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Arrêt cardiaque : facteurs et marqueurs de risque
REVUE DE PRESSE
++.POTVF[
ElFOUSFUJFO QBS MlBQJYBCBO FTU TVQ¿ SJFVS DIF[ MFT QBUJFOUT SFDFWBOU BVTTJ EV DMPQJEPHSFM FO UFSNFT EF S¿EVD UJPO El¿W¿OFNFOUT DBSEJPWBTDVMBJSFT TFDPOEBJSFT NBJT FO SFWBODIF MF OPNCSF ElBDDJEFOUT I¿NPSSBHJRVFT FTUEPVCMFEBOTDFTPVTHSPVQF "113"*4& TUFFSJOH DPNNJUUFF BOE JOWFTUJHBUPST "QJYBCBO BOPSBM EJSFDU TFMFDUJWFGBDUPS 9BJOIJCJUPS JODPNCJOBUJPOXJUIBOUJQMB UFMFU UIFSBQZ BGUFS BDVUF DPSPOBSZ TZO ESPNF$JSDVMBUJPO
"VWVEFDFTEFVY¿UVEFT MFTJOEJDB UJPOT EFT JOIJCJUFVST T¿MFDUJGT EV GBDUFVS 9B EBOT MFT TZOESPNFT DPSP OBJSFT BJHVT SFTUFOU JODFSUBJOFT 1BS SBQQPSU¶Ml)/' JMTPOUMlBWBOUBHFEF MBQS¿EJDUJCJMJU¿ElFGGFUQIBSNBDPMPHJ RVF RVJ¿WJUFMBTVSWFJMMBODFEFMlI¿ NPTUBTF FU EF MlBCTFODF EF UISPNCPQ¿OJFJOEVJUF-FVSEFNJWJF DPVSUFFUEFMFVS¿MJNJOBUJPOFOQBSUJF OPO S¿OBMF FO GBDJMJUF BVTTJ MlFNQMPJ /¿BONPJOT MB QMBDF ¶ MFVS EPOOFS EPJU QSFOESF FO DPNQUF MFT BVUSFT JNQ¿SBUJGT EF MB QSJTF FO DIBSHF EFT 4$" QBSNJMFTRVFMTMlBQQSPDIFJOUFS WFOUJPOOFMMF FU TFT TBUFMMJUFT JNN¿ EJBUT RVF TPOU MFT BOUJQMBRVFUUBJSFT EPOU MF DMPQJEPHSFM FU MF SJTRVF I¿NPSSBHJRVF NBKPS¿ UBOU QPVS MB QIBTF BJHVF RVF QPVS MF TVJWJ VMU¿ SJFVS FO QBSUJDVMJFS EBOT MFT NPJT JOJUJBVY¿UVEJ¿TQBS"113"*4& &JLFMCPPN+8 8FJU[+* 0UBNJYBCBO JO BDVUF DPSPOBSZ TZOESP NFT-BODFU
"SSÀUDBSEJBRVFGBDUFVST FUNBSRVFVSTEFSJTRVF Rythmologie -B QSJTF FO DIBSHF EF MB NPSU TVCJUF QS¿IPTQJUBMJ¾SF B DIBOH¿ EFQVJT MFT OPVWFMMFT SFDPNNBOEBUJPOT EF GBWPSJTBOU MF NBTTBHF DBSEJBRVF FO BVHNFOUBOU MF SBQQPSU OPNCSF EF DPNQSFTTJPOTJOTVGGMBUJPOT FU FO QS¿D¿EBOU MB E¿GJCSJMMBUJPO ElVO NBTTBHF FYUFSOF ¶ MB QIBTF EJUF DJSDVMBUPJSFEFMlBSSÀU EFMBF¶MB FNJOVUF E¿MBJElBSSJW¿FEFTTFDPVST N¿EJDBMJT¿TMFQMVTGS¿RVFOU -FTFSWJDF ElVSHFODF QS¿IPTQJUBMJFS EF ,BOTBT $JUZ ¿RVJWBMFOUEFOPUSF4".6 NBJT BWFDEFT¿RVJQFTEFQPNQJFSTEBOTMFT BNCVMBODFTEFQSFNJ¾SFJOUFSWFOUJPO B DPNQBS¿ MF QSPOPTUJD EFT BSSÀUT TVSWFOVT EBOT MFT NPJT RVJ POU QS¿D¿E¿ MF DIBOHFNFOU EF SFDPN NBOEBUJPOT SBQQPSU DPNQSFTTJPOT JOTVGGMBUJPO FUEFDFVYTVSWFOVT EBOT MFT NPJT RVJ POU TVJWJ DPNQSFTTJPOTQPVSJOTVGGMBUJPOT -l¿UVEFFTUJOU¿SFTTBOUFDPNQUFUFOV EV OPNCSF ElVSHFODFT FYUSBIPTQJUB MJ¾SFT QSJTFT FO DIBSHFT QPQVMBUJPO EF IBCJUBOUT BQQFMT BOOVFMT BSSÀUT DBSEJBRVFT QBS
BO QBSMFNÀNFPSHBOJTNF EPOUMFT QSBUJRVFTTPOUTUBOEBSEJT¿FT -FUBVY EF TVSWJF FU EF TPSUJF TFDPOEBJSF EF MlIÊQJUBM TlBN¿MJPSFOU BV DPVST EF MB TFDPOEF Q¿SJPEF 1BSBMM¾MFNFOU MF OPNCSF EF QBUJFOUT QS¿TFOUBOU EFT T¿RVFMMFT OFVSPMPHJRVFT FU MFVS JNQPSUBODF EJNJOVFOU "JOTJ TVSMlFOTFNCMFEFTNBMBEFTQSJT FO DIBSHF QPVS VOF NPSU TVCJUF DBSEJBRVF MB QSPQPSUJPO EF DFVY RVJ TVSWJWFOUFUTPSUFOUFOTVJUFEFMlIÊQJ UBM WJWBOUT BVHNFOUF EF EBOT MB Q¿SJPEF U¿NPJO ¶ BQS¾TMBOPVWFMMFQSJTF FODIBSHF$FUUFQSPQPSUJPOFTUFODPSF QMVTJNQPSUBOUFMPSTRVFMlBSSÀUDBSEJB RVFBMJFVFOQS¿TFODFEFU¿NPJOT FU RVlJMFTUMJ¿¶VOFGJCSJMMBUJPOWFOUSJDV MBJSF DlFTU¶EJSF BDDFTTJCMF ¶ VOF ¿WFOUVFMMF E¿GJCSJMMBUJPO UBCMFBV WJEFNNFOU DF EFSOJFS BTQFDU TPVMJ HOFUPVUMlJOU¿SÀUEFMl¿EVDBUJPOEFMB QPQVMBUJPO FU EF MB EJTQPOJCJMJU¿ EF E¿GJCSJMMBUFVSTTVSMFTMJFVYQVCMJDT (SB[B "( (SBUUPO .$ 4BMPNPOF +"
FUBM *NQSPWFE QBUJFOU TVSWJWBM VTJOH B NPEJ GJFESFTVTDJUBUJPOQSPUPDPMGPSPVUPGIPT QJUBM DBSEJBD BSSFTU $JSDVMBUJPO
Tableau 3. D’après Graza, et al Rapport C/V : 5/1
Rapport C/V : 50/2
Patients avec FV et témoins, N
143
57
Odds Ratio
Restauration hémodynamique spontanée, N (%)
54 (37,8)
34 (59,6)
2,44
Sortie de l’hôpital, N (%)
32 (22,4)
25 (43,9)
2,71
".$QSBUJRVFOOPWFNCSF
++.POTVF[
ElFOUSFUJFO QBS MlBQJYBCBO FTU TVQ¿ SJFVS DIF[ MFT QBUJFOUT SFDFWBOU BVTTJ EV DMPQJEPHSFM FO UFSNFT EF S¿EVD UJPO El¿W¿OFNFOUT DBSEJPWBTDVMBJSFT TFDPOEBJSFT NBJT FO SFWBODIF MF OPNCSF ElBDDJEFOUT I¿NPSSBHJRVFT FTUEPVCMFEBOTDFTPVTHSPVQF "113"*4& TUFFSJOH DPNNJUUFF BOE JOWFTUJHBUPST "QJYBCBO BOPSBM EJSFDU TFMFDUJWFGBDUPS 9BJOIJCJUPS JODPNCJOBUJPOXJUIBOUJQMB UFMFU UIFSBQZ BGUFS BDVUF DPSPOBSZ TZO ESPNF$JSDVMBUJPO
"VWVEFDFTEFVY¿UVEFT MFTJOEJDB UJPOT EFT JOIJCJUFVST T¿MFDUJGT EV GBDUFVS 9B EBOT MFT TZOESPNFT DPSP OBJSFT BJHVT SFTUFOU JODFSUBJOFT 1BS SBQQPSU¶Ml)/' JMTPOUMlBWBOUBHFEF MBQS¿EJDUJCJMJU¿ElFGGFUQIBSNBDPMPHJ RVF RVJ¿WJUFMBTVSWFJMMBODFEFMlI¿ NPTUBTF FU EF MlBCTFODF EF UISPNCPQ¿OJFJOEVJUF-FVSEFNJWJF DPVSUFFUEFMFVS¿MJNJOBUJPOFOQBSUJF OPO S¿OBMF FO GBDJMJUF BVTTJ MlFNQMPJ /¿BONPJOT MB QMBDF ¶ MFVS EPOOFS EPJU QSFOESF FO DPNQUF MFT BVUSFT JNQ¿SBUJGT EF MB QSJTF FO DIBSHF EFT 4$" QBSNJMFTRVFMTMlBQQSPDIFJOUFS WFOUJPOOFMMF FU TFT TBUFMMJUFT JNN¿ EJBUT RVF TPOU MFT BOUJQMBRVFUUBJSFT EPOU MF DMPQJEPHSFM FU MF SJTRVF I¿NPSSBHJRVF NBKPS¿ UBOU QPVS MB QIBTF BJHVF RVF QPVS MF TVJWJ VMU¿ SJFVS FO QBSUJDVMJFS EBOT MFT NPJT JOJUJBVY¿UVEJ¿TQBS"113"*4& &JLFMCPPN+8 8FJU[+* 0UBNJYBCBO JO BDVUF DPSPOBSZ TZOESP NFT-BODFU
"SSÀUDBSEJBRVFGBDUFVST FUNBSRVFVSTEFSJTRVF Rythmologie -B QSJTF FO DIBSHF EF MB NPSU TVCJUF QS¿IPTQJUBMJ¾SF B DIBOH¿ EFQVJT MFT OPVWFMMFT SFDPNNBOEBUJPOT EF GBWPSJTBOU MF NBTTBHF DBSEJBRVF FO BVHNFOUBOU MF SBQQPSU OPNCSF EF DPNQSFTTJPOTJOTVGGMBUJPOT FU FO QS¿D¿EBOU MB E¿GJCSJMMBUJPO ElVO NBTTBHF FYUFSOF ¶ MB QIBTF EJUF DJSDVMBUPJSFEFMlBSSÀU EFMBF¶MB FNJOVUF E¿MBJElBSSJW¿FEFTTFDPVST N¿EJDBMJT¿TMFQMVTGS¿RVFOU -FTFSWJDF ElVSHFODF QS¿IPTQJUBMJFS EF ,BOTBT $JUZ ¿RVJWBMFOUEFOPUSF4".6 NBJT BWFDEFT¿RVJQFTEFQPNQJFSTEBOTMFT BNCVMBODFTEFQSFNJ¾SFJOUFSWFOUJPO B DPNQBS¿ MF QSPOPTUJD EFT BSSÀUT TVSWFOVT EBOT MFT NPJT RVJ POU QS¿D¿E¿ MF DIBOHFNFOU EF SFDPN NBOEBUJPOT SBQQPSU DPNQSFTTJPOT JOTVGGMBUJPO FUEFDFVYTVSWFOVT EBOT MFT NPJT RVJ POU TVJWJ DPNQSFTTJPOTQPVSJOTVGGMBUJPOT -l¿UVEFFTUJOU¿SFTTBOUFDPNQUFUFOV EV OPNCSF ElVSHFODFT FYUSBIPTQJUB MJ¾SFT QSJTFT FO DIBSHFT QPQVMBUJPO EF IBCJUBOUT BQQFMT BOOVFMT BSSÀUT DBSEJBRVFT QBS
BO QBSMFNÀNFPSHBOJTNF EPOUMFT QSBUJRVFTTPOUTUBOEBSEJT¿FT -FUBVY EF TVSWJF FU EF TPSUJF TFDPOEBJSF EF MlIÊQJUBM TlBN¿MJPSFOU BV DPVST EF MB TFDPOEF Q¿SJPEF 1BSBMM¾MFNFOU MF OPNCSF EF QBUJFOUT QS¿TFOUBOU EFT T¿RVFMMFT OFVSPMPHJRVFT FU MFVS JNQPSUBODF EJNJOVFOU "JOTJ TVSMlFOTFNCMFEFTNBMBEFTQSJT FO DIBSHF QPVS VOF NPSU TVCJUF DBSEJBRVF MB QSPQPSUJPO EF DFVY RVJ TVSWJWFOUFUTPSUFOUFOTVJUFEFMlIÊQJ UBM WJWBOUT BVHNFOUF EF EBOT MB Q¿SJPEF U¿NPJO ¶ BQS¾TMBOPVWFMMFQSJTF FODIBSHF$FUUFQSPQPSUJPOFTUFODPSF QMVTJNQPSUBOUFMPSTRVFMlBSSÀUDBSEJB RVFBMJFVFOQS¿TFODFEFU¿NPJOT FU RVlJMFTUMJ¿¶VOFGJCSJMMBUJPOWFOUSJDV MBJSF DlFTU¶EJSF BDDFTTJCMF ¶ VOF ¿WFOUVFMMF E¿GJCSJMMBUJPO UBCMFBV WJEFNNFOU DF EFSOJFS BTQFDU TPVMJ HOFUPVUMlJOU¿SÀUEFMl¿EVDBUJPOEFMB QPQVMBUJPO FU EF MB EJTQPOJCJMJU¿ EF E¿GJCSJMMBUFVSTTVSMFTMJFVYQVCMJDT (SB[B "( (SBUUPO .$ 4BMPNPOF +"
FUBM *NQSPWFE QBUJFOU TVSWJWBM VTJOH B NPEJ GJFESFTVTDJUBUJPOQSPUPDPMGPSPVUPGIPT QJUBM DBSEJBD BSSFTU $JSDVMBUJPO
Tableau 3. D’après Graza, et al Rapport C/V : 5/1
Rapport C/V : 50/2
Patients avec FV et témoins, N
143
57
Odds Ratio
Restauration hémodynamique spontanée, N (%)
54 (37,8)
34 (59,6)
2,44
Sortie de l’hôpital, N (%)
32 (22,4)
25 (43,9)
2,71
".$QSBUJRVFOOPWFNCSF