{"id":3546,"date":"2021-04-14T12:06:28","date_gmt":"2021-04-14T12:06:28","guid":{"rendered":"https:\/\/www.reseau-amylose.org\/jesuissoignant\/?page_id=3546"},"modified":"2026-08-25T18:36:14","modified_gmt":"2026-08-25T16:36:14","slug":"examens-complementaires-imageriques-cardiaques","status":"publish","type":"page","link":"https:\/\/reseau-amylose.org\/jesuissoignant\/examens-complementaires-imageriques-cardiaques\/","title":{"rendered":"Les examens imageriques cardiaques"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3546\" class=\"elementor elementor-3546\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d8bdba6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d8bdba6\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ec95664\" data-id=\"ec95664\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e513d48 elementor-widget elementor-widget-heading\" data-id=\"e513d48\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Examens imageriques cardiaques et amylose <\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d3ddee elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2d3ddee\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64f33a9f elementor-widget elementor-widget-heading\" data-id=\"64f33a9f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Examens compl\u00e9mentaires<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-76a2902a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"76a2902a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1405a66d\" data-id=\"1405a66d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-712a9642 elementor-widget elementor-widget-text-editor\" data-id=\"712a9642\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>Les examens imageriques cardiaques permettent de <strong>suspecter<\/strong> l&rsquo;amylose. Seul le <strong>diagnostic anatomopathologique<\/strong> permet de l&rsquo;affirmer. L&rsquo;\u00e9chocardiographie, l&rsquo;IRM et la scintigraphie sont compl\u00e9mentaires dans l&rsquo;approche diagnostique, mais ces examens ne permettent pas de distinguer avec certitude les diff\u00e9rentes formes d&rsquo;amylose.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bca955e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bca955e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-444ee7f\" data-id=\"444ee7f\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-62794fa elementor-widget elementor-widget-heading\" data-id=\"62794fa\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Points cl\u00e9s pour les professionnels de sant\u00e9<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-05081de elementor-widget elementor-widget-text-editor\" data-id=\"05081de\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>\u00c9chocardiographie, IRM et scintigraphie osseuse sont compl\u00e9mentaires pour suspecter une amylose cardiaque, mais aucune ne permet \u00e0 elle seule de distinguer les formes avec certitude.<\/li><li>La triade hypertrophie VD\/VG + \u00e9panchement p\u00e9ricardique en \u00e9chocardiographie est tr\u00e8s \u00e9vocatrice d&rsquo;amylose.<\/li><li>Le 2D-strain (diminu\u00e9 aux segments basaux, pr\u00e9serv\u00e9 aux segments apicaux) est plus sensible que la FEVG et permet un diagnostic plus pr\u00e9coce.<\/li><li>Une fixation scintigraphique intense oriente vers une amylose \u00e0 transthyr\u00e9tine si la gammapathie est n\u00e9gative ; l&rsquo;absence de fixation n&rsquo;\u00e9limine pas une amylose AL.<\/li><li>Des posters imprimables (\u00e9chocardiographie, scintigraphie) sont disponibles aupr\u00e8s du R\u00e9seau Amylose pour les salles de consultation.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7ecd1fdc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7ecd1fdc\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1cfd2a3\" data-id=\"1cfd2a3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-35edea9 elementor-widget elementor-widget-heading\" data-id=\"35edea9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u00c9chocardiographie<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18c0fb6e elementor-widget elementor-widget-text-editor\" data-id=\"18c0fb6e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L&rsquo;\u00e9chocardiographie fait partie des examens imageriques cardiaques du diagnostic de l&rsquo;amylose.<\/p><p>L&rsquo;\u00e9chocardiographie 2D et M-mode retrouve un \u00e9paississement myocardique important. L&rsquo;hypertrophie ventriculaire gauche est g\u00e9n\u00e9ralement concentrique et s&rsquo;associe \u00e0 une hypertrophie ventriculaire droite. Les valves peuvent \u00eatre \u00e9paissies par les d\u00e9p\u00f4ts amylo\u00efdes. Un aspect granit\u00e9 et scintillant du myocarde est fr\u00e9quent, mais non sp\u00e9cifique de l&rsquo;amylose et peut se voir dans d&rsquo;autres pathologies cardiaques. L&rsquo;\u00e9panchement p\u00e9ricardique n&rsquo;est pas constant.<\/p><p>La pr\u00e9sence de la triade hypertrophie ventriculaire droite et gauche + \u00e9panchement p\u00e9ricardique est tr\u00e8s \u00e9vocatrice d&rsquo;amylose. Dans les formes tardives, le Doppler puls\u00e9 transmitral a un aspect restrictif (E\/A &gt; 2), mais dans les formes pr\u00e9coces un E\/A normal ou &lt; 1 peut \u00eatre observ\u00e9. Les v\u00e9locit\u00e9s myocardiques en Doppler tissulaire sont diminu\u00e9es. La fraction d&rsquo;\u00e9jection n&rsquo;est alt\u00e9r\u00e9e que dans les stades les plus tardifs, ce qui explique souvent un retard diagnostique.<\/p><p>L&rsquo;analyse fine de la contractilit\u00e9 par les indices de d\u00e9formation (2D-strain) est plus sensible que la FEVG. Dans l&rsquo;amylose, le 2D-strain global du ventricule gauche est diminu\u00e9, avec une pr\u00e9dominance sur les segments basaux et une pr\u00e9servation des segments apicaux. L&rsquo;analyse du strain du ventricule droit a \u00e9galement une valeur pronostique.<\/p><p><em><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26777222\/\" target=\"_blank\" rel=\"noopener\">Ternacle J et al JACC CardioVasc Imaging 2016<\/a><\/em><\/p><p><em><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27348696\/\" target=\"_blank\" rel=\"noopener\">Bodez D et al, Amyloid 2016<\/a><\/em>)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-48a5c2c8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"48a5c2c8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-53990ba8\" data-id=\"53990ba8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ac7cad8 elementor-widget elementor-widget-image\" data-id=\"5ac7cad8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/www.reseau-amylose.org\/soignant\/wp-content\/uploads\/2019\/01\/Amylose_cardiaque_Figure_2-294x300.jpg\" data-elementor-open-lightbox=\"yes\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6IjI3NSIsInVybCI6ZmFsc2V9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"http:\/\/www.reseau-amylose.org\/soignant\/wp-content\/uploads\/2019\/01\/Amylose_cardiaque_Figure_2-294x300.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1a8bb5cf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1a8bb5cf\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-51490a4e\" data-id=\"51490a4e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9b147ae elementor-widget elementor-widget-heading\" data-id=\"9b147ae\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">L'\u00e9chocardiographie et l'amylose<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab21513 elementor-widget elementor-widget-heading\" data-id=\"ab21513\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Pr Erwan DONAL<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7da05d2b elementor-widget elementor-widget-video\" data-id=\"7da05d2b\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=jJXpd-BeRW4&amp;t&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-123c63aa\" data-id=\"123c63aa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d99a2bb elementor-widget elementor-widget-heading\" data-id=\"d99a2bb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">L'\u00e9chocardiographie et l'amylose cardiaque : int\u00e9r\u00eat du strain<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-abaffc5 elementor-widget elementor-widget-heading\" data-id=\"abaffc5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dr Julien TERNACLE<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f8540dc elementor-widget elementor-widget-video\" data-id=\"6f8540dc\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=2Ve9kg6Fsf4&amp;t&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f5e774d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f5e774d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-58827f4\" data-id=\"58827f4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0fceb1e elementor-widget elementor-widget-text-editor\" data-id=\"0fceb1e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00a0<\/p><p>\u00a0\u00a0<\/p><p><span style=\"color: #000000\">Les experts du R\u00e9seau Amylose ont mis au point diff\u00e9rents posters sur les amyloses.\u00a0<\/span><\/p><p><span style=\"color: #000000\">Vous pouvez t\u00e9l\u00e9charger le poster sur l&rsquo;Amylose \u00e0 l&rsquo;\u00c9chocardiographie en cliquant sur l&rsquo;image suivante. Cependant, il est en version basse d\u00e9finition.<\/span><\/p><p><span style=\"color: #000000\">Si vous souhaitez des posters imprim\u00e9s au format A1 et en haute d\u00e9finition, ou les posters version informatique HD, vous pouvez nous contacter par mail :\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-029f8cb elementor-align-center elementor-widget elementor-widget-button\" data-id=\"029f8cb\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/reseau-amylose.org\/envoyer-un-message\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Cliquez ici<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-0676b46\" data-id=\"0676b46\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-455ee2c elementor-widget elementor-widget-image\" data-id=\"455ee2c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/storage\/sites\/5\/2023\/12\/ECHO-AMYLOSE-CARDIAQUE-copie.jpg\" target=\"_blank\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"722\" height=\"1024\" src=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2023\/12\/ECHO-AMYLOSE-CARDIAQUE-copie-722x1024.jpg\" class=\"attachment-large size-large wp-image-5971\" alt=\"\" srcset=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2023\/12\/ECHO-AMYLOSE-CARDIAQUE-copie-722x1024.jpg 722w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2023\/12\/ECHO-AMYLOSE-CARDIAQUE-copie-212x300.jpg 212w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2023\/12\/ECHO-AMYLOSE-CARDIAQUE-copie-768x1089.jpg 768w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2023\/12\/ECHO-AMYLOSE-CARDIAQUE-copie.jpg 1078w\" sizes=\"(max-width: 722px) 100vw, 722px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-983bf75 elementor-widget elementor-widget-text-editor\" data-id=\"983bf75\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Document r\u00e9dig\u00e9 et relu par Pr Thibaud DAMY, Pr Erwan DONAL, Dr Damien GUIJARRO, Pr Olivier LAIREZ, Dr Antoine JOBBE-DUVAL, Dr Amira ZAROUI<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2ee58f1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2ee58f1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5070dc9\" data-id=\"5070dc9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f4730db elementor-widget elementor-widget-heading\" data-id=\"f4730db\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">IRM Cardiaque<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7944532c elementor-widget elementor-widget-text-editor\" data-id=\"7944532c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les d\u00e9p\u00f4ts d&rsquo;amylose sont visualis\u00e9s par un rehaussement tardif apr\u00e8s injection de gadolinium, en s\u00e9quence T1 avec annulation du signal du myocarde sain (technique d&rsquo;inversion r\u00e9cup\u00e9ration). Ce rehaussement, li\u00e9 \u00e0 la stagnation du gadolinium, est \u00e9galement observ\u00e9 en cas de fibrose myocardique. Dans la cardiopathie amylo\u00efde, il peut \u00eatre sous-endocardique ou diffus, et visible sur l&rsquo;ensemble des parois myocardiques (VG, VD, OG, OD), ce qui est tr\u00e8s en faveur d&rsquo;un processus infiltratif.<\/p><p>Une difficult\u00e9 ou une impossibilit\u00e9 de r\u00e9gler correctement le temps d&rsquo;inversion (TI) pour discriminer le myocarde du pool sanguin, en raison de la r\u00e9tention du gadolinium, est \u00e9galement observ\u00e9e. L&rsquo;utilisation de s\u00e9quences en phase (PSIR) permet de s&rsquo;affranchir de ce r\u00e9glage et facilite le diagnostic IRM. \u00c0 noter qu&rsquo;en cas de cardiopathie amylo\u00efde, le myocarde se noircit pour des valeurs de TI scout plus courtes que celles du pool sanguin.<\/p><p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15939726\/\" target=\"_blank\" rel=\"noopener\">Perugini E et al, non invasive evaluation of the myocardial substrate\u00a0 2006)<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5432a5b1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5432a5b1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7c4e819d\" data-id=\"7c4e819d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7563c3b elementor-widget elementor-widget-heading\" data-id=\"7563c3b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">L'IRM cardiaque pour le diagnostic des amyloses cardiaques<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2970d9 elementor-widget elementor-widget-heading\" data-id=\"d2970d9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Pr Olivier LAIREZ<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5973d477 elementor-widget elementor-widget-video\" data-id=\"5973d477\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=ty9u7WmeXwM&amp;feature=emb_logo&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-682600ec\" data-id=\"682600ec\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6af9bfb elementor-widget elementor-widget-heading\" data-id=\"6af9bfb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">L'IRM cardiaque et l'amylose : les marqueurs pr\u00e9coces<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93ab869 elementor-widget elementor-widget-heading\" data-id=\"93ab869\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Pr Jean-Fran\u00e7ois DEUX<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4514519b elementor-widget elementor-widget-video\" data-id=\"4514519b\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=NceJqeTV4es&amp;feature=emb_logo&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1b80b2c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1b80b2c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2d087bb0\" data-id=\"2d087bb0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fd8342c elementor-widget elementor-widget-heading\" data-id=\"fd8342c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Scintigraphie cardiaque aux traceurs osseux (diphosphonates) :\u00a0<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f7f38c2 elementor-widget elementor-widget-text-editor\" data-id=\"5f7f38c2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La scintigraphie osseuse est aussi un des examens imageriques cardiaques.<\/p><p>Les traceurs diphosphonates (DPD, HMDP), utilis\u00e9s pour les scintigraphies osseuses, marquent les d\u00e9p\u00f4ts d&rsquo;amylose cardiaque. La cause de leur fixation cardiaque n&rsquo;est pas connue. Elle semble plus sp\u00e9cifique des d\u00e9p\u00f4ts amylo\u00efdes compos\u00e9s de transthyr\u00e9tine que de cha\u00eenes l\u00e9g\u00e8res.<\/p><p>Une fixation myocardique intense \u00e0 la scintigraphie est en faveur d&rsquo;une amylose \u00e0 transthyr\u00e9tine (h\u00e9r\u00e9ditaire ou s\u00e9nile), d&rsquo;autant plus si les tests \u00e0 la recherche d&rsquo;une amylose AL sont n\u00e9gatifs et qu&rsquo;une biopsie extra-cardiaque retrouve des d\u00e9p\u00f4ts amylo\u00efdes avec un marquage positif des anticorps anti-transthyr\u00e9tine. <strong>L&rsquo;absence de fixation ne permet pas d&rsquo;\u00e9liminer le diagnostic d&rsquo;amylose AL.<\/strong><\/p><p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21679902\/\" target=\"_blank\" rel=\"noopener\">Rapezzi C et al, Role of (99m)Tc-DPD scintigraphy in diagnosis and prognosis of hereditary transthyretin-related cardiac amyloidosis 2011<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-49111769 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"49111769\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7172eb37\" data-id=\"7172eb37\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-623b6784 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"623b6784\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/www.reseau-amylose.org\/jesuissoignant\/documentation\/triptyques-du-centre-de-reference-des-amyloses-cardiaques-chu-henri-mondor\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">T\u00e9l\u00e9chargez le triptyque - La scintigraphie osseuse dans l'amylose cardiaque<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a43fe5a elementor-widget elementor-widget-text-editor\" data-id=\"a43fe5a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"><em>Document r\u00e9dige\u0301 par Dr Arnault GALAT, Pr Emmanuel ITTI et Pr Thibaud DAMY<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2ae12a4c\" data-id=\"2ae12a4c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-558582aa elementor-align-center elementor-widget elementor-widget-button\" data-id=\"558582aa\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/www.reseau-amylose.org\/jesuissoignant\/storage\/sites\/13\/2020\/10\/Amylose_Ordonnance-pour-Scintigraphie-cardiaque-au-Traceur-Osseux-4.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">T\u00e9l\u00e9chargez l'ordonnance type pour r\u00e9aliser une scintigraphie<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c78e888 elementor-widget elementor-widget-text-editor\" data-id=\"c78e888\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"><em>Document r\u00e9dige\u0301 par le Centre de R\u00e9f\u00e9rence des Amyloses Cardiaques &#8211; Pr Thibaud DAMY<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-15da1e7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"15da1e7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-7d1d93c\" data-id=\"7d1d93c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4b7e19d elementor-widget elementor-widget-heading\" data-id=\"4b7e19d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">La scintigraphie osseuse pour d\u00e9pister les amyloses cardiaques<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0379d28 elementor-widget elementor-widget-heading\" data-id=\"0379d28\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dr Jean ROSSO<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c2a349b elementor-widget elementor-widget-video\" data-id=\"7c2a349b\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=_1MFrZ1QLvI&amp;t&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-225d8f0b\" data-id=\"225d8f0b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a26bda4 elementor-widget elementor-widget-heading\" data-id=\"a26bda4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">La scintigraphie osseuse dans l'amylose cardiaque<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8536ee5 elementor-widget elementor-widget-heading\" data-id=\"8536ee5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Pr Thibaud DAMY<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e669845 elementor-widget elementor-widget-video\" data-id=\"e669845\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=8Bc1dlnRWkg&amp;t&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-1b633fb7\" data-id=\"1b633fb7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f78227 elementor-widget elementor-widget-heading\" data-id=\"2f78227\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pr\u00e9valence et type des fixations extracardiaques \u00e0 la scintigraphie osseuse<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9de5a4a elementor-widget elementor-widget-heading\" data-id=\"9de5a4a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dr Nathan MALKA<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-67e1b484 elementor-widget elementor-widget-video\" data-id=\"67e1b484\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=wMx2NEh3LgA&amp;t&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-53d96b8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"53d96b8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-888a152\" data-id=\"888a152\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-003253a elementor-widget elementor-widget-text-editor\" data-id=\"003253a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00a0<\/p><p>\u00a0<\/p><p><span style=\"color: #000000\">\u00a0\u00a0<\/span><\/p><p><span style=\"color: #000000\">Vous pouvez t\u00e9l\u00e9charger le poster sur La Scintigraphie osseuse dans l&rsquo;Amylose Cardiaque en cliquant sur l&rsquo;image suivante. Cependant, il est en version basse d\u00e9finition.<\/span><\/p><p><span style=\"color: #000000\">Si vous souhaitez des posters imprim\u00e9s au format A1 et en haute d\u00e9finition, ou les posters version informatique HD, vous pouvez nous contacter par mail :\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ffa1d52 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"ffa1d52\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/reseau-amylose.org\/envoyer-un-message\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Cliquez ici<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-a98a7f3\" data-id=\"a98a7f3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6862f43 elementor-widget elementor-widget-image\" data-id=\"6862f43\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/storage\/sites\/5\/2023\/12\/SCINTIGRAPHIE-OSSEUSE-AMYLOSE-CARDIAQUE-copie.jpg\" target=\"_blank\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"722\" height=\"1024\" src=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2023\/12\/SCINTIGRAPHIE-OSSEUSE-AMYLOSE-CARDIAQUE-copie-722x1024.jpg\" class=\"attachment-large size-large wp-image-5972\" alt=\"\" srcset=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2023\/12\/SCINTIGRAPHIE-OSSEUSE-AMYLOSE-CARDIAQUE-copie-722x1024.jpg 722w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2023\/12\/SCINTIGRAPHIE-OSSEUSE-AMYLOSE-CARDIAQUE-copie-211x300.jpg 211w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2023\/12\/SCINTIGRAPHIE-OSSEUSE-AMYLOSE-CARDIAQUE-copie-768x1090.jpg 768w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2023\/12\/SCINTIGRAPHIE-OSSEUSE-AMYLOSE-CARDIAQUE-copie.jpg 1074w\" sizes=\"(max-width: 722px) 100vw, 722px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e03ee3 elementor-widget elementor-widget-text-editor\" data-id=\"6e03ee3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Document r\u00e9dig\u00e9 et relu par Pr Thibaud DAMY, Dr Arnault GALAT, Dr Fr\u00e9d\u00e9ric HURSON, Pr Emmanuel ITTI<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5ad1765e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5ad1765e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-59386a5\" data-id=\"59386a5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5a0f7e1 elementor-widget elementor-widget-heading\" data-id=\"5a0f7e1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Autres scintigraphies et marqueurs TEP<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6d8da5f7 elementor-widget elementor-widget-text-editor\" data-id=\"6d8da5f7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000000\">Il existe plusieurs autres traceurs utilisables dans l\u2019amylose :<\/span><\/p><ul><li>Le 123I-MIBG permet de mesurer la d\u00e9nervation cardiaque. Ce traceur est surtout utilis\u00e9 dans les amyloses h\u00e9r\u00e9ditaires neurologiques pour objectiver l&rsquo;atteinte cardiaque, plus neurologique que morphologique au stade pr\u00e9coce. (<a href=\"https:\/\/www.em-consulte.com\/article\/1300192\" target=\"_blank\" rel=\"noopener\">Couleur E et al, Profil \u00e9volutif de la d\u00e9nervation cardiaque sympathique dans l\u2019amylose h\u00e9r\u00e9ditaire \u00e0 transthyr\u00e9tine 2019<\/a>).<\/li><\/ul><ul><li>La scintigraphie r\u00e9nale DMSA recherche des signes en faveur d&rsquo;anomalies corticales du rein. En l&rsquo;absence d&rsquo;ant\u00e9c\u00e9dent d&rsquo;infection r\u00e9nale, la pr\u00e9sence d&rsquo;encoches t\u00e9moigne d&rsquo;une embolie r\u00e9nale, d\u00e9cel\u00e9e chez 21 % des patients atteints d&rsquo;amylose cardiaque. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31103217\/\" target=\"_blank\" rel=\"noopener\">(Dang J et al, Renal Infarction and Its Consequences for Renal Function in Patients With Cardiac Amyloidosis 2019)<\/a> ;<\/li><\/ul><ul><li>De nouveaux traceurs en TEP permettraient \u00e0 l&rsquo;avenir de rechercher les d\u00e9p\u00f4ts d&rsquo;amylose dans l&rsquo;ensemble du corps ; plusieurs protocoles de recherche sont en cours.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7f0aa431 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7f0aa431\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1fe5c7fa\" data-id=\"1fe5c7fa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a41a3e7 elementor-widget elementor-widget-heading\" data-id=\"a41a3e7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">La scintigraphie osseuse pour d\u00e9pister les amyloses cardiaques<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c82d3d elementor-widget elementor-widget-heading\" data-id=\"5c82d3d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dr Jean ROSSO<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3f26fb3a elementor-widget elementor-widget-video\" data-id=\"3f26fb3a\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=8wzkzgZqyAY&amp;t&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7f6500bc\" data-id=\"7f6500bc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-890145b elementor-widget elementor-widget-heading\" data-id=\"890145b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Imagerie nucl\u00e9aire (TEP) et IRM ou au scanner dans l'amylose<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3c9c3f elementor-widget elementor-widget-heading\" data-id=\"a3c9c3f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dr Pierre-Yves MARIE<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1359a0eb elementor-widget elementor-widget-video\" data-id=\"1359a0eb\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=CLUttslBLto&amp;t&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-958899f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"958899f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-def2811\" data-id=\"def2811\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7d0b246 elementor-widget elementor-widget-heading\" data-id=\"7d0b246\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Les examens compl\u00e9mentaires cardiaques pour l'amylose \u00e0 transthyr\u00e9tine<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f72eb9d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f72eb9d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7b16ee1\" data-id=\"7b16ee1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a1e0ac5 elementor-widget elementor-widget-heading\" data-id=\"a1e0ac5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Y-a-t-il des examens imageriques \u00e0 privil\u00e9gier ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2aadb80 elementor-widget elementor-widget-heading\" data-id=\"2aadb80\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dr Lo\u00efc BIERE<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab1bee0 elementor-widget elementor-widget-video\" data-id=\"ab1bee0\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=Vk-Cpm5y1YQ&amp;list=PLgcbJqP0xnzhFqwERU2_B1ltwSIBhKV0t&amp;index=24&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4191a67\" data-id=\"4191a67\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e5c163d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e5c163d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-99276e4\" data-id=\"99276e4\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4782608 elementor-widget elementor-widget-heading\" data-id=\"4782608\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQ \u2014 Questions fr\u00e9quentes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-251a4a0 elementor-widget elementor-widget-toggle\" data-id=\"251a4a0\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3891\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-3891\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Quel est le signe \u00e9chocardiographique le plus \u00e9vocateur d'amylose cardiaque ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3891\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-3891\"><p>La triade hypertrophie ventriculaire droite et gauche associ\u00e9e \u00e0 un \u00e9panchement p\u00e9ricardique, ainsi qu&rsquo;une diminution du 2D-strain longitudinal global avec pr\u00e9servation apicale.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3892\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-3892\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Comment l'IRM cardiaque visualise-t-elle les d\u00e9p\u00f4ts amylo\u00efdes ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3892\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-3892\"><p>Par un rehaussement tardif apr\u00e8s injection de gadolinium, souvent diffus ou sous-endocardique, visible sur l&rsquo;ensemble des parois myocardiques.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3893\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-3893\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Une scintigraphie osseuse n\u00e9gative \u00e9limine-t-elle une amylose cardiaque ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3893\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-3893\"><p>Non. L&rsquo;absence de fixation n&rsquo;\u00e9limine pas une amylose AL ; seule une fixation intense oriente fortement vers une amylose \u00e0 transthyr\u00e9tine.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3894\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-3894\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Existe-t-il des examens imageriques \u00e0 privil\u00e9gier dans l'amylose \u00e0 transthyr\u00e9tine ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3894\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-3894\"><p>Cette question est sp\u00e9cifiquement abord\u00e9e par le Dr Lo\u00efc Bi\u00e8re dans le contenu vid\u00e9o associ\u00e9 \u00e0 cette page.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cddcba0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cddcba0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c9fc9c3\" data-id=\"c9fc9c3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-82534e2 elementor-widget elementor-widget-text-editor\" data-id=\"82534e2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00c9chocardiographie, IRM et scintigraphie osseuse sont les trois examens d&rsquo;imagerie cl\u00e9s pour suspecter une amylose cardiaque, sans qu&rsquo;aucun ne permette \u00e0 lui seul de distinguer les diff\u00e9rentes formes avec certitude. La triade hypertrophie ventriculaire droite et gauche associ\u00e9e \u00e0 un \u00e9panchement p\u00e9ricardique est tr\u00e8s \u00e9vocatrice en \u00e9chocardiographie, avec le 2D-strain (diminu\u00e9 aux segments basaux, pr\u00e9serv\u00e9 \u00e0 l&rsquo;apex) plus sensible que la FEVG pour un diagnostic pr\u00e9coce. L&rsquo;IRM cardiaque visualise les d\u00e9p\u00f4ts amylo\u00efdes par un rehaussement tardif diffus apr\u00e8s injection de gadolinium. La scintigraphie osseuse oriente vers une amylose \u00e0 transthyr\u00e9tine en cas de fixation intense associ\u00e9e \u00e0 une gammapathie n\u00e9gative, mais son absence de fixation n&rsquo;\u00e9limine pas une amylose AL. Cette page compl\u00e8te la page \u00ab Examens compl\u00e9mentaires pour le diagnostic des amyloses \u00bb, avec un contenu partiellement partag\u00e9 entre les deux (chevauchement volontaire).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6cc6e35 elementor-widget elementor-widget-text-editor\" data-id=\"6cc6e35\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>R\u00e9dig\u00e9 par<\/strong> : Contenu r\u00e9dig\u00e9 par l&rsquo;\u00e9quipe du Centre de r\u00e9f\u00e9rence des Amyloses Cardiaques<\/li><li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Relu \/ valid\u00e9 par<\/strong> : Pr Thibaud DAMY, cardiologue, Coordonateur du CRAC Centre de R\u00e9f\u00e9rence des Amyloses Cardiaques APHP &#8211; CHU Henri-Mondor<\/li><li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Date de derni\u00e8re mise \u00e0 jour<\/strong> 08\/2026<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Examens imageriques cardiaques et amylose Examens compl\u00e9mentaires Les examens imageriques cardiaques permettent de suspecter l&rsquo;amylose. Seul le diagnostic anatomopathologique permet de l&rsquo;affirmer. L&rsquo;\u00e9chocardiographie, l&rsquo;IRM et la scintigraphie sont compl\u00e9mentaires dans l&rsquo;approche diagnostique, mais ces examens ne permettent pas de distinguer avec certitude les diff\u00e9rentes formes d&rsquo;amylose. Points cl\u00e9s pour les professionnels de sant\u00e9 \u00c9chocardiographie, IRM [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-3546","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Examens imageriques cardiaques et amylose - R\u00e9seau Amylose<\/title>\n<meta name=\"description\" content=\"\u00c9chocardiographie, IRM, scintigraphie osseuse : les examens d&#039;imagerie cl\u00e9s pour suspecter une amylose cardiaque.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/examens-complementaires-imageriques-cardiaques\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Examens imageriques cardiaques et amylose - 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