{"id":8517,"date":"2026-08-08T10:17:05","date_gmt":"2026-08-08T08:17:05","guid":{"rendered":"https:\/\/reseau-amylose.org\/jesuissoignant\/?page_id=8517"},"modified":"2026-08-08T11:06:54","modified_gmt":"2026-08-08T09:06:54","slug":"symptomes-fragilite","status":"publish","type":"page","link":"https:\/\/reseau-amylose.org\/jesuissoignant\/symptomes-fragilite\/","title":{"rendered":"La Fragilit\u00e9"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8517\" class=\"elementor elementor-8517\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8526539 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8526539\" 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-189ee0b\" data-id=\"189ee0b\" 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-d8ebf0d elementor-widget elementor-widget-heading\" data-id=\"d8ebf0d\" 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\">Fragilit\u00e9 et amylose cardiaque <\/h1>\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-16606c0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"16606c0\" 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-ab415ff\" data-id=\"ab415ff\" 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-daf2a07 elementor-widget elementor-widget-text-editor\" data-id=\"daf2a07\" 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>La fragilit\u00e9 est un facteur de risque de morbi-mortalit\u00e9 reconnu dans l&rsquo;insuffisance cardiaque. Dans l&rsquo;amylose cardiaque \u00e0 transthyr\u00e9tine, sa fr\u00e9quence varie entre 33 et 50 % selon les cohortes et les scores utilis\u00e9s. Un d\u00e9pistage pr\u00e9coce, accessible en consultation, permet d&rsquo;orienter le patient vers une \u00e9valuation g\u00e9riatrique approfondie (EGA) et d&rsquo;adapter sa prise en charge.<\/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-b76f428 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b76f428\" 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-55df6d1\" data-id=\"55df6d1\" 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-5b44579 elementor-widget elementor-widget-heading\" data-id=\"5b44579\" 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-85613c7 elementor-widget elementor-widget-text-editor\" data-id=\"85613c7\" 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>La fragilit\u00e9 touche 33 \u00e0 50 % des patients avec amylose cardiaque \u00e0 transthyr\u00e9tine selon les cohortes.<\/li><li>Elle se d\u00e9piste simplement par le ph\u00e9notype de Fried ou le score SEGA, avant orientation g\u00e9riatrique.<\/li><li>La Clinical Frailty Scale (CFS) est associ\u00e9e \u00e0 la mortalit\u00e9 dans cette population.<\/li><li>L&rsquo;\u00e9valuation g\u00e9riatrique approfondie (EGA) explore autonomie, performance physique, nutrition, cognition, thymie et fonctions v\u00e9sico-sphinct\u00e9riennes.<\/li><li>15 \u00e0 20 % des patients \u00e2g\u00e9s hospitalis\u00e9s pour insuffisance cardiaque pr\u00e9sentent une amylose cardiaque sous-jacente.<\/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-aa542c8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aa542c8\" 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-1a3a937\" data-id=\"1a3a937\" 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-5602e82 elementor-widget elementor-widget-heading\" data-id=\"5602e82\" 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\">Qu'est-ce que la fragilit\u00e9 ?<\/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-6181ee4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6181ee4\" 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-0ecc7c2\" data-id=\"0ecc7c2\" 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-0b713b1 elementor-widget elementor-widget-text-editor\" data-id=\"0b713b1\" 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 fragilit\u00e9 est un syndrome clinique li\u00e9 \u00e0 une r\u00e9duction des r\u00e9serves fonctionnelles, provoqu\u00e9e par le vieillissement physiologique et l&rsquo;installation de maladies chroniques. Elle entra\u00eene une incapacit\u00e9 d&rsquo;adaptation au stress, exposant le patient au risque de pathologies en cascade, et conduit \u00e0 une perte d&rsquo;autonomie fonctionnelle.<\/p><p><strong>Ce concept s&rsquo;inscrit dans le mod\u00e8le 1 + 2 + 3 de J.P. Bouchon :<\/strong><\/p><ol><li>Les effets du vieillissement r\u00e9duisent progressivement les r\u00e9serves fonctionnelles.<\/li><li>Les maladies chroniques surajout\u00e9es acc\u00e9l\u00e8rent ce processus.<\/li><li>Les affections aigu\u00ebs (facteurs de d\u00e9compensation) pr\u00e9cipitent l&rsquo;\u00e9quilibre fragile vers le seuil d&rsquo;insuffisance.<\/li><\/ol>\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-bbcba76\" data-id=\"bbcba76\" 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-50214e9 elementor-widget elementor-widget-image\" data-id=\"50214e9\" 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<img fetchpriority=\"high\" decoding=\"async\" width=\"806\" height=\"394\" src=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2022\/03\/fragilite\u0301JPbouchon.jpeg\" class=\"attachment-large size-large wp-image-4738\" alt=\"\" srcset=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2022\/03\/fragilite\u0301JPbouchon.jpeg 806w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2022\/03\/fragilite\u0301JPbouchon-300x147.jpeg 300w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2022\/03\/fragilite\u0301JPbouchon-768x375.jpeg 768w\" sizes=\"(max-width: 806px) 100vw, 806px\" \/>\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-c829f78 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c829f78\" 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-c7237cd\" data-id=\"c7237cd\" 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-46ed98e elementor-widget elementor-widget-text-editor\" data-id=\"46ed98e\" 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><strong>Deux approches d&rsquo;\u00e9valuation :<\/strong><\/p><ul><li><strong>\u00c9valuation physique (ph\u00e9notype de Fried) : <\/strong>perte de poids involontaire &gt; 5 %\/an, faiblesse g\u00e9n\u00e9ralis\u00e9e ressentie, faible activit\u00e9 physique, diminution de la vitesse de marche, diminution de la force de pr\u00e9hension. (0 crit\u00e8re : non fragile ; 1-2 crit\u00e8res : pr\u00e9-fragile ; \u22653 crit\u00e8res : fragile)<\/li><li><strong>\u00c9valuation multi-domaine (mod\u00e8le de Rockwood) : <\/strong>mobilit\u00e9, activit\u00e9s de la vie quotidienne (ADL), continence, cognition.<\/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-ec9c7c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ec9c7c3\" 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-159a8c6\" data-id=\"159a8c6\" 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-fe39831 elementor-widget elementor-widget-heading\" data-id=\"fe39831\" 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\">Fragilit\u00e9 et amylose cardiaque : ce qu'il faut rechercher<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7dbc0b5 elementor-widget elementor-widget-text-editor\" data-id=\"7dbc0b5\" 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;infiltration amylo\u00efde diffuse semble responsable de l&rsquo;aggravation de certains param\u00e8tres de fragilit\u00e9, avec un tableau clinique sp\u00e9cifique \u00e0 cette maladie. D&rsquo;apr\u00e8s les donn\u00e9es de cohortes (Broussier et al. 2021, Cazalbou et al. 2023), les atteintes suivantes sont retrouv\u00e9es chez les patients avec amylose cardiaque :<\/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-0b17037 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0b17037\" 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-16 elementor-top-column elementor-element elementor-element-d47dc8d\" data-id=\"d47dc8d\" 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<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-4f7a880\" data-id=\"4f7a880\" 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-167e02b elementor-widget elementor-widget-text-editor\" data-id=\"167e02b\" 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<table width=\"623\"><tbody><tr><td width=\"453\"><p><strong>Atteinte<\/strong><\/p><\/td><td width=\"170\"><p><strong>Fr\u00e9quence<\/strong><\/p><\/td><\/tr><tr><td width=\"453\"><p>Surdit\u00e9<\/p><\/td><td width=\"170\"><p>93 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Insuffisance cardiaque NYHA \u2265 II<\/p><\/td><td width=\"170\"><p>91 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Polym\u00e9dication<\/p><\/td><td width=\"170\"><p>89 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Faiblesse musculaire (dynapom\u00e9trie SPPB)<\/p><\/td><td width=\"170\"><p>74 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Syndrome dysex\u00e9cutif (FAB, 7-CDT)<\/p><\/td><td width=\"170\"><p>72 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Perte d&rsquo;autonomie (IADL)<\/p><\/td><td width=\"170\"><p>69 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Asth\u00e9nie<\/p><\/td><td width=\"170\"><p>61 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Troubles de l&rsquo;\u00e9quilibre (test debout sur une jambe, SPPB)<\/p><\/td><td width=\"170\"><p>58 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>D\u00e9pression (GDS)<\/p><\/td><td width=\"170\"><p>49 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Lenteur \/ vitesse de marche<\/p><\/td><td width=\"170\"><p>48 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>S\u00e9dentarit\u00e9<\/p><\/td><td width=\"170\"><p>47 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Neuropathie sensitive<\/p><\/td><td width=\"170\"><p>43 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Chutes<\/p><\/td><td width=\"170\"><p>42 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>D\u00e9nutrition (MNA)<\/p><\/td><td width=\"170\"><p>39 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Syndrome de Dupuytren<\/p><\/td><td width=\"170\"><p>35 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Canal lombaire \u00e9troit \/ Perte de poids<\/p><\/td><td width=\"170\"><p>31 %<\/p><\/td><\/tr><tr><td width=\"453\"><p>Gastropar\u00e9sie et troubles digestifs<\/p><\/td><td width=\"170\"><p>4 %<\/p><\/td><\/tr><\/tbody><\/table><p>\u00a0<\/p><p>Dans cette population, la fragilit\u00e9 \u00e9valu\u00e9e par la <strong>Clinical Frailty Scale (CFS) est associ\u00e9e \u00e0 la mortalit\u00e9<\/strong> (Fine et al.).<\/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-16 elementor-top-column elementor-element elementor-element-09bb717\" data-id=\"09bb717\" 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-e6e997b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e6e997b\" 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-918c0c3\" data-id=\"918c0c3\" 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-2ddbf43 elementor-widget elementor-widget-heading\" data-id=\"2ddbf43\" 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 d\u00e9pister<\/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-229304a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"229304a\" 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-bbdf26a\" data-id=\"bbdf26a\" 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-38d709c elementor-widget elementor-widget-image\" data-id=\"38d709c\" 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<img decoding=\"async\" width=\"1024\" height=\"564\" src=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2026\/08\/Fried-SEGA-fragilite-amylose-1024x564.png\" class=\"attachment-large size-large wp-image-8557\" alt=\"Fried-SEGA-fragilite-amylose\" srcset=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2026\/08\/Fried-SEGA-fragilite-amylose-1024x564.png 1024w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2026\/08\/Fried-SEGA-fragilite-amylose-300x165.png 300w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2026\/08\/Fried-SEGA-fragilite-amylose-768x423.png 768w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2026\/08\/Fried-SEGA-fragilite-amylose-1536x846.png 1536w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2026\/08\/Fried-SEGA-fragilite-amylose-2048x1128.png 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\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<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8e9aaf2\" data-id=\"8e9aaf2\" 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-3204c7d elementor-widget elementor-widget-text-editor\" data-id=\"3204c7d\" 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 crit\u00e8res de Fried (voir ci-contre) ou le score SEGA (Short Emergency Geriatric Assessment) peuvent \u00eatre utilis\u00e9s en premi\u00e8re intention par le cardiologue ou tout clinicien prenant en charge le patient, avant orientation vers le g\u00e9riatre.<\/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-fbcc6de elementor-widget elementor-widget-image\" data-id=\"fbcc6de\" 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<img decoding=\"async\" width=\"1024\" height=\"901\" src=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2022\/03\/Capture-de\u0301cran-2022-03-23-a\u0300-14.54.20-1024x901.png\" class=\"attachment-large size-large wp-image-4743\" alt=\"\" srcset=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2022\/03\/Capture-de\u0301cran-2022-03-23-a\u0300-14.54.20-1024x901.png 1024w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2022\/03\/Capture-de\u0301cran-2022-03-23-a\u0300-14.54.20-300x264.png 300w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2022\/03\/Capture-de\u0301cran-2022-03-23-a\u0300-14.54.20-768x676.png 768w, https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2022\/03\/Capture-de\u0301cran-2022-03-23-a\u0300-14.54.20.png 1530w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\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-6b323c6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6b323c6\" 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-16 elementor-top-column elementor-element elementor-element-6a34e82\" data-id=\"6a34e82\" 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<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-abf5d8e\" data-id=\"abf5d8e\" 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-ef2a822 elementor-widget elementor-widget-text-editor\" data-id=\"ef2a822\" 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<h4><strong>Le triple r\u00f4le du clinicien face \u00e0 la fragilit\u00e9 amylo\u00efde :<\/strong><\/h4><ol><li>D\u00e9pister et diagnostiquer<\/li><li>Orienter vers le centre de r\u00e9f\u00e9rence<\/li><li>\u00c9valuer la fragilit\u00e9 pour optimiser la prise en charge<\/li><\/ol>\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-16 elementor-top-column elementor-element elementor-element-5a234fe\" data-id=\"5a234fe\" 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-d33181b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d33181b\" 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-0414a24\" data-id=\"0414a24\" 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-7ea6a29 elementor-widget elementor-widget-heading\" data-id=\"7ea6a29\" 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 diagnostiquer \u2014 l'\u00e9valuation g\u00e9riatrique approfondie (EGA)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b75292e elementor-widget elementor-widget-text-editor\" data-id=\"b75292e\" 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 confirmation du diagnostic de fragilit\u00e9 et l&rsquo;exploration de ses multiples dimensions reposent sur l&rsquo;\u00c9valuation G\u00e9riatrique Approfondie (EGA), multidimensionnelle, r\u00e9alis\u00e9e en H\u00f4pital de Jour G\u00e9riatrique\/Fragilit\u00e9. Elle explore la multimorbidit\u00e9, la iatrog\u00e9nie, et un ensemble de fonctions \u00e0 l&rsquo;aide d&rsquo;outils valid\u00e9s :<\/p><ul><li>Autonomie et mobilit\u00e9 : \u00e9chelles ADL et IADL, Clinical Frailty Scale (CFS), score SEGA (fragile ou tr\u00e8s fragile si score &gt; 8).<\/li><li>Performance physique : Short Physical Performance Battery (SPPB) \u2014 \u00e9quilibre, vitesse de marche, force musculaire.<\/li><li>\u00c9tat nutritionnel : \u00e9valuation d\u00e9di\u00e9e (MNA).<\/li><li>Cognition : bilan de d\u00e9brouillage cognitif (MMSE, BREF, test de l&rsquo;Horloge).<\/li><li>Thymie : \u00e9chelle de d\u00e9pression g\u00e9riatrique (GDS ou mini-GDS).<\/li><li>Fonctions v\u00e9sico-sphinct\u00e9riennes : Urinary Symptom Profile (USP).<\/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-6f43871 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6f43871\" 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-466cc74\" data-id=\"466cc74\" 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-4a75cb8 elementor-widget elementor-widget-text-editor\" data-id=\"4a75cb8\" 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>Le d\u00e9pistage de la fragilit\u00e9 dans le cadre de l&rsquo;amylose cardiaque doit combiner ces outils valid\u00e9s pour une \u00e9valuation multidimensionnelle du patient, en amont d&rsquo;une \u00e9ventuelle orientation vers le g\u00e9riatre.<\/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-12fa699 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"12fa699\" 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-25 elementor-top-column elementor-element elementor-element-399cbc4\" data-id=\"399cbc4\" 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<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7a3df54\" data-id=\"7a3df54\" 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-2daa672 elementor-widget elementor-widget-button\" data-id=\"2daa672\" 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-sm\" href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/documentation\/documentation-triptyques-reseau-amylose\/\">\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 \u00ab D\u00e9pister l'amylose cardiaque chez le patient \u00e2g\u00e9 \u00bb \u2014 Ce que le g\u00e9riatre doit savoir<\/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-b106d22 elementor-widget elementor-widget-text-editor\" data-id=\"b106d22\" 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>Document r\u00e9dig\u00e9 par Dr A. Broussier, Dr S. Sourdet, Dr J. Hamdaoui, Pr T. Damy, Dr O. Toulza et Pr B. Vellas \u2014 valid\u00e9 par la Soci\u00e9t\u00e9 Fran\u00e7aise de G\u00e9riatrie et de G\u00e9rontologie.<\/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-25 elementor-top-column elementor-element elementor-element-1f621e9\" data-id=\"1f621e9\" 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-838b9ae elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"838b9ae\" 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-552ee35\" data-id=\"552ee35\" 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-2afe906 elementor-widget elementor-widget-text-editor\" data-id=\"2afe906\" 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>Pour la prise en charge d\u00e9taill\u00e9e de la fragilit\u00e9 (mesures pratiques, orientation vers le g\u00e9riatre, structures de la fili\u00e8re g\u00e9riatrique), consultez la page <a href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/la-fragilite\/\" target=\"_blank\" rel=\"noopener\">Prendre en charge la fragilit\u00e9 dans l&rsquo;amylose<\/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-e60c6dd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e60c6dd\" 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-1fb773b\" data-id=\"1fb773b\" 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-06ebe42 elementor-widget elementor-widget-heading\" data-id=\"06ebe42\" 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-a0cb20b elementor-widget elementor-widget-toggle\" data-id=\"a0cb20b\" 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-1681\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1681\" 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\">Quelle est la fr\u00e9quence de la fragilit\u00e9 dans l'amylose cardiaque ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1681\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1681\"><p>Entre 33 et 50 % selon les cohortes et les scores utilis\u00e9s, dans l&rsquo;amylose cardiaque \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-1682\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1682\" 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\">Quels outils utiliser pour d\u00e9pister la fragilit\u00e9 en consultation ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1682\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1682\"><p>Le ph\u00e9notype de Fried (5 crit\u00e8res physiques) ou le score SEGA, avant une orientation vers le g\u00e9riatre si le patient est fragile.<\/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-1683\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1683\" 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\">Qu'explore l'\u00e9valuation g\u00e9riatrique approfondie (EGA) ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1683\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1683\"><p>L&rsquo;autonomie (ADL\/IADL, CFS, SEGA), la performance physique (SPPB), l&rsquo;\u00e9tat nutritionnel, la cognition (MMSE, BREF, Horloge), la thymie (GDS) et les fonctions v\u00e9sico-sphinct\u00e9riennes (USP).<\/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-1684\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1684\" 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\">Pourquoi d\u00e9pister la fragilit\u00e9 chez un patient avec amylose cardiaque ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1684\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1684\"><p>Parce qu&rsquo;elle est associ\u00e9e \u00e0 la mortalit\u00e9 (via la CFS) et qu&rsquo;un rep\u00e9rage pr\u00e9coce permet de retarder la perte d&rsquo;autonomie et d&rsquo;adapter la prise en charge globale.<\/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-1685\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1685\" 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\">O\u00f9 trouver la prise en charge pratique de la fragilit\u00e9 une fois d\u00e9pist\u00e9e ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1685\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1685\"><p>Sur la page d\u00e9di\u00e9e \u00ab <a href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/la-fragilite\/\" target=\"_blank\" rel=\"noopener\">Prendre en charge la fragilit\u00e9 dans l&rsquo;amylose<\/a> \u00bb, qui d\u00e9taille les mesures et l&rsquo;orientation vers la fili\u00e8re g\u00e9riatrique.<\/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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fragilit\u00e9 et amylose cardiaque La fragilit\u00e9 est un facteur de risque de morbi-mortalit\u00e9 reconnu dans l&rsquo;insuffisance cardiaque. Dans l&rsquo;amylose cardiaque \u00e0 transthyr\u00e9tine, sa fr\u00e9quence varie entre 33 et 50 % selon les cohortes et les scores utilis\u00e9s. Un d\u00e9pistage pr\u00e9coce, accessible en consultation, permet d&rsquo;orienter le patient vers une \u00e9valuation g\u00e9riatrique approfondie (EGA) et d&rsquo;adapter [&hellip;]<\/p>\n","protected":false},"author":2,"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-8517","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>Fragilit\u00e9 et amylose cardiaque : d\u00e9pistage - R\u00e9seau Amylose<\/title>\n<meta name=\"description\" content=\"Perte d&#039;autonomie, chutes, d\u00e9nutrition : la fragilit\u00e9 touche jusqu&#039;\u00e0 1 patient sur 2 en 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\/symptomes-fragilite\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fragilit\u00e9 et amylose cardiaque : d\u00e9pistage - R\u00e9seau Amylose\" \/>\n<meta property=\"og:description\" content=\"Perte d&#039;autonomie, chutes, d\u00e9nutrition : la fragilit\u00e9 touche jusqu&#039;\u00e0 1 patient sur 2 en amylose cardiaque.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/reseau-amylose.org\/jesuissoignant\/symptomes-fragilite\/\" \/>\n<meta property=\"og:site_name\" content=\"R\u00e9seau Amylose\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-08T09:06:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/reseau-amylose.org\/jesuissoignant\/wp-content\/uploads\/sites\/5\/2026\/08\/Fried-SEGA-fragilite-amylose-1024x564.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/reseau-amylose.org\/jesuissoignant\/symptomes-fragilite\/\",\"url\":\"https:\/\/reseau-amylose.org\/jesuissoignant\/symptomes-fragilite\/\",\"name\":\"Fragilit\u00e9 et amylose cardiaque : d\u00e9pistage - 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