{"id":6624,"date":"2024-06-06T14:13:24","date_gmt":"2024-06-06T12:13:24","guid":{"rendered":"https:\/\/reseau-amylose.org\/jesuissoignant\/?page_id=6624"},"modified":"2024-06-14T08:49:07","modified_gmt":"2024-06-14T06:49:07","slug":"les-ordonnances-amylose-pour-vos-consultations","status":"publish","type":"page","link":"https:\/\/reseau-amylose.org\/jesuissoignant\/les-ordonnances-amylose-pour-vos-consultations\/","title":{"rendered":"Les ordonnances amylose pour vos consultations"},"content":{"rendered":"\t\t
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Les ordonnances amylose pour vos consultations<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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T\u00e9l\u00e9chargez les ordonnances pr\u00e9-remplies pour vos consultations<\/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
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Les examens compl\u00e9mentaires sont essentiels pour le diagnostic pr\u00e9cis de l\u2019amylose. Les deux examens cl\u00e9s sont la scintigraphie osseuse et la recherche de gammapathie. Ces deux examens sont recommand\u00e9s par l’ESC apr\u00e8s la r\u00e9alisation de l’\u00e9chocardiographie..<\/p>

Nous vous conseillons de les r\u00e9aliser et de les prescrire simultan\u00e9ment lors de la suspicion d’amylose cardiaque (devant des sympt\u00f4mes cardiaques (dyspn\u00e9e…) extracardiaques, un \u00e9paississement du myocarde >12mm chez l’homme et >11 chez la femme en association \u00e0 un alt\u00e9ration du strain en cocarde.<\/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

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R\u00e9alisation de la scintigraphie osseuse avec SPECT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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La scintigraphie osseuse s’interpr\u00e8te avec le r\u00e9sultat de la gammapathie. Elle peut se faire au temps tardif (calcul du score de Perrugini ou calcul du ratio coeur\/controlat\u00e9ral) ou au temps pr\u00e9coce (mesure du ratio coeur\/m\u00e9diastin). Il est indispensable que l’image du squelette entier soit associ\u00e9e \u00e0 un scanner afin de ne pas passer \u00e0 c\u00f4t\u00e9 des formes pr\u00e9coces.<\/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

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tT\u00e9l\u00e9chargez l'ordonnance type pour r\u00e9aliser une scintigraphie osseuse<\/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
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Ordonnances-amylose-pour-vos-consultations-Scinti\"\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
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Recherche de gammapathie sanguine et urinaire<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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La recherche de gammapathie sanguine et urinaire se fait par les 4 tests (\u00e9lectrophor\u00e8se des protides s\u00e9riques, immunofixation dans le serum, dosage des chaines l\u00e9g\u00e8res libres kappa et lambda dans le serum\u00a0et recherche de prot\u00e9inurie de bence-jones (immunofixation).\u00a0<\/p><\/div><\/div><\/div><\/div>\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

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Ordonnances-amylose-pour-vos-consultations-Gamma\"\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
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tT\u00e9l\u00e9chargez l'ordonnance type pour r\u00e9aliser une recherche sanguine et urinaire de gammapathie<\/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\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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L'IRM Cardiaque<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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En compl\u00e9ment de ces examens, et sans retarder le bilan et la prise en charge avec notamment l’adressage \u00e0 un centre de r\u00e9f\u00e9rence \/expert en cas de gammapathie, une IRM cardiaque peut-\u00eatre r\u00e9alis\u00e9e. Elle est r\u00e9alis\u00e9e \u00e9galement en cas d’absence d’anomalie \u00e0 ces deux examens.<\/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

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tT\u00e9l\u00e9chargez l'ordonnance type pour r\u00e9aliser une IRM 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\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Ordonnances-amylose-pour-vos-consultations-IRM\"\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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Les ordonnances amylose pour vos consultations T\u00e9l\u00e9chargez les ordonnances pr\u00e9-remplies pour vos consultations Les examens compl\u00e9mentaires sont essentiels pour le diagnostic pr\u00e9cis de l\u2019amylose. Les deux examens cl\u00e9s sont la scintigraphie osseuse et la recherche de gammapathie. Ces deux examens sont recommand\u00e9s par l’ESC apr\u00e8s la r\u00e9alisation de l’\u00e9chocardiographie.. Nous vous conseillons de les r\u00e9aliser […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[],"tags":[],"class_list":["post-6624","page","type-page","status-publish","hentry"],"yoast_head":"\nLes ordonnances amylose pour vos consultations - R\u00e9seau Amylose<\/title>\n<meta name=\"description\" content=\"T\u00e9l\u00e9chargez les ordonnances amylose pour vos consultations - scintigraphie osseuse, recherche de gammapathie et IRM cardiaque si n\u00e9cessaire\" \/>\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\/les-ordonnances-amylose-pour-vos-consultations\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les ordonnances amylose pour vos consultations - 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