« ECG Clinical case quizz:TV fasciculaire » : différence entre les versions
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{ | { | ||
"ecc_id": "2391", | |||
"eccq_base": "A valider", | |||
"ebt_id": "363", | |||
"eccq_difficulte": "1", | |||
"eccq_contexte": "Patient âgé de 46 ans, palpitations depuis une dizaine d'heures, aucun antécédent.\nPrise en charge en SAUV, absence de modification ECG après administration de 20mg d'adénosine bien administrée", | |||
"eccq_remarque": "", | |||
"eccq_admin_note": "", | |||
"clinical_exams": [ | |||
{ | |||
"ecg_id": "436", | |||
"ecg_comment": "", | |||
"ecg_speed": "25", | |||
"ecg_gain": "10", | |||
"ecg_quality": "0", | |||
"ecg_type": "ECG standard", | |||
"pages": [ | |||
{ | |||
"ep_id": "444", | |||
"ep_filename": "o9hptr8qpz.png", | |||
"ep_pixels_cm": "35.8322", | |||
"ep_caliper_color": "#00008b", | |||
"eccqp_svg_correction": "" | |||
}, | |||
{ | |||
"ep_id": "445", | |||
"ep_filename": "vg10uzpetf9.png", | |||
"ep_pixels_cm": "36.642", | |||
"ep_caliper_color": "#00008b", | |||
"eccqp_svg_correction": "" | |||
} | |||
], | |||
"quizzes": [ | |||
{ | |||
"eqz_id": "411", | |||
"ecg_id": "436", | |||
"emdl_id": "-2", | |||
"eqz_contexte": "Quel diagnostic parait le plus probable", | |||
"emdl_name": null, | |||
"eqz_bareme": "1", | |||
"eqz_remarque": "L'aspect est ici typique d'une TV fasciculaire avec un aspect de bloc droit associé à un hémibloc antérieur gauche, ces arythmies étant généralement liées à des réentrées entre l'hémibranche postérieure gauche et du tissu de Purkinje anormal.", | |||
"eqz_wait_previous": "0", | |||
"questions": [ | |||
{ | |||
"eqstl_id": "259", | |||
"eqstl_weight": "1", | |||
"eqstl_question": "Tachycardie jonctionnel automatique (JET)", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "260", | |||
"eqstl_weight": "2", | |||
"eqstl_question": "Tachycardie ventriculaire infindibulaire", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "261", | |||
"eqstl_weight": "3", | |||
"eqstl_question": "Tachycardie ventriculaire de branche à branche", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "262", | |||
"eqstl_weight": "4", | |||
"eqstl_question": "Tachycardie ventriculaire fasciculaire", | |||
"eqstl_answer": { | |||
"correct": 1 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "263", | |||
"eqstl_weight": "5", | |||
"eqstl_question": "Tachycardie ventriculaire sur séquelle ischémique", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
} | |||
] | |||
}, | |||
{ | |||
"eqz_id": "412", | |||
"ecg_id": "436", | |||
"emdl_id": "-2", | |||
"eqz_contexte": "L'échocardiographie de débrouillage ne met pas en évidence d'anomalie, l'arythmie est bien tolérée. Vous émettez l'hypothèse d'une tachycardie ventriculaire fasciculaire, quel traitement doit être utilisé dans cette situation", | |||
"emdl_name": null, | |||
"eqz_bareme": "1", | |||
"eqz_remarque": "Il s'agit du traitement de choix pour ce type d'arythmie", | |||
"eqz_wait_previous": "0", | |||
"questions": [ | |||
{ | |||
"eqstl_id": "264", | |||
"eqstl_weight": "1", | |||
"eqstl_question": "Un bétabloquant", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "265", | |||
"eqstl_weight": "2", | |||
"eqstl_question": "Un inhibiteur calcique bradycardisant", | |||
"eqstl_answer": { | |||
"correct": 1 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "266", | |||
"eqstl_weight": "3", | |||
"eqstl_question": "De l'amiodarone", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "267", | |||
"eqstl_weight": "4", | |||
"eqstl_question": "De la flécaïne", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "268", | |||
"eqstl_weight": "5", | |||
"eqstl_question": "Une cardioversion électrique", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
} | |||
] | |||
} | |||
] | |||
} | |||
] | |||
} | } | ||