« ECG Clinical case quizz:Ebstein 2 » : différence entre les versions
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{ | { | ||
"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" | |||
} | |||
} | |||
] | |||
} | |||
] | |||
} | |||
] | |||
} | } | ||