{"id":328258,"date":"2021-08-21T02:00:00","date_gmt":"2021-08-21T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/diagnostic-non-invasif-pour-les-cas-suspects\/"},"modified":"2021-08-21T02:00:00","modified_gmt":"2021-08-21T00:00:00","slug":"diagnostic-non-invasif-pour-les-cas-suspects","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/diagnostic-non-invasif-pour-les-cas-suspects\/","title":{"rendered":"Diagnostic non invasif pour les cas suspects"},"content":{"rendered":"<p><strong>En cas de suspicion de maladie coronarienne, la question se pose de savoir quelle est la meilleure approche diagnostique. Il convient d&#8217;\u00e9viter les examens invasifs inutiles&nbsp;, tout en \u00e9valuant de mani\u00e8re fiable le risque individuel. Une m\u00e9thode de diagnostic moderne, bas\u00e9e sur les principes de l&#8217;auscultation, pourrait combler cette lacune diagnostique.<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p>Depuis longtemps d\u00e9j\u00e0, de nouvelles m\u00e9thodes sont demand\u00e9es pour une meilleure \u00e9valuation du risque de maladie coronarienne. L&#8217;ECG d&#8217;effort a \u00e9t\u00e9 r\u00e9trograd\u00e9 dans les lignes directrices 2019 de l&#8217;ESC et n&#8217;est plus recommand\u00e9 qu&#8217;en tant que test alternatif si aucune autre m\u00e9thode d&#8217;imagerie non invasive ou invasive n&#8217;est disponible. Par cons\u00e9quent, il faut repenser fondamentalement le diagnostic non invasif de la maladie coronarienne. Le fabricant de technologies m\u00e9dicales su\u00e9do-danois Acarix AB propose un nouveau test d&#8217;exclusion acoustique ultrasensible. Le syst\u00e8me CADScor\u00ae utilise un microphone tr\u00e8s sensible pour d\u00e9tecter les bruits d&#8217;\u00e9coulement caus\u00e9s par les plaques d&#8217;ath\u00e9roscl\u00e9rose coronaire. Un petit enregistreur est plac\u00e9 sur la peau juste au-dessus du c\u0153ur et analyse les bruits d&#8217;\u00e9coulement en quatre s\u00e9ries de mesures. En utilisant d&#8217;autres donn\u00e9es cliniques, l&#8217;appareil calcule ensuite un score de risque de maladie coronarienne (&#8220;score CAD&#8221;). Avec une probabilit\u00e9 pr\u00e9dictive n\u00e9gative \u00e9lev\u00e9e (NPV, &#8220;negative predictive value&#8221;) de 97,2%, le r\u00e9sultat permet d&#8217;exclure une coronaropathie obstructive et de poser les jalons diagnostiques et th\u00e9rapeutiques ult\u00e9rieurs. Chez les patients pr\u00e9sentant une douleur thoracique stable, le syst\u00e8me Acarix CADScor\u00ae constitue donc une m\u00e9thode simple et s\u00fbre pour exclure une maladie coronarienne.<\/p>\n<p><em>Source : &#8220;Exclusion de la maladie coronarienne en cas de douleur thoracique stable&#8221;, Acarix AB \/ Bodenwinkler MedTec GmbH, 2021.<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><em>CARDIOVASC 2021 ; 20(2) : 33<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>En cas de suspicion de maladie coronarienne, la question se pose de savoir quelle est la meilleure approche diagnostique. Il convient d&#8217;\u00e9viter les examens invasifs inutiles&nbsp;, tout en \u00e9valuant de&hellip;<\/p>\n","protected":false},"author":7,"featured_media":109535,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Maladie coronarienne","footnotes":""},"category":[11378,11545,11549],"tags":[19410,14907],"powerkit_post_featured":[],"class_list":["post-328258","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cardiologie","category-marche-medecine","category-rx-fr","tag-infarctus-du-myocarde","tag-maladie-coronarienne","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-06-14 23:38:16","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":328264,"slug":"diagnostica-non-invasiva-per-i-casi-sospetti","post_title":"Diagnostica non invasiva per i casi sospetti","href":"https:\/\/medizinonline.com\/it\/diagnostica-non-invasiva-per-i-casi-sospetti\/"},"pt_PT":{"locale":"pt_PT","id":328271,"slug":"diagnosticos-nao-invasivos-para-casos-suspeitos","post_title":"Diagn\u00f3sticos n\u00e3o invasivos para casos suspeitos","href":"https:\/\/medizinonline.com\/pt-pt\/diagnosticos-nao-invasivos-para-casos-suspeitos\/"},"es_ES":{"locale":"es_ES","id":328277,"slug":"diagnosticos-no-invasivos-para-casos-sospechosos","post_title":"Diagn\u00f3sticos no invasivos para casos sospechosos","href":"https:\/\/medizinonline.com\/es\/diagnosticos-no-invasivos-para-casos-sospechosos\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/328258","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=328258"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/328258\/revisions"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=328258"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=328258"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=328258"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=328258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}