ou BAV de haut grade (infra hissien), cela va dépendre de la largeur des QRS (fins ici ce qui plaide pour un bas grade) et de la présence d'allongement progressif du PR sur d'autres enregistrements (plaide également pour du bas grade).",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "93",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "93",
"ep_filename": "64ff6153a0cf4.png",
"ep_pixels_cm": "128.1",
"ep_caliper_color": "#00008B",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "25",
"ecg_id": "93",
"emdl_id": "523",
"eqz_contexte": "",
"emdl_name": "Externe",
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"solutions": {
"14136": "0",
"14137": "0",
"14138": "1247",
"14139": "48",
"14140": "0",
"14141": "94",
"14142": "513",
"14143": "459",
"14266": "0",
"14267": "0",
"14268": "0",
"14269": "0",
"14144": "0",
"14145": "0",
"14146": "0",
"14147": "0",
"14148": "0",
"14149": "0",
"14150": "1",
"14151": "1247",
"14152": "48",
"14153": "0",
"14154": "0",
"14155": "0",
"14156": "0",
"14157": "0",
"14158": "0",
"14159": "1",
"14160": "0",
"14161": "0",
"14162": "0",
"14163": "1",
"14164": "0",
"14165": "0",
"14166": "1",
"14167": "0",
"14168": "0",
"14169": "0",
"14170": "0",
"14172": "0",
"14173": "0",
"14174": "1247",
"14175": "0",
"14176": "0",
"14177": "0",
"14178": "0",
"14179": "0",
"14180": "0",
"14181": "0",
"14182": "0",
"14183": "0",
"14184": "0",
"14185": "0",
"14186": "0",
"14187": "0",
"14171": "0",
"14188": "0",
"14189": "0",
"14190": "0",
"14191": "0",
"14192": "0",
"14193": "0",
"14270": "0",
"14194": "0",
"14255": "0",
"14256": "0",
"14257": "0",
"14261": "0",
"14195": "0",
"14196": "0",
"14197": "0",
"14198": "0",
"14199": "0",
"14200": "94",
"14201": "0",
"14202": "0",
"14203": "0",
"14204": "0",
"14205": "0",
"14206": "0",
"14207": "0",
"14208": "0",
"14209": "0",
"14210": "0",
"14211": "0",
"14212": "0",
"14213": "0",
"14214": "0",
"14263": "0",
"14215": "0",
"14216": "0",
"14217": "0",
"14218": "0",
"14219": "0",
"14220": "0",
"14221": "0",
"14222": "0",
"14223": "0",
"14224": "0",
"14225": "0",
"14226": "0",
"14227": "0",
"14228": "0",
"14229": "0",
"14230": "0",
"14231": "0",
"14232": "0",
"14233": "0",
"14234": "0",
"14235": "0",
"14236": "0",
"14237": "0",
"14238": "0",
"14260": "0",
"14239": "0",
"14240": "0",
"14241": "0",
"14242": "0",
"14243": "0",
"14245": "0",
"14244": "0",
"14246": "0",
"14247": "0",
"14265": "0",
"14248": "0",
"14264": "0",
"14262": "0",
"14259": "0",
"14249": "0",
"14250": "0",
"14251": "513",
"14252": "1247",
"14253": "459",
"14254": "0",
"14258": "0"
}
},
{
"eqz_id": "335",
"ecg_id": "370",
"emdl_id": "-2",
"eqz_contexte": "Quel(s) trouble(s) de conduction objectivez vous ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "En première partie de tracé BAV 3 avec échappement ventriculaire (entouré en noir), intervalle PR non stable. onde P rétrograde fléchée en rouge\nPuis passage en BAV 2/1 (intervalle PR constant et PP constant)",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "13",
"eqstl_weight": "1",
"eqstl_question": "ESA bloquées",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "14",
"eqstl_weight": "2",
"eqstl_question": "BAV 3",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "15",
"eqstl_weight": "3",
"eqstl_question": "BAV 2 Mobitz 1",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "16",
"eqstl_weight": "4",
"eqstl_question": "BAV 2:1",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "17",
"eqstl_weight": "5",
"eqstl_question": "BAV 1",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
},
{
"ecg_id": "370",
"ecg_comment": "BAV complet en début de tracé avec échappement ventriculaire (complexe 2 et 3), suivi de BAV 2:1 en 2e partie de tracé",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "3",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "370",
"ep_filename": "m3fx8e9dmf.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-b36omo\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-b36omo\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-b36omo\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-b36omo\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-b36omo\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-b36omo\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-b36omo\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-b36omo\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><line x1=\"139.72538764367576\" y1=\"442.0324763418755\" x2=\"169.91297139385264\" y2=\"442.0324763418755\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-b36omo)\" marker-start=\"url(#arrow-blue-reverse-b36omo)\" transform=\"scale(1.0305929539964866)\"></line><line x1=\"244.0881771800015\" y1=\"441.16997394901335\" x2=\"277.29451930519605\" y2=\"441.16997394901335\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-b36omo)\" marker-start=\"url(#arrow-blue-reverse-b36omo)\" transform=\"scale(1.0305929539964866)\"></line><line x1=\"364.40726098427785\" y1=\"441.16997394901335\" x2=\"386.83232319869495\" y2=\"440.30747155615114\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-b36omo)\" marker-start=\"url(#arrow-blue-reverse-b36omo)\" transform=\"scale(1.0305929539964866)\"></line><line x1=\"588.981321525772\" y1=\"414.3245869711774\" x2=\"568.6047024944028\" y2=\"441.4934123463366\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-b36omo)\" transform=\"scale(1.0305929539964866)\"></line><line x1=\"488.4638551576238\" y1=\"441.3137243478238\" x2=\"510.0264149791787\" y2=\"441.60122514544446\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-b36omo)\" marker-start=\"url(#arrow-blue-reverse-b36omo)\" transform=\"scale(1.0305929539964866)\"></line><line x1=\"614.3752951196709\" y1=\"443.4624513451353\" x2=\"636.3752951196709\" y2=\"443.4624513451353\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-b36omo)\" marker-start=\"url(#arrow-blue-reverse-b36omo)\" transform=\"scale(1.0305929539964866)\"></line><line x1=\"735.0005742869272\" y1=\"443.6248963093048\" x2=\"757.0005742869272\" y2=\"443.6248963093048\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-b36omo)\" marker-start=\"url(#arrow-blue-reverse-b36omo)\" transform=\"scale(1.0305929539964866)\"></line><line x1=\"865.4003062863611\" y1=\"443.5936961606006\" x2=\"887.4003062863611\" y2=\"443.5936961606006\" stroke=\"blue\" stroke-width=\"2\" marker-end=\"url(#arrow-blue-b36omo)\" marker-start=\"url(#arrow-blue-reverse-b36omo)\" transform=\"scale(1.0305929539964866)\"></line><text x=\"536.5843011593938\" y=\"483.4678788733156\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0305929539964866)\">BAV 2:1</text><ellipse cx=\"174.65673455459472\" cy=\"404.1362774554927\" rx=\"13.584412687579587\" ry=\"16.98051585947448\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.0305929539964866)\"></ellipse><ellipse cx=\"279.38773689335744\" cy=\"402.7124353927207\" rx=\"13.584412687579587\" ry=\"16.98051585947448\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(1.0305929539964866)\"></ellipse><text x=\"196.00366877793405\" y=\"484.43819406528553\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(1.0305929539964866)\">BAV 3</text><line x1=\"710.8534103488169\" y1=\"416.5343265445405\" x2=\"690.8534103488169\" y2=\"443.5343265445405\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-b36omo)\" transform=\"scale(1.0305929539964866)\"></line><line x1=\"834.7643559247268\" y1=\"415.7124353927207\" x2=\"814.7643559247268\" y2=\"442.7124353927207\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-b36omo)\" transform=\"scale(1.0305929539964866)\"></line><line x1=\"435.6715211945168\" y1=\"419.1761629310273\" x2=\"416.2652173551174\" y2=\"449.25593388209643\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-b36omo)\" transform=\"scale(1.0305929539964866)\"></line>"
}
],
"quizzes": []
}
]
}

ECG Clinical case quizz:FA 4

2026-07-30T09:46:07Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2358",
"eccq_base": "Brouillon",
"ebt_id": "0",
"eccq_difficulte": "1",
"eccq_contexte": "Homme 66 ans. Ablation de FA il y a 2 ans avec isolation des veines pulmonaires. Récidive de palpitations.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "397",
"ecg_comment": "Une cartographie de l'oreillette gauche a été effectuée à l'aide du système ABOTT. Vous observez une activation qui s'effectue autour de l'anneau mitral dans le sens anti horaire. \nPour obtenir un bloc dans l'isthme mitrale, plusieurs stratégies complémentaires peuvent être utilisées : \n1. Ablation par voie endocavitaire\n2. Ablation par voie épicardique via le sinus coronaire\n3. Alcoolisation de la veine de Marshall",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "Autre",
"pages": [
{
"ep_id": "398",
"ep_filename": "hor8ns8za9n.jpg",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "370",
"ecg_id": "397",
"emdl_id": "0",
"eqz_contexte": "Une cartographie de l'oreillette gauche a été effectuée à l'aide du système ABOTT. Vous observez une activation qui s'effectue autour de l'anneau mitral dans le sens anti horaire. \nPour obtenir un bloc dans l'isthme mitrale, plusieurs stratégies complémentaires peuvent être utilisées : \n1. Ablation par voie endocavitaire\n2. Ablation par voie épicardique via le sinus coronaire\n3. Alcoolisation de la veine de Marshall",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": []
},
{
"eqz_id": "371",
"ecg_id": "397",
"emdl_id": "-7",
"eqz_contexte": "Quel est votre diagnostic ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "116",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "Flutter peri-mitral"
}
}
]
},
{
"eqz_id": "372",
"ecg_id": "397",
"emdl_id": "-2",
"eqz_contexte": "Quelles stratégies thérapeutiques peuvent être utilisées pour obtenir le bloc ? ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "117",
"eqstl_weight": "1",
"eqstl_question": "Ablation endocardique avec réalisation d'une ligne mitrale",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "118",
"eqstl_weight": "2",
"eqstl_question": "Ablation épicardique via le sinus coronaire",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "119",
"eqstl_weight": "3",
"eqstl_question": "Ablation endocardique avec réalisation d'une ligne du toit",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "120",
"eqstl_weight": "4",
"eqstl_question": "Ablation endocardique avec réalisation d'une ligne postérieure",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "121",
"eqstl_weight": "5",
"eqstl_question": "Alcoolisation de la veine de Marshall",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:FA 3

2026-07-30T09:46:07Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2357",
"eccq_base": "Brouillon",
"ebt_id": "358",
"eccq_difficulte": "1",
"eccq_contexte": "Femme de 55 ans. Ablation de fibrillation atriale par radiofréquence. Après encerclement des veines pulmonaires gauches nous positionnons le Pentaray dans la VPSG et observons ce phénomène :",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "396",
"ecg_comment": "La patiente est toujours en fibrillation atriale comme en témoigne l'activation CS. \nOn enregistre sur le Pentaray un potentiel lent et dissocié. Cela permet d'affirmer l'existence d'un bloc d'entrée et probablement de sortie dans la VPSG.",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "3",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "397",
"ep_filename": "1ead5s5i2k7h.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "368",
"ecg_id": "396",
"emdl_id": "-2",
"eqz_contexte": "Parmis les propositions suivantes lesquelles sont exactes ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "111",
"eqstl_weight": "1",
"eqstl_question": "Retour en rythme sinusal",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "112",
"eqstl_weight": "2",
"eqstl_question": "Persistance d'une automaticité dans la veine",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "113",
"eqstl_weight": "3",
"eqstl_question": "Potentiel veineux dissocié du reste de l'oreillette",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "114",
"eqstl_weight": "4",
"eqstl_question": "Bloc veineux d'entrée probable",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "115",
"eqstl_weight": "5",
"eqstl_question": "Bloc veineux de sortie probable",
"eqstl_answer": {
"correct": 1
}
}
]
},
{
"eqz_id": "369",
"ecg_id": "396",
"emdl_id": "0",
"eqz_contexte": "La patiente est toujours en fibrillation atriale comme en témoigne l'activation CS. \nOn enregistre sur le Pentaray un potentiel lent et dissocié. Cela permet d'affirmer l'existence d'un bloc d'entrée et probablement de sortie dans la VPSG.",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": []
}
]
}
]
}

ECG Clinical case quizz:FA 2

2026-07-30T09:46:07Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2356",
"eccq_base": "Brouillon",
"ebt_id": "0",
"eccq_difficulte": "1",
"eccq_contexte": "Femme de 70 ans. Redux d'ablation de FA persistante. 4 veines déconnectées. Réalisation d'une box postérieure. Vous stimulez dans la box et observez ces signaux.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "395",
"ecg_comment": "Stimulation par le dipole 11-12 du Pentaray dans la box postérieure. Capture dans la box visible sur toutes les branches du Pentaray. Pas de capture de l'oreillette gauche (rythme sinusal sous jacent visible sur l'ablation et le CS).",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "3",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "396",
"ep_filename": "1xl5eoa4fja.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-mk7uk9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-mk7uk9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-mk7uk9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-mk7uk9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-mk7uk9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-mk7uk9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-mk7uk9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-mk7uk9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><line x1=\"288.4266666666666\" y1=\"325.97333333333336\" x2=\"288.4266666666666\" y2=\"356.6933333333333\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-mk7uk9)\" transform=\"scale(0.5859375)\"></line>"
}
],
"quizzes": [
{
"eqz_id": "366",
"ecg_id": "395",
"emdl_id": "0",
"eqz_contexte": "Stimulation par le dipole 11-12 du Pentaray dans la box postérieure. Capture dans la box visible sur toutes les branches du Pentaray. Pas de capture de l'oreillette gauche (rythme sinusal sous jacent visible sur l'ablation et le CS).",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": []
},
{
"eqz_id": "367",
"ecg_id": "395",
"emdl_id": "-2",
"eqz_contexte": "Quelles sont les propositions exactes ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "107",
"eqstl_weight": "1",
"eqstl_question": "On ne parvient pas à capturer localement",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "108",
"eqstl_weight": "2",
"eqstl_question": "La box postérieure est isolée",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "109",
"eqstl_weight": "3",
"eqstl_question": "Il existe un probable passage visible sur le pôle 13-14 du Pentaray",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "110",
"eqstl_weight": "4",
"eqstl_question": "Il existe une dissociation entre la box et le reste de l'oreillette gauche",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:FA 1

2026-07-30T09:46:07Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2355",
"eccq_base": "Brouillon",
"ebt_id": "358",
"eccq_difficulte": "2",
"eccq_contexte": "Homme de 65 ans. Adressé pour une ablation de fibrillation atriale persistante. Réalisation d'une cardioversion électrique en début de procédure. \nUn cathéter est positionné dans le sinus coronaire. Une stimulation est réalisée avce un cathéter diagnostique positionné dans l'auricule gauche. Au cours de la réalisation d'une ligne d'ablation, vous observez les signaux suivants :",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "394",
"ecg_comment": "Un cathéter est positionné dans le sinus coronaire. Une stimulation est réalisée avec un cathéter diagnostique positionné dans l'auricule gauche. Une ligne d'ablation est effectuée au niveau de l'isthme mitral. \nSur la partie gauche du tracé nous observons une activation du sinus coronaire de SC 1-2 à SC 9-10. A partir du 3e complexe stimulé, inversion de la séquence d'activation du SC. Apparition de doubles potentiels sur l'ablation en faveur du bloc.",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "3",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "395",
"ep_filename": "dj0lnnhetn.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-h9fg95\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-h9fg95\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-h9fg95\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-h9fg95\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-h9fg95\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-h9fg95\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-h9fg95\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-h9fg95\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><line x1=\"387.41333333333336\" y1=\"496.64\" x2=\"411.3066666666667\" y2=\"631.4666666666667\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-h9fg95)\" transform=\"scale(0.5918087836263495)\"></line><line x1=\"636.5866666666667\" y1=\"631.4666666666667\" x2=\"663.8933333333333\" y2=\"500.05333333333334\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-h9fg95)\" transform=\"scale(0.5918087836263495)\"></line><line x1=\"812.7625228078554\" y1=\"94.62515858054033\" x2=\"853.3161621995155\" y2=\"94.62515858054033\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-h9fg95)\" marker-start=\"url(#arrow-red-reverse-h9fg95)\" transform=\"scale(0.5918087836263495)\"></line>"
}
],
"quizzes": [
{
"eqz_id": "364",
"ecg_id": "394",
"emdl_id": "0",
"eqz_contexte": "Un cathéter est positionné dans le sinus coronaire. Une stimulation est réalisée avec un cathéter diagnostique positionné dans l'auricule gauche. Une ligne d'ablation est effectuée au niveau de l'isthme mitral. \nSur la partie gauche du tracé nous observons une activation du sinus coronaire de SC 1-2 à SC 9-10. A partir du 3e complexe stimulé, inversion de la séquence d'activation du SC. Apparition de doubles potentiels sur l'ablation en faveur du bloc.",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": []
},
{
"eqz_id": "365",
"ecg_id": "394",
"emdl_id": "-1",
"eqz_contexte": "Au vu des signaux, quelle ligne d'ablation est en cours de réalisation ? ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "102",
"eqstl_weight": "1",
"eqstl_question": "Ligne du toit",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "103",
"eqstl_weight": "2",
"eqstl_question": "Isthme mitral",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "104",
"eqstl_weight": "3",
"eqstl_question": "Isthme cavo-tricuspide",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "105",
"eqstl_weight": "4",
"eqstl_question": "Veine pulmonaire gauche",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "106",
"eqstl_weight": "5",
"eqstl_question": "Veine cave supérieure",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Ebstein 2

2026-07-30T09:46:07Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2354",
"eccq_base": "Entrainement",
"ebt_id": "342",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 28 ans jamais opéré, adressé en France pour bilan devant une insuffisance cardiaque droite.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "393",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "394",
"ep_filename": "bkrd8bqq67i.webp",
"ep_pixels_cm": "130.82",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-6crsel\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-6crsel\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-6crsel\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-6crsel\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-6crsel\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-6crsel\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-6crsel\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-6crsel\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"410.281908990011\" y=\"65.80739916759148\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.7118034574217093)\">Anomalie d'Ebstein</text><ellipse cx=\"626.7880133185349\" cy=\"142.0643729189789\" rx=\"23.298557158712526\" ry=\"30.685904550499444\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.7118034574217093)\"></ellipse><ellipse cx=\"630.1975582685905\" cy=\"261.9667036625971\" rx=\"31.25416204217538\" ry=\"51.71143174250831\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.7118034574217093)\"></ellipse><line x1=\"144.33740288568256\" y1=\"295.49389567147614\" x2=\"144.33740288568256\" y2=\"265.9445061043285\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-6crsel)\" marker-start=\"url(#arrow-red-reverse-6crsel)\" transform=\"scale(0.7118034574217093)\"></line><line x1=\"583.0321864594895\" y1=\"127.28967813540511\" x2=\"583.0321864594895\" y2=\"159.11209766925637\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-6crsel)\" marker-start=\"url(#arrow-red-reverse-6crsel)\" transform=\"scale(0.7118034574217093)\"></line><text x=\"44.23980316538086\" y=\"244.48906788270818\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.7118034574217093)\">Hypertrophie atriale droite</text><text x=\"469.3806881243063\" y=\"102.17587863485019\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.7118034574217093)\">Bloc de branche droit atypique</text><text x=\"361.7320479438489\" y=\"338.18934992701446\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.7118034574217093)\">Fragmentation terminale du QRS en précordial droit</text>"
}
],
"quizzes": [
{
"eqz_id": "363",
"ecg_id": "393",
"emdl_id": "-7",
"eqz_contexte": "Quelle cardiopathie congénitale suspectez vous sur cet ECG ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "On observe en effet plusieurs éléments en faveur d'une anomalie d'Ebstein:\n\\- une franche hypertrophie atriale droite\n\\- un bloc de branche droit atypique avec faible amplitude des QRS dans les dérivations précordiales droites \\(traduit la diminution du VD fonctionnel\\)\n\\- Partie terminale des QRS fragmentés dans les précordiales droites \\(ici peu marquée\\, surtout en V2\\, traduit la dépolarisation anormale et retardée de la partie atrialisée du VD\\)",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "101",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "Anomalie d'Ebstein"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Tétralogie de Fallot 2

2026-07-30T09:46:07Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2406",
"eccq_base": "Entrainement",
"ebt_id": "338",
"eccq_difficulte": "1",
"eccq_contexte": "Patiente de 33 ans en rupture de suivi. La patiente dit avoir été opérée dans l'enfance.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "456",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "463",
"ep_filename": "gk2clx6vu9i.webp",
"ep_pixels_cm": "130.82",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-prcq0y\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-prcq0y\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-prcq0y\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-prcq0y\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-prcq0y\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-prcq0y\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-prcq0y\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-prcq0y\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"280.71920088790233\" y=\"448.8129485571587\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\"></text><ellipse cx=\"665.9977802441731\" cy=\"53.984461709211985\" rx=\"37.50499445061047\" ry=\"50.574916759156494\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"160.24861265260822\" cy=\"72.7369589345172\" rx=\"27.276359600443953\" ry=\"30.685904550499444\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><text x=\"627.3562708102108\" y=\"156.72859783573804\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Hypertrophie VD</text><text x=\"72.73695893451719\" y=\"32.84846465038838\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Déviation axiale droite</text><text x=\"27.276359600443982\" y=\"153.31905288568254\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Largeur des QRS plus importante en précordial droit</text><line x1=\"71.60044395116536\" y1=\"176.15982241953384\" x2=\"97.74028856825748\" y2=\"176.15982241953384\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-prcq0y)\" marker-start=\"url(#arrow-red-reverse-prcq0y)\" transform=\"scale(0.8798828125)\"></line><line x1=\"562.5749167591565\" y1=\"92.05771365149833\" x2=\"600.0799112097669\" y2=\"92.05771365149833\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-prcq0y)\" marker-start=\"url(#arrow-red-reverse-prcq0y)\" transform=\"scale(0.8798828125)\"></line><text x=\"406.87236403995564\" y=\"28.302404716981087\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Tétralogie de Fallot</text><text x=\"626.2197558268591\" y=\"133.99829816870147\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Bloc de branche droit</text>"
}
],
"quizzes": [
{
"eqz_id": "431",
"ecg_id": "456",
"emdl_id": "-7",
"eqz_contexte": "Quelle(s) anomalie(s) sur cet ECG peuvent faire évoquer une tétralogie de Fallot opérée ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "On observe ici tous les signes ECG les plus fréquents dans la tétralogie de Fallot. Il s'expliquent tous par une hypertrophie et/ou dilatation ventriculaire droite.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "327",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "Bloc de branche droit complet, hypertrophie VD, déviation axiale droite, et largeur plus importante des QRS dans les précordiales droites"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Tétralogie de Fallot

2026-07-30T09:46:07Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2405",
"eccq_base": "Entrainement",
"ebt_id": "338",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 28 ans opéré d'une cardiopathie congénitale dans l'enfance. ECG après ablation de flutter.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "455",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "462",
"ep_filename": "48ranuqfk8c.webp",
"ep_pixels_cm": "129.263",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"352.3196448390677\" y=\"29.43891970033299\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Tétralogie de Fallot</text><ellipse cx=\"610.3085460599334\" cy=\"53.984461709211985\" rx=\"32.95893451720315\" ry=\"47.165371809101\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"617.1276359600445\" cy=\"196.0488346281909\" rx=\"36.368479467258624\" ry=\"71.03218645948947\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><text x=\"531.889012208657\" y=\"288.5643359045505\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Hypertrophie VD</text><text x=\"512.5682574916759\" y=\"315.84069550499436\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Bloc de branche droit</text><line x1=\"176.15982241953387\" y1=\"187.52497225305214\" x2=\"204.57269700332964\" y2=\"186.3884572697003\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-340hnw)\" marker-start=\"url(#arrow-red-reverse-340hnw)\" transform=\"scale(0.8798828125)\"></line><line x1=\"512.568257491676\" y1=\"138.65482796892343\" x2=\"553.482796892342\" y2=\"138.65482796892343\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-340hnw)\" marker-start=\"url(#arrow-red-reverse-340hnw)\" transform=\"scale(0.8798828125)\"></line><text x=\"75.00998890122082\" y=\"116.95057341842384\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">QRS plus larges dans les précordiales droites</text>"
}
],
"quizzes": [
{
"eqz_id": "430",
"ecg_id": "455",
"emdl_id": "-1",
"eqz_contexte": "D'après cet ECG, quelle et la cardiopathie sous-jacente ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Une tétralogie de Fallot ! En effet, on observe un bloc de branche droit avec franche hypertrophie ventriculaire droite. On observe aussi une largeur maximale des QRS dans les dérivations précordiales droites comme souvent constaté dans les tétralogie de Fallot. On observe parfois aussi une déviation axiale droite non retrouvée ici. Aucune autre anomalie proposée ne pourrait se présenter avec un ECG comme celui là. Dans l'anomalie d'Ebstein par exemple, on observe un bloc de branche droit très atypique, souvent fragmenté dans la partie terminale, et l'amplitude des QRS est faible dans les précordiales droites (diminution du VD fonctionnel).",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "322",
"eqstl_weight": "1",
"eqstl_question": "Canal atrioventriculaire",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "323",
"eqstl_weight": "2",
"eqstl_question": "D-TGV avec switch atrial",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "324",
"eqstl_weight": "3",
"eqstl_question": "Tétralogie de Fallot",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "325",
"eqstl_weight": "4",
"eqstl_question": "Anomalie d'Ebstein",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "326",
"eqstl_weight": "5",
"eqstl_question": "Double discordance",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Atrésie tricuspide 2

2026-07-30T09:46:07Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2331",
"eccq_base": "Entrainement",
"ebt_id": "344",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 50 ans opéré dans l'enfance à plusieurs reprises pour une cardiopathie congénitale complexe.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "368",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "368",
"ep_filename": "rqxh9a97zr.webp",
"ep_pixels_cm": "130.82",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-gbcqtv\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-gbcqtv\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-gbcqtv\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-gbcqtv\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-gbcqtv\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-gbcqtv\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-gbcqtv\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-gbcqtv\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"379.59600443951166\" y=\"36.25800960044394\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Atrésie tricuspide</text><ellipse cx=\"618.2641509433962\" cy=\"88.07991120976693\" rx=\"28.41287458379577\" ry=\"39.20976692563818\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"70.46392896781354\" cy=\"209.68701442841288\" rx=\"21.59378468368479\" ry=\"24.43507214206437\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><line x1=\"169.34073251942286\" y1=\"429.60266370699225\" x2=\"178.43285238623753\" y2=\"477.33629300776914\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-gbcqtv)\" transform=\"scale(0.8798828125)\"></line><line x1=\"387.8901220865705\" y1=\"429.6792452830189\" x2=\"396.8901220865705\" y2=\"477.6792452830189\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-gbcqtv)\" transform=\"scale(0.8798828125)\"></line><line x1=\"273.7813540510544\" y1=\"426.94894561598227\" x2=\"282.78135405105445\" y2=\"474.9489456159822\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-gbcqtv)\" transform=\"scale(0.8798828125)\"></line><text x=\"160.24861265260822\" y=\"416.99052902330743\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Rythme jonctionnel</text><text x=\"10.228634850166458\" y=\"263.5610062708102\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Déviation axiale gauche</text><text x=\"542.1176470588234\" y=\"153.3190528856826\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Petites ondes r</text><text x=\"529.6159822419535\" y=\"178.32238251942286\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Grandes ondes S</text><text x=\"514.8412874583796\" y=\"204.46222713651494\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Précordiales droites</text>"
}
],
"quizzes": [
{
"eqz_id": "334",
"ecg_id": "368",
"emdl_id": "-7",
"eqz_contexte": "Quelle type de ventricule unique pouvons nous suspecter sur cet ECG ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "En effet, dans l'atrésie tricuspide, le VD est sous développé. Ainsi, la prépondérance du VG explique les ondes r de faible amplitude et les ondes S de grande amplitude dans les dérivations précordiales droites, les grandes ondes R dans les précordiales gauches (non retrouvées ici), et la fréquente déviation axiale gauche associée. Par ailleurs, en fonction des anatomies sous-jacente, le remaniement atrial important peut être associé à des arythmies atriales ou des dysfonction sinusales importantes (rythme jonctionnel ici).",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "12",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "Atrésie tricuspide"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Atrésie tricuspide

2026-07-30T09:46:07Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2330",
"eccq_base": "Entrainement",
"ebt_id": "344",
"eccq_difficulte": "2",
"eccq_contexte": "Patiente de 47 ans avec ventricule unique et Fontan extracardiaque.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "367",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "367",
"ep_filename": "njyy69a16vm.webp",
"ep_pixels_cm": "129.263",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-a5s7nc\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-a5s7nc\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-a5s7nc\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-a5s7nc\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-a5s7nc\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-a5s7nc\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-a5s7nc\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-a5s7nc\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"397.78024417314094\" y=\"32.84846465038842\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Atrésie tricuspide</text><ellipse cx=\"563.7114317425084\" cy=\"88.07991120976693\" rx=\"27.276359600443925\" ry=\"39.20976692563818\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"169.3407325194229\" cy=\"210.8235294117647\" rx=\"28.412874583795784\" ry=\"28.981132075471706\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"824.5416204217536\" cy=\"338.6814650388457\" rx=\"36.936736958934546\" ry=\"45.460599334073265\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><text x=\"481.8823529411765\" y=\"149.90950793562712\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Petites ondes r</text><text x=\"473.9267480577136\" y=\"174.91283756936727\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Grandes ondes S</text><text x=\"462.5615982241953\" y=\"197.64313723640413\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Précordiales droites</text><text x=\"60.23529411764707\" y=\"263.5610062708102\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Déviation axiale gauche</text><text x=\"725.0965593784683\" y=\"406.76189417314094\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Grandes ondes R </text><text x=\"708.048834628191\" y=\"430.62870882352956\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Précordiales gauches</text>"
}
],
"quizzes": [
{
"eqz_id": "333",
"ecg_id": "367",
"emdl_id": "-7",
"eqz_contexte": "Quelles anomalies ECG sont en faveur d'une atrésie tricuspide ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "En effet, dans l'atrésie tricuspide, le VD est sous développé. Ainsi, la prépondérance du VG explique les ondes r de faible amplitude et les ondes S de grande amplitude dans les dérivations précordiales droites, les grandes ondes R dans les précordiales gauches, et la fréquente déviation axiale gauche associée.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "11",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "Petites ondes r et grandes ondes S dans les précordiales droites, déviations axiale gauche, et grandes ondes R dans les précordiales gauches (moins flagrant ici)"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:D-TGV switch atrial 3

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2346",
"eccq_base": "Entrainement",
"ebt_id": "343",
"eccq_difficulte": "1",
"eccq_contexte": "Patiente de 48 opérée dans l'enfance d'une cardiopathie congénitale",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "385",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "386",
"ep_filename": "bdrryzqdequ.webp",
"ep_pixels_cm": "129.263",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-u5c2mi\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-u5c2mi\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-u5c2mi\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-u5c2mi\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-u5c2mi\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-u5c2mi\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-u5c2mi\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-u5c2mi\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"293.2208657047725\" y=\"39.66755455049948\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">D-TGV avec switch atrial</text><ellipse cx=\"636.4483906770256\" cy=\"65.3496115427303\" rx=\"37.50499445061047\" ry=\"55.120976692563815\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"209.68701442841288\" cy=\"93.76248612652608\" rx=\"24.43507214206437\" ry=\"27.84461709211987\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"796.1287458379578\" cy=\"372.2086570477247\" rx=\"26.708102108768003\" ry=\"30.117647058823508\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><line x1=\"173.88679245283018\" y1=\"448.9234184239734\" x2=\"197.75360710321866\" y2=\"500.06659267480575\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-u5c2mi)\" transform=\"scale(0.8798828125)\"></line><line x1=\"257.7813540510544\" y1=\"442.9966703662597\" x2=\"281.7813540510544\" y2=\"494.9966703662596\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-u5c2mi)\" transform=\"scale(0.8798828125)\"></line><line x1=\"343.69922308546063\" y1=\"447.0854605993341\" x2=\"367.69922308546063\" y2=\"499.08546059933406\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-u5c2mi)\" transform=\"scale(0.8798828125)\"></line><text x=\"553.4827968923419\" y=\"148.77299295227525\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Hypertrophie VD</text><text x=\"94.330743618202\" y=\"146.49996298557153\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Déviation axiale droite</text><text x=\"731.9156492785794\" y=\"427.2191638734739\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Petites ondes r</text><text x=\"714.8679245283018\" y=\"452.22249350721415\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Grandes ondes S</text><text x=\"712.5948945615983\" y=\"477.22582314095433\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Précordial gauche</text><text x=\"101.14983351831299\" y=\"434.0382537735849\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Rythme du sinus coronaire</text>"
}
],
"quizzes": [
{
"eqz_id": "355",
"ecg_id": "385",
"emdl_id": "-7",
"eqz_contexte": "D'après cet ECG, quelle cardiopathie suspectez vous ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "En effet, dans les D-TGV avec switch atrial, le ventricule droit est le ventricule systémique. Par conséquent, le VD est hypertrophié, à la différence du VG qui est sous développé. Cela explique l'hypertrophie du VD, la déviation axiale droite, et les petites ondes r avec grandes ondes S en précordial gauche. Par ailleurs, devant l'importance du remaniement atrial après ces chirurgies, la dysfonction sinusale est très fréquente. Ici on observe du rythme du sinus coronaire (bien que le rythme soit non bradycarde), on observe aussi fréquemment chez ces patients du rythme jonctionnel.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "77",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "D-transposition des gros vaisseaux avec switch atrial (chirurgie de Senning ou Mustard)"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:D-TGV switch atrial 2

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2345",
"eccq_base": "Entrainement",
"ebt_id": "343",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 52 ans opéré dans l'enfance d'une cardiopathie congénitale, sans précision. ",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "384",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "385",
"ep_filename": "pr0cdms4o3d.webp",
"ep_pixels_cm": "127.705",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-6y5z4p\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-6y5z4p\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-6y5z4p\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-6y5z4p\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-6y5z4p\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-6y5z4p\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-6y5z4p\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-6y5z4p\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><ellipse cx=\"783.6270810210876\" cy=\"372.77691453940065\" rx=\"27.844617092119904\" ry=\"34.095449500554935\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"593.8290788013319\" cy=\"204.00443951165371\" rx=\"40.34628190899002\" ry=\"61.94006659267481\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"196.6170921198668\" cy=\"103.42286348501665\" rx=\"27.276359600443953\" ry=\"37.50499445061044\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><line x1=\"358.00221975582684\" y1=\"442.10432852386236\" x2=\"386.41509433962267\" y2=\"496.65704772475027\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-6y5z4p)\" transform=\"scale(0.8798828125)\"></line><line x1=\"455.7425083240843\" y1=\"438.6947835738069\" x2=\"485.29189789123194\" y2=\"496.65704772475027\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-6y5z4p)\" transform=\"scale(0.8798828125)\"></line><text x=\"281.85571587125423\" y=\"429.49219384017755\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Rythme jonctionnel</text><text x=\"498.9300776914539\" y=\"130.58875321864593\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Hypertrophie VD</text><text x=\"90.92119866814647\" y=\"165.82071770255274\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Déviation axiale droite</text><text x=\"606.8990011098779\" y=\"440.8573436736959\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\"></text><text x=\"714.8679245283018\" y=\"424.94613390677017\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Petites ondes r</text><text x=\"697.8201997780243\" y=\"447.67643357380683\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Grandes ondes S</text><text x=\"696.6836847946727\" y=\"470.40673324084344\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Précordial gauche</text><text x=\"413.6914539400666\" y=\"44.21361448390677\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\"></text><text x=\"343.22752497225304\" y=\"30.575434683684787\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">D-TGV avec switch atrial</text>"
}
],
"quizzes": [
{
"eqz_id": "354",
"ecg_id": "384",
"emdl_id": "-7",
"eqz_contexte": "D'après cet ECG, quelle est la cardiopathie sous-jacente la plus probable ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "En effet, dans les D-TGV avec switch atrial, le ventricule droit est le ventricule systémique. Par conséquent, le VD est hypertrophié, à la différence du VG qui est sous développé. Cela explique l'hypertrophie du VD, la déviation axiale droite, et les petites ondes r avec grandes ondes S en précordial gauche. Par ailleurs, devant l'importance du remaniement atrial après ces chirurgies, la dysfonction sinusale est très fréquente avec fréquemment du rythme jonctionnel observé chez ces patients.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "76",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "D-transposition des gros vaisseaux avec switch atrial (Mustard ou Senning)"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:D-TGV switch atrial

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2344",
"eccq_base": "Entrainement",
"ebt_id": "343",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 50 ans opéré dans l'enfance pour une transposition des gros vaisseaux.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "383",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "384",
"ep_filename": "jou9600y0f.webp",
"ep_pixels_cm": "130.82",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-owsros\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-owsros\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-owsros\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-owsros\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-owsros\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-owsros\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-owsros\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-owsros\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"305.7225305216426\" y=\"361.3012948390677\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\"></text><text x=\"327.31631520532744\" y=\"33.984979633740295\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">D-TGV avec switch atrial</text><ellipse cx=\"623.9467258601553\" cy=\"64.21309655937847\" rx=\"31.822419533851246\" ry=\"48.301886792452834\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"753.5094339622642\" cy=\"378.4594894561598\" rx=\"34.095449500554935\" ry=\"50.006659267480586\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"200.5948945615982\" cy=\"106.83240843507214\" rx=\"23.29855715871254\" ry=\"37.504994450610425\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><line x1=\"203.4361820199778\" y1=\"442.10432852386236\" x2=\"186.38845726970033\" y2=\"495.5205327413984\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-owsros)\" transform=\"scale(0.8798828125)\"></line><line x1=\"501.4461709211987\" y1=\"435.8601553829079\" x2=\"484.4461709211987\" y2=\"488.86015538290786\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-owsros)\" transform=\"scale(0.8798828125)\"></line><line x1=\"361.19755826859046\" y1=\"438.8124306326304\" x2=\"344.19755826859046\" y2=\"491.8124306326302\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-owsros)\" transform=\"scale(0.8798828125)\"></line><text x=\"658.0421753607103\" y=\"406.7618941731409\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\"></text><text x=\"531.889012208657\" y=\"140.81738806881242\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Hypertrophie VD</text><text x=\"98.87680355160933\" y=\"173.77632258601557\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Déviation axiale droite</text><text x=\"677.3629300776914\" y=\"452.22249350721415\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Petites ondes r</text><text x=\"664.8612652608213\" y=\"476.08930815760266\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Grandes ondes S</text><text x=\"651.2230854605993\" y=\"497.68309284128753\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">en précordial gauche</text><text x=\"142.0643729189789\" y=\"423.80961892341844\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Ondes P plates, dysfonction sinusale</text>"
}
],
"quizzes": [
{
"eqz_id": "353",
"ecg_id": "383",
"emdl_id": "-1",
"eqz_contexte": "D'après l'ECG, quelle intervention chirurgicale le patient a-t-il eu ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Un switch atrial (chirurgie de Senning ou Mustard). En effet, dans ce type de réparation, le ventricule droit reste le ventricule systémique. Par conséquent, le VD est hypertrophié, à la différence du VG qui est sous développé. Cela explique l'hypertrophie du VD, la déviation axiale droite, et les petites ondes r avec grandes ondes S en précordial gauche. Devant l'importance du remaniement atrial après ces chirurgies, la dysfonction sinusale est très fréquente, on observe d'ailleurs très souvent du rythme jonctionnel chez ces patients.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "74",
"eqstl_weight": "1",
"eqstl_question": "Switch atrial (Mustard/Senning)",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "75",
"eqstl_weight": "2",
"eqstl_question": "Switch artériel",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:CIA 2

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2340",
"eccq_base": "Entrainement",
"ebt_id": "339",
"eccq_difficulte": "1",
"eccq_contexte": "Femme de 45 ans opérée d'une CIA dans l'enfance.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "378",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "378",
"ep_filename": "3dk0cfayy0j.webp",
"ep_pixels_cm": "129.263",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-tv2dyq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-tv2dyq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-tv2dyq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-tv2dyq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-tv2dyq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-tv2dyq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-tv2dyq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-tv2dyq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"335.27192008879024\" y=\"33.984979633740224\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Communication inter-atriale</text><ellipse cx=\"93.76248612652608\" cy=\"75.00998890122086\" rx=\"21.02552719200888\" ry=\"25.00332963374029\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"640.4261931187569\" cy=\"68.19089900110987\" rx=\"23.298557158712526\" ry=\"22.730299667036626\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><line x1=\"433.0122086570477\" y1=\"421.6470588235294\" x2=\"420.5105438401776\" y2=\"471.65371809101\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-tv2dyq)\" transform=\"scale(0.8798828125)\"></line><line x1=\"181.842397336293\" y1=\"309.1320754716981\" x2=\"164.79467258601554\" y2=\"339.81798002219756\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-tv2dyq)\" transform=\"scale(0.8798828125)\"></line><text x=\"356.865704772475\" y=\"412.4444690899001\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Extrasystoles atriales</text><text x=\"120.47058823529412\" y=\"298.792970754717\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Notch de l'onde R en inférieur</text><text x=\"534.1620421753606\" y=\"116.95057341842394\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Bloc de branche droit</text><text x=\"60.23529411764707\" y=\"40.80406953385132\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Déviation axiale droite</text>"
}
],
"quizzes": [
{
"eqz_id": "346",
"ecg_id": "378",
"emdl_id": "-7",
"eqz_contexte": "Quelles anomalies ECG sont en lien avec la CIA ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Dans la CIA, la surcharge droite est souvent associée à un bloc de branche droit (le plus souvent incomplet), et l'axe du coeur peut aussi être dévié à droite (il peut aussi être normal). Le notch dans l'onde R dans les dérivations inférieures observé ici est très spécifique mais pas toujours retrouvé. On peut aussi observer une hypertrophie atriale droite quand une CIA avec shunt important à été fermée tardivement (ce n'est pas le cas chez cette patiente). On note enfin des extrasystoles atriales dont la morphologie est très proche des ondes P sinusales, possiblement en lien avec des ESA sur la paroi latérale haute de l'oreillette droite proche de la cicatrice d'atriotomie.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "56",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "Bloc de branche droit, déviation axiale droite, notch de l'onde R en inférieur, et extrasystoles atriales."
}
}
]
}
]
}
]
}

ECG Clinical case quizz:CIA

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2339",
"eccq_base": "Entrainement",
"ebt_id": "339",
"eccq_difficulte": "1",
"eccq_contexte": "Patiente de 27 ans opérée d'une cardiopathie congénitale simple tardivement à l'étranger.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "377",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "377",
"ep_filename": "31siidxrfru.webp",
"ep_pixels_cm": "129.263",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-ecpq0m\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-ecpq0m\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-ecpq0m\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-ecpq0m\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-ecpq0m\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-ecpq0m\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-ecpq0m\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-ecpq0m\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"353.4561598224195\" y=\"29.438919700332974\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Communication inter-atriale</text><line x1=\"96.60377358490567\" y1=\"138.65482796892343\" x2=\"125.01664816870144\" y2=\"193.20754716981133\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-ecpq0m)\" transform=\"scale(0.8798828125)\"></line><text x=\"15.911209766925651\" y=\"127.17920826859037\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Hypertrophie atriale droite</text><ellipse cx=\"572.803551609323\" cy=\"68.75915649278579\" rx=\"13.638179800221963\" ry=\"19.889012208657046\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><text x=\"480.7458379578246\" y=\"112.40451348501668\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Bloc incomplet droit</text><ellipse cx=\"136.95005549389566\" cy=\"70.46392896781354\" rx=\"22.162042175360703\" ry=\"20.45726970033296\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><text x=\"43.187569367369605\" y=\"39.66755455049936\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Deviation axiale droite</text>"
}
],
"quizzes": [
{
"eqz_id": "345",
"ecg_id": "377",
"emdl_id": "-7",
"eqz_contexte": "Quelles anomalies évoquent une CIA ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Dans la CIA, la surcharge droite peut engendre une hypertrophie atriale droite, notamment si une CIA large est fermée tardivement. La surcharge droite explique aussi le bloc de branche incomplet droit fréquemment observé, tout comme l'axe du coeur qui peut être dévié à droite (mais il peut aussi être normal). On peut enfin aussi observer un notch dans l'onde R dans les dérivations inférieures, très spécifique mais non observé ici. ",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "55",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "Bloc incomplet droit, hypertrophie atriale droite, et déviation axiale droite"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Trouble de la conduction 3

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2404",
"eccq_base": "Brouillon",
"ebt_id": "0",
"eccq_difficulte": "1",
"eccq_contexte": "",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "454",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "2",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "461",
"ep_filename": "hvrvg1r9kxu.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-6z0gpd\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-6z0gpd\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-6z0gpd\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-6z0gpd\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-6z0gpd\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-6z0gpd\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-6z0gpd\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-6z0gpd\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"60.03058623619373\" y=\"249.1107949447749\" fill=\"rgb(0, 128, 0)\" font-size=\"24px\" transform=\"scale(1.7241210937499998)\">AH</text><text x=\"260.9617672047579\" y=\"251.59983007646525\" fill=\"rgb(0, 128, 0)\" font-size=\"24px\" transform=\"scale(1.7241210937499998)\">AH</text><text x=\"458.64174454828657\" y=\"252.43981874822992\" fill=\"rgb(0, 128, 0)\" font-size=\"24px\" transform=\"scale(1.7241210937499998)\">AH</text><text x=\"675.2019258000566\" y=\"254.2398753894081\" fill=\"rgb(0, 128, 0)\" font-size=\"24px\" transform=\"scale(1.7241210937499998)\">AH</text>"
}
],
"quizzes": [
{
"eqz_id": "429",
"ecg_id": "454",
"emdl_id": "-2",
"eqz_contexte": "Vous réalisez une exploration électrophysiologique chez un patient ayant présenté une syncope et l'association d'un BAV 1 et d'un HBAG sur l'ECG de base.\nEn positionnant vos sondes, vous observez ce phénomène : ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Il existe sur ce tracé un BAV complet, visible sur l'ECG de surface avec une dissociation atrio-ventriculaire. Sur le cathéter hissien, il existe un signal atrial et hissien prouvant que le bloc de conduction a lieu en dessous du his.\nCe phénomène peut être en rapport avec une pathologie des voies de conduction du patient ou avec une lésion mécanique de ces voies de conduction (\"bump\") lors du positionnement des sondes.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "318",
"eqstl_weight": "1",
"eqstl_question": "Déclenchement d'un flutter commun",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "319",
"eqstl_weight": "2",
"eqstl_question": "Il s'agit d'un BAV complet probablement vagal",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "320",
"eqstl_weight": "3",
"eqstl_question": "Il s'agit d'un BAV complet infrahissien",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "321",
"eqstl_weight": "4",
"eqstl_question": "Ce phénomène est possiblement iatrogène",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Trouble de la conduction 2

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2403",
"eccq_base": "Brouillon",
"ebt_id": "350",
"eccq_difficulte": "2",
"eccq_contexte": "",
"eccq_remarque": "La recherche d'un trouble conductif intra ou infrahissien lors d'une syncope comprend la mesure du HV qui est pathologique au delà de 70ms.\nSi cette mesure est normale ou en zone grise (entre 55 et 70ms), il convient de réaliser une stimulation atriale à fréquence croissante pour rechercher un bloc intra ou infrahissien qui indique l'implantation d'un stimulateur cardiaque.",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "452",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "3",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "459",
"ep_filename": "1vb3xsbk4b2.png",
"ep_pixels_cm": "136.052",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "427",
"ecg_id": "452",
"emdl_id": "-2",
"eqz_contexte": "Une patiente est hospitalisée pour une syncope, avec l'association d'un BBD complet et d'un HBAG.\nVous obtenez ce tracé à l'exploration électrophysiologique.\nQue pouvez-vous en déduire : ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "309",
"eqstl_weight": "1",
"eqstl_question": "La mesure du HV est normale",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "310",
"eqstl_weight": "2",
"eqstl_question": "Il existe, sur cet examen, une indication à l'implantation d'un stimulateur cardiaque",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "311",
"eqstl_weight": "3",
"eqstl_question": "Cette mesure est suffisante pour exclure un trouble conductif intra ou infrahissien",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "312",
"eqstl_weight": "4",
"eqstl_question": "Une ou d'autres mesures sont nécessaires pour conclure",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
},
{
"ecg_id": "453",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "3",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "460",
"ep_filename": "nw6cdchzdam.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-4dewse\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-4dewse\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-4dewse\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-4dewse\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-4dewse\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-4dewse\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-4dewse\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-4dewse\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><line x1=\"810.8479184367035\" y1=\"348.87340696686493\" x2=\"794.3177570093458\" y2=\"400.2039082412914\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-4dewse)\" transform=\"scale(1.1494140625)\"></line><text x=\"743.857264231096\" y=\"485.7531059048428\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">A</text><text x=\"784.7476635514018\" y=\"484.0130889124894\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.1494140625)\">H</text>"
}
],
"quizzes": [
{
"eqz_id": "428",
"ecg_id": "453",
"emdl_id": "-2",
"eqz_contexte": "Vous réalisez, dans la suite, une stimulation atriale à fréquence croissante.\nQuelles sont la ou les réponses correctes : ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "La réponse physiologique attendue lors d'une stimulation atriale à fréquence croissante est un allongement progressif de l'espace PR, secondaire à l'allongement de la conduction nodale et donc de l'espace AH, sans allongement du HV. Lorsque le point de Wenchebach est atteint, il existe un bloc nodal avec sur le tracé un signal atrial non suivi d'un signal hissien.\n\nChez cette patiente, il existe un trouble conductif infrahissien. Il existe, en effet, un allongement progressif de l'intervalle HV, qui devient pathologique, puis un bloc de conduction infrahissien. Celui-ci est visible sur l'avant dernière stimulation atriale, où nous enregistrons sur le cathéter hissien un signal atrial puis hissien sans conduction vers le ventriculaire",
"eqz_wait_previous": "1",
"questions": [
{
"eqstl_id": "313",
"eqstl_weight": "1",
"eqstl_question": "Il existe un allongement progressif de l'espace PR",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "314",
"eqstl_weight": "2",
"eqstl_question": "Il s'agit d'un phénomène de Wenchebach nodal",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "315",
"eqstl_weight": "3",
"eqstl_question": "Il existe un trouble conductif infrahissien",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "316",
"eqstl_weight": "4",
"eqstl_question": "Il existe, sur cet examen, une indication à l'implantation d'un stimulateur cardiaque",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "317",
"eqstl_weight": "5",
"eqstl_question": "Il n'existe pas, sur cet examen, d'indication à l'implantation d'un stimulateur cardiaque",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:TRIN typique 2

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2389",
"eccq_base": "A valider",
"ebt_id": "0",
"eccq_difficulte": "1",
"eccq_contexte": "",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "434",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "3",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "442",
"ep_filename": "m3875xe2q4.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "409",
"ecg_id": "434",
"emdl_id": "-2",
"eqz_contexte": "Le tracé montre",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "249",
"eqstl_weight": "1",
"eqstl_question": "Le passage sur une voie lente nodale",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "250",
"eqstl_weight": "2",
"eqstl_question": "Il aurait fallu que le 2ème extra stimulus ait 20 ms de moins que le 1er pour conclure",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "251",
"eqstl_weight": "3",
"eqstl_question": "On peut conclure à un saut de conduction car on a le AH augmente d'au moins 50 ms",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "252",
"eqstl_weight": "4",
"eqstl_question": "Une preuve certaine que le patient présente une tachycardie par réentrée intra nodale",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "253",
"eqstl_weight": "5",
"eqstl_question": "Aucune preuve ne permettant de conclure au mécanisme des palpitations du patient",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:TRIN typique 1

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2388",
"eccq_base": "A valider",
"ebt_id": "0",
"eccq_difficulte": "1",
"eccq_contexte": "",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "433",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "441",
"ep_filename": "565jfitzanl.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "408",
"ecg_id": "433",
"emdl_id": "-2",
"eqz_contexte": "On observe",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "244",
"eqstl_weight": "1",
"eqstl_question": "L'absence d'entraînement de l'oreillette",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "245",
"eqstl_weight": "2",
"eqstl_question": "Un entrainement de l'oreillette",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "246",
"eqstl_weight": "3",
"eqstl_question": "Un retour VAAV en faveur d'une tachycardie atriale",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "247",
"eqstl_weight": "4",
"eqstl_question": "Un retour VAV en faveur d'une tachycardie par réentrée intra nodale typique",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "248",
"eqstl_weight": "5",
"eqstl_question": "Une manoeuvre en faveur d'une tachycardie orthodromique",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:(Rythmologie) Flutter du toit

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2367",
"eccq_base": "Brouillon",
"ebt_id": "359",
"eccq_difficulte": "1",
"eccq_contexte": "Homme de 60 ans consultation à nouveau pour palpitations. Ablation de FA il y a quelques fois, récidive sous forme de tachycardie organisée.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "410",
"ecg_comment": "Carte d'activation révélant un flutter du toit. Ligne d'ablation réalisée permettant un retour en rythme sinusal.",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "0",
"ecg_type": "Autre",
"pages": [
{
"ep_id": "415",
"ep_filename": "46t4es82xdv.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
},
{
"ep_id": "416",
"ep_filename": "a6ng0slqj7n.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "328",
"ecg_id": "410",
"emdl_id": "0",
"eqz_contexte": "Carte d'activation révélant un flutter du toit. ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": []
},
{
"eqz_id": "329",
"ecg_id": "410",
"emdl_id": "0",
"eqz_contexte": "Ligne d'ablation réalisée permettant un retour en rythme sinusal.",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": []
}
]
}
]
}

ECG Clinical case quizz:Flutter 6

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2366",
"eccq_base": "Brouillon",
"ebt_id": "351",
"eccq_difficulte": "1",
"eccq_contexte": "Un homme de 60 ans est hospitalisé pour flutter. Il a pour unique antécédent une ablation de fibrillation atriale il y a quelques mois. Le cycle du flutter est mesuré à 250 ms. Une manoeuvre est réalisée par stimulation dans l'isthme cavo tricuspide.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "409",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "413",
"ep_filename": "zf0937toop.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
},
{
"ep_id": "414",
"ep_filename": "tm65wp2prki.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "383",
"ecg_id": "409",
"emdl_id": "-2",
"eqz_contexte": "Concernant les deux tracés observés, quelles sont les propositions vraies ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "\n1. Il s’agit d’un flutter isthmique droit dépendant\n\nLe premier tracé montre un rythme spontané avec une arythmie atriale dont le cycle est mesuré à 250 ms. La sonde quadripolaire (RA 1-2 et RA 3-4) est positionnée au niveau de l’isthme cavo-tricuspide (à 6h en incidence oblique antérieure gauche X°). Une manœuvre de stimulation au niveau de l’isthme cavo-tricuspide est effectuée (cycle de stimulation à -20 ms par rapport au cycle de la tachycardie). L’analyse des signaux au dipôle proximal de la quadripolaire (RA 3-4) confirme la capture atriale. La manœuvre d’entraînement est donc interprétable. La mesure du cycle de retour s’effectue sur le dipôle de stimulation (distal – RA 1-2) entre le dernier stimulus délivré et la première activité atriale enregistrée sur ce même dipôle. Un cycle de retour à +/- 30 ms par rapport au cycle de la tachycardie indique que l’on se situe dans le circuit. Le flutter est donc isthmique droit dépendant.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "158",
"eqstl_weight": "1",
"eqstl_question": "1. Le cycle du flutter est mesuré à 250 ms",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "159",
"eqstl_weight": "2",
"eqstl_question": "1. Pour réaliser un entraînement, il faudrait stimuler à l’étage atrial à un cycle de 250 ms",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "160",
"eqstl_weight": "3",
"eqstl_question": "1. Pour réaliser un entraînement, il faudrait stimuler à l’étage atrial à un cycle de 200 ms",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "161",
"eqstl_weight": "4",
"eqstl_question": "1. La manœuvre d’entraînement est interprétable",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "162",
"eqstl_weight": "5",
"eqstl_question": "1. Il s’agit d’un flutter isthmique droit dépendant",
"eqstl_answer": {
"correct": 1
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Trouble de Conduction 1

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2397",
"eccq_base": "Brouillon",
"ebt_id": "311",
"eccq_difficulte": "1",
"eccq_contexte": "Patiente de 55 ans hospitalisée pour tachycardie. Réalisation d'une exploration électrophysiologique complète. Voici la première manoeuvre réalisée. ",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "445",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "452",
"ep_filename": "3o2sinm5idt.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "419",
"ecg_id": "445",
"emdl_id": "-2",
"eqz_contexte": "Concernant le tracé suivant, quelles sont les bonnes réponses ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "La sonde quadripolaire est positionnée au niveau du faisceau de His. On observe un allongement progressif de l’intervalle AH sans allongement du HV. La quatrième activité atriale est bloquée sans aucun potentiel Hisien visible. Par ailleurs, le potentiel Hisien est fin et non dédoublé. Il s’agit donc d’un phénomène de Wenckebach avec bloc supra-Hisien (nodal).",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "279",
"eqstl_weight": "1",
"eqstl_question": "Bloc nodal",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "280",
"eqstl_weight": "2",
"eqstl_question": "Bloc infra-hisien",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "281",
"eqstl_weight": "3",
"eqstl_question": "Phénomène de Wenckebach",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "282",
"eqstl_weight": "4",
"eqstl_question": "ESA bloquée",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "283",
"eqstl_weight": "5",
"eqstl_question": "Le potentiel Hisien semble pathologique",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:VA droite 1

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2410",
"eccq_base": "Brouillon",
"ebt_id": "353",
"eccq_difficulte": "2",
"eccq_contexte": "Enfant ",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "460",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "467",
"ep_filename": "pf8m06ybxj.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "435",
"ecg_id": "460",
"emdl_id": "-2",
"eqz_contexte": "La manoeuvre suivante est ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "343",
"eqstl_weight": "1",
"eqstl_question": "Une manoeuvre de Dandamudi",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "344",
"eqstl_weight": "2",
"eqstl_question": "En faveur d'une tachycardie atriale",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "345",
"eqstl_weight": "3",
"eqstl_question": "En faveur d'une tachycardie orthodromique",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "346",
"eqstl_weight": "4",
"eqstl_question": "En faveur d'une tachycardie par réentrée intra nodale",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "347",
"eqstl_weight": "5",
"eqstl_question": "En faveur d'une tachycardie ventriculaire",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:VA

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2407",
"eccq_base": "A valider",
"ebt_id": "353",
"eccq_difficulte": "2",
"eccq_contexte": "Enfant âgé de 10 ans exploration pré excitation",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "457",
"ecg_comment": "",
"ecg_speed": "100",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG endocavitaire",
"pages": [
{
"ep_id": "464",
"ep_filename": "svy1ykq7hgi.png",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "432",
"ecg_id": "457",
"emdl_id": "-1",
"eqz_contexte": "La manoeuvre suivante montre",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "328",
"eqstl_weight": "1",
"eqstl_question": "Une pré excitation ventriculaire maximale",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "329",
"eqstl_weight": "2",
"eqstl_question": "élimine la présence d'une conduction rétrograde par la voie accessoirre",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "330",
"eqstl_weight": "3",
"eqstl_question": "Une activité rétrograde par une voie accessoire gauche",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "331",
"eqstl_weight": "4",
"eqstl_question": "Une activité rétrograde par une voie accessoire septale",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "332",
"eqstl_weight": "5",
"eqstl_question": "Une voie accessoire probablement droite car V1 est négatif",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
}
]
}

ECG Clinical case quizz:RIN typique 01

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2380",
"eccq_base": "Entrainement",
"ebt_id": "312",
"eccq_difficulte": "2",
"eccq_contexte": "Patient de 35 ans, oppression thoracique et palpitations. ",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "424",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "430",
"ep_filename": "gfgc9d2hgq4.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "398",
"ecg_id": "424",
"emdl_id": "-2",
"eqz_contexte": "Quelles sont vos hypothèses diagnostiques ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "213",
"eqstl_weight": "1",
"eqstl_question": "tachycardie sinusale",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "214",
"eqstl_weight": "2",
"eqstl_question": "flutter commun",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "215",
"eqstl_weight": "3",
"eqstl_question": "RIN typique",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "216",
"eqstl_weight": "4",
"eqstl_question": "tachycardie réciproque orthodromique",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "217",
"eqstl_weight": "5",
"eqstl_question": "TAF",
"eqstl_answer": {
"correct": 1
}
}
]
},
{
"eqz_id": "399",
"ecg_id": "424",
"emdl_id": "-7",
"eqz_contexte": "Que réalisez vous comme test pour avancer dans le diagnostic ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "218",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "test à l'adénosine, test à la striadyne, manoeuvres vagales"
}
}
]
}
]
},
{
"ecg_id": "425",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "3",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "431",
"ep_filename": "9zzpip1so9.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "400",
"ecg_id": "425",
"emdl_id": "-7",
"eqz_contexte": "Vous réalisez donc un test à l'adénosine . Quel est votre diagnostic ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "1",
"questions": [
{
"eqstl_id": "219",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "RIN typique"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Hyperkaliémie

2026-07-30T09:46:06Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2368",
"eccq_base": "A valider",
"ebt_id": "312",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 70ans, insuffisant rénal chronique, implanté d'un pacemaker double chambre, hospitalisé pour prise en charge de tétraparésies",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "411",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "417",
"ep_filename": "scuu89qx0yl.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-kwpibq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-kwpibq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-kwpibq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-kwpibq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-kwpibq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-kwpibq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-kwpibq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-kwpibq\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs>"
}
],
"quizzes": [
{
"eqz_id": "384",
"ecg_id": "411",
"emdl_id": "-7",
"eqz_contexte": "Quel trouble ionique suspectez vous ? ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Le bilan biologique met en évidence une hyperkaliémie à 9,2 mmol/L. \n\nLes signes ECG présents sur ce tracé sont les suivants: \n-élargissement des QRS\n-ondes T amples et pointes avec une pente ascendante\n-aspect en V1-V2 d'une phénocopie du syndrome de Brugada",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "163",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "Hyperkaliémie"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Artéfacts

2026-07-30T09:46:04Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "1673",
"eccq_base": "A valider",
"ebt_id": "312",
"eccq_difficulte": "2",
"eccq_contexte": "Consultation anesthésie. Pas de pathologie cardiaque connue.",
"eccq_remarque": "On dirait une FA, mais la lecture de DIII révèle une onde P devant chaque QRS (idem en précordiales) ; de plus les QRS sont parfaitement réguliers et de fréquence normale. C'est un RS avec artéfacts . Piège fréquent. Attention à nien mesurer tous les QT (ici QT long)",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "39",
"ecg_comment": "DIII est épargné par les artéfacts. QT long à ne pas rater",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "3",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "39",
"ep_filename": "64b6a738d34de.png",
"ep_pixels_cm": "175.8",
"ep_caliper_color": "#00008B",
"eccqp_svg_correction": ""
}
],
"quizzes": [
{
"eqz_id": "44",
"ecg_id": "39",
"emdl_id": "523",
"eqz_contexte": "",
"emdl_name": "Externe",
"eqz_bareme": "1",
"eqz_remarque": "",
"eqz_wait_previous": "0",
"solutions": {
"14136": "0",
"14137": "0",
"14138": "979",
"14139": "61",
"14140": "193",
"14141": "100",
"14142": "470",
"14143": "475",
"14266": "0",
"14267": "0",
"14268": "0",
"14269": "0",
"14144": "0",
"14145": "1",
"14146": "0",
"14147": "0",
"14148": "0",
"14149": "1",
"14150": "0",
"14151": "979",
"14152": "61",
"14153": "0",
"14154": "0",
"14155": "0",
"14156": "0",
"14157": "0",
"14158": "0",
"14159": "0",
"14160": "0",
"14161": "0",
"14162": "193",
"14163": "0",
"14164": "0",
"14165": "0",
"14166": "0",
"14167": "0",
"14168": "0",
"14169": "0",
"14170": "0",
"14172": "0",
"14173": "0",
"14174": "979",
"14175": "0",
"14176": "0",
"14177": "0",
"14178": "0",
"14179": "0",
"14180": "0",
"14181": "0",
"14182": "0",
"14183": "0",
"14184": "0",
"14185": "0",
"14186": "0",
"14187": "0",
"14171": "0",
"14188": "0",
"14189": "0",
"14190": "0",
"14191": "0",
"14192": "0",
"14193": "0",
"14270": "0",
"14194": "0",
"14255": "0",
"14256": "0",
"14257": "0",
"14261": "0",
"14195": "0",
"14196": "0",
"14197": "0",
"14198": "0",
"14199": "0",
"14200": "100",
"14201": "0",
"14202": "0",
"14203": "0",
"14204": "0",
"14205": "0",
"14206": "0",
"14207": "0",
"14208": "0",
"14209": "0",
"14210": "0",
"14211": "0",
"14212": "0",
"14213": "0",
"14214": "0",
"14263": "0",
"14215": "0",
"14216": "0",
"14217": "0",
"14218": "0",
"14219": "0",
"14220": "0",
"14221": "0",
"14222": "0",
"14223": "0",
"14224": "0",
"14225": "0",
"14226": "0",
"14227": "0",
"14228": "0",
"14229": "0",
"14230": "0",
"14231": "0",
"14232": "0",
"14233": "0",
"14234": "0",
"14235": "0",
"14236": "0",
"14237": "0",
"14238": "0",
"14260": "0",
"14239": "0",
"14240": "0",
"14241": "0",
"14242": "0",
"14243": "0",
"14245": "0",
"14244": "0",
"14246": "0",
"14247": "0",
"14265": "0",
"14248": "0",
"14264": "0",
"14262": "0",
"14259": "0",
"14249": "0",
"14250": "1",
"14251": "470",
"14252": "979",
"14253": "475",
"14254": "1",
"14258": "0"
}
},
{
"eqz_id": "332",
"ecg_id": "366",
"emdl_id": "-1",
"eqz_contexte": "Que suspectez vous sur ce tracé ECG ? ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Il s'agit d'une tachycardie sinusale. \nLe rythme sinusal est ici masqué par des artéfacts électriques (consécutifs à des trémulations musculaires), les dérivations V1 et V6 permettent de visualiser les QRS et les ondes P plus distinctement. ",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "7",
"eqstl_weight": "1",
"eqstl_question": "Fibrillation atriale",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "8",
"eqstl_weight": "2",
"eqstl_question": "Tachycardie sinusale",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "9",
"eqstl_weight": "3",
"eqstl_question": "Flutter atrial",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "10",
"eqstl_weight": "4",
"eqstl_question": "Tachycardie ventriculaire",
"eqstl_answer": {
"correct": 0
}
}
]
}
]
},
{
"ecg_id": "366",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "366",
"ep_filename": "j695jxxr97.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-ixa7qr\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-ixa7qr\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-ixa7qr\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-ixa7qr\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-ixa7qr\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-ixa7qr\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-ixa7qr\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-ixa7qr\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><line x1=\"140.0709320817729\" y1=\"689.9145909369312\" x2=\"140.0709320817729\" y2=\"658.594382521131\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-ixa7qr)\" transform=\"scale(1.149417638671875)\"></line><line x1=\"200.10133154538985\" y1=\"689.9145909369312\" x2=\"200.10133154538985\" y2=\"658.594382521131\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-ixa7qr)\" transform=\"scale(1.149417638671875)\"></line><line x1=\"261.54024315176684\" y1=\"688.989866845461\" x2=\"261.54024315176684\" y2=\"657.989866845461\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-ixa7qr)\" transform=\"scale(1.149417638671875)\"></line><line x1=\"318.0804863035337\" y1=\"688.9797336909221\" x2=\"318.0804863035337\" y2=\"657.9797336909221\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-ixa7qr)\" transform=\"scale(1.149417638671875)\"></line><line x1=\"265\" y1=\"749\" x2=\"265\" y2=\"718\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-ixa7qr)\" transform=\"scale(1.149417638671875)\"></line><line x1=\"379.8902720984058\" y1=\"688.5098436881498\" x2=\"379.8902720984058\" y2=\"657.5098436881498\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-ixa7qr)\" transform=\"scale(1.149417638671875)\"></line>"
}
],
"quizzes": []
}
]
}

ECG Clinical case quizz:Amylose cardiaque

2026-07-30T09:46:04Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2329",
"eccq_base": "A valider",
"ebt_id": "312",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 80ans aux antécédents d'insuffisance rénale, de neuropathie périphérique et de fibrillation atriale persistante, hospitalisé pour prise en charge d'un tableau de décompensation cardiaque globale.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "365",
"ecg_comment": "ECG notant un microvoltage, un rabotage diffus des ondes R (ou ondes Q de pseudo-nécrose).\nIl pourrait être évoqué le diagnostic d'amylose cardiaque \n",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "365",
"ep_filename": "2fcd0r0yaku.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"118.89138576779027\" y=\"171.3774531835206\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(1.04296875)\">microvoltage</text><text x=\"609.7977528089888\" y=\"30.433632958801493\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(1.04296875)\">rabotage des ondes R</text><line x1=\"562.816479400749\" y1=\"141.90262172284645\" x2=\"587.7453183520599\" y2=\"174.50187265917603\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-tb9ew6)\" transform=\"scale(1.04296875)\"></line>"
}
],
"quizzes": [
{
"eqz_id": "330",
"ecg_id": "365",
"emdl_id": "-2",
"eqz_contexte": "Quelles anomalies ECG pouvez vous relever sur ce tracé ? ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "ECG notant un microvoltage, un rabotage des ondes R de V1 à V4 (ou ondes Q de pseudo-nécrose).\n\n",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "1",
"eqstl_weight": "1",
"eqstl_question": "microvoltage diffus",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "2",
"eqstl_weight": "2",
"eqstl_question": "bloc de branche gauche",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "3",
"eqstl_weight": "3",
"eqstl_question": "rabotage des ondes R",
"eqstl_answer": {
"correct": 1
}
},
{
"eqstl_id": "4",
"eqstl_weight": "4",
"eqstl_question": "hypertrophie ventriculaire gauche",
"eqstl_answer": {
"correct": 0
}
},
{
"eqstl_id": "5",
"eqstl_weight": "5",
"eqstl_question": "bloc de branche droit",
"eqstl_answer": {
"correct": 0
}
}
]
},
{
"eqz_id": "331",
"ecg_id": "365",
"emdl_id": "-7",
"eqz_contexte": "L'ETT réalisée note une FEVG préservée. \nQuel diagnostic pouvez vous évoquer ? ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Il pourrait être évoqué le diagnostic d'amylose cardiaque au vu du contexte clinique et du tracé ECG. \n\nLes signes ECG possibles (non spécifiques et non systématiques) de l'amylose cardiaque sont : \n\\- microvoltage\n\\- rabotage des ondes R ou ondes Q de pseudo\\-nécrose\n\\- troubles du rythme supraventriculaires\n\\- dysfonction sinusale\n\\- blocs de branche\n\n",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "6",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "amylose cardiaque"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Tamponnade

2026-07-30T09:46:04Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2394",
"eccq_base": "A valider",
"ebt_id": "312",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 80ans, suivi dans le cadre d'une néoplasie pulmonaire, adressé aux urgences pour dyspnée.\nL'examen clinique met en évidence une TA 90/60 et une turgescence jugulaire. ",
"eccq_remarque": "Il s'agit d'une tamponnade.\nLes signes ECG présents sont :\n\n* tachycardie\n* microvoltage\n* alternance électrique",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "439",
"ecg_comment": "Il s'agit d'une tamponnade.\nLes signes ECG présents sont : \n- tachycardie\n- microvoltage\n- alternance électrique\n",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "448",
"ep_filename": "u9zropqf7li.webp",
"ep_pixels_cm": "0",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-i8bwsw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-i8bwsw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-i8bwsw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-i8bwsw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-i8bwsw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-i8bwsw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-i8bwsw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-i8bwsw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><line x1=\"576.8138383243195\" y1=\"371.4924720429629\" x2=\"576.8138383243195\" y2=\"347.132309941785\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-i8bwsw)\" transform=\"scale(1.149417638671875)\"></line><line x1=\"531.5735372792748\" y1=\"357.57237941371847\" x2=\"531.5735372792748\" y2=\"337.56224625917946\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-i8bwsw)\" transform=\"scale(1.149417638671875)\"></line><line x1=\"621.4704689355503\" y1=\"360.46989000277216\" x2=\"621.4704689355503\" y2=\"340.46989000277216\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-i8bwsw)\" transform=\"scale(1.149417638671875)\"></line><line x1=\"664.7304573568948\" y1=\"370.1198610561332\" x2=\"664.7304573568948\" y2=\"346.1198610561332\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-i8bwsw)\" transform=\"scale(1.149417638671875)\"></line><line x1=\"707.9904457782392\" y1=\"360.8598726347888\" x2=\"707.9904457782392\" y2=\"340.8598726347888\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-i8bwsw)\" transform=\"scale(1.149417638671875)\"></line><text x=\"550.713664644486\" y=\"406.93264572279634\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(1.149417638671875)\"></text><text x=\"534.1835546472581\" y=\"397.3625820401908\" fill=\"rgb(0, 0, 255)\" font-size=\"24px\" transform=\"scale(1.149417638671875)\"></text><text x=\"467.19310886901894\" y=\"397.3625820401908\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(1.149417638671875)\">Alternance électrique des QRS</text><text x=\"518.523450439358\" y=\"644.4442262092809\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(1.149417638671875)\">microvoltage</text><text x=\"555.9336993804527\" y=\"123.82078734857835\" font-family=\"Arial\" font-size=\"24\" fill=\"black\" transform=\"scale(1.149417638671875)\">microvoltage</text>"
}
],
"quizzes": [
{
"eqz_id": "415",
"ecg_id": "439",
"emdl_id": "-7",
"eqz_contexte": "Quel diagnostic pouvez vous évoquer devant ce tracé ECG ? ",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Il s'agit d'un tracé pouvant évoquer le diagnostic de tamponnade.\n\nLes signes ECG présents sont :\n\n* -tachycardie\n* -microvoltage\n* -alternance électrique",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "273",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "Tamponnade"
}
}
]
}
]
}
]
}

ECG Clinical case quizz:Ebstein

2026-07-30T09:46:04Z

Ecgadmin : Merge sandbox: regenerate JSON

{
"ecc_id": "2353",
"eccq_base": "Entrainement",
"ebt_id": "342",
"eccq_difficulte": "1",
"eccq_contexte": "Patient de 15 ans consulte pour dyspnée. Il est arrivé en France récemment, mais sa dyspnée a débuté il y a plusieurs années déjà.",
"eccq_remarque": "",
"eccq_admin_note": "",
"clinical_exams": [
{
"ecg_id": "392",
"ecg_comment": "",
"ecg_speed": "25",
"ecg_gain": "10",
"ecg_quality": "4",
"ecg_type": "ECG standard",
"pages": [
{
"ep_id": "393",
"ep_filename": "32sd32cqy22.webp",
"ep_pixels_cm": "127.705",
"ep_caliper_color": "#00008b",
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-dylhe9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-dylhe9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-dylhe9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-dylhe9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-dylhe9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-dylhe9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-dylhe9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-dylhe9\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"410.2819089900111\" y=\"30.575434683684804\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Anomalie d'Ebstein</text><line x1=\"525.0699223085461\" y1=\"123.8801331853496\" x2=\"554.6193118756937\" y2=\"82.96559378468369\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-dylhe9)\" transform=\"scale(0.8798828125)\"></line><text x=\"321.6337402885682\" y=\"154.45556786903444\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Faible voltage dans les précordiales droites</text><line x1=\"584.1687014428413\" y1=\"252.30632630410656\" x2=\"567.1209766925638\" y2=\"205.70921198668145\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-dylhe9)\" transform=\"scale(0.8798828125)\"></line><text x=\"368.23085460599333\" y=\"281.74524600443954\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">BBD atypique avec fragmentation terminale des QRS</text>"
}
],
"quizzes": [
{
"eqz_id": "362",
"ecg_id": "392",
"emdl_id": "-7",
"eqz_contexte": "Quelle est la cardiopathie congénitale sous-jacente la plus probable d'après cet ECG ?",
"emdl_name": null,
"eqz_bareme": "1",
"eqz_remarque": "Le BBD atypique avec la fragmentation terminale des QRS (qui reflète la dépolarisation retardée de la partie atrialisée du VD) et le micro voltage dans les dérivations précordiales droites (en lien avec la diminution du VD fonctionnel) plaident en faveur d'une anomalie d'Ebstein. Les autres signes ECG fréquemment observés sont une éventuelle pré excitation ventriculaire en cas de voie accessoire, ou des ondes P très amples devant la dilatation atriale droite.",
"eqz_wait_previous": "0",
"questions": [
{
"eqstl_id": "100",
"eqstl_weight": "1",
"eqstl_question": null,
"eqstl_answer": {
"solution": "Anomalie d'Ebstein"
}
}
]
}
]
}
]
}