Annales françaises de médecine d'urgence

, Volume 3, Issue 1, pp 20–27 | Cite as

Diagnostic ECG du syndrome coronarien aigu. Partie 1. L’ECG normal, les variantes et anomalies fréquentes

Mise au Point / Update

Résumé

Le propos de cette revue est de rappeler la technique de réalisation d’un ECG en situation ischémique, puis de décrire l’aspect d’un ECG normal dans les 12 dérivations, les variantes de la normale et les anomalies ECG les plus fréquentes (repolarisation atriale, repolarisation masculine, repolarisation précoce, repolarisation atypique du sujet jeune, inversion bénigne de l’onde T, hypertrophie ventriculaire [HV], bloc de branche [BB], préexcitation ventriculaire, stimulation ventriculaire et effet Chatterjee). Cette première partie est un préalable indispensable avant d’aborder les diagnostics positifs et différentiels du syndrome coronarien aigu (SCA) qui seront abordés dans une deuxième et troisième partie.

Mots clés

Électrocardiogramme Repolarisation précoce Bloc de branche Hypertrophie ventriculaire Diagnostic Syndrome coronarien aigu 

ECG diagnosis of acute coronary syndrome Part 1. The normal ECG, variants and frequent abnormalities

Abstract

The purpose of this review is to recall the technique of performing an ECG in ischemic conditions, and then to describe the appearance of a normal 12-leads ECG, normal variants and the most frequent ECG abnormalities (atrial, male and early repolarization patterns, persistent juvenile T-wave pattern, benign T-wave inversion, ventricular hypertrophy, bundle-branch block, ventricular preexcitation, paced rythm and Chatterjee effect). This first part is a prerequisite before discussing the positive and differential diagnoses of acute coronary syndrome in a second and third part.

Keywords

Electrocardiogram Early repolarization Bundle-branch block Ventricular hypertrophy Diagnostic techniques and procedures Acute coronary syndrome 

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Copyright information

© Société française de médecine d'urgence and Springer-Verlag France 2012

Authors and Affiliations

  1. 1.Service des urgenceshôpital Saint-Louis, Assistance publique-Hôpitaux de ParisParisFrance

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