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Aspects électrocardiograhiques de la fibrillation auriculaire

Electrocardiographic aspects of atrial fibrillation

Annales françaises de médecine d'urgence volume 2, pages 27–34 (2012)Cite this article

Résumé

La fibrillation auriculaire est la plus fréquente des tachycardies supraventriculaires. La forme ECG typique associe (a) une absence d’onde P sinusale, (b) des auriculogrammes anarchiques, (c) des intervalles R-R chaotiques, (d) une réponse ventriculaire rapide et (e) des complexes QRS fins. Les formes atypiques sont nombreuses et parfois trompeuses, en rapport avec des anomalies de la conduction auriculoventriculaire et/ou intraventriculaire. Leur connaissance et une description précise de ces anomalies sont essentielles, car la prise en charge thérapeutique en dépend.

Abstract

Atrial fibrillation is the most common supraventricular tachycardia. The typical aspect on ECG combines (a) an absence of sinus P wave, (b) chaotic atrial depolarizations (c) chaotic R-R intervals, (d) a rapid ventricular response and (e) narrow QRS complexes. Atypical forms are numerous and sometimes misleading, secondary to atrioventricular and/or intraventricular conduction abnormalities. Their knowledge and an accurate description of these abnormalities are essential, because the treatment depends on it.

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Références

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Authors and Affiliations

  1. Hopital Saint-Louis, Assistance Publique-Hôpitaux de Paris, Service des Urgences, 1, avenue Claude Vellefaux, F-75010, Paris, France

    P. Taboulet

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  1. P. Taboulet
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Correspondence to P. Taboulet.

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Taboulet, P. Aspects électrocardiograhiques de la fibrillation auriculaire. Ann. Fr. Med. Urgence 2, 27–34 (2012). https://doi.org/10.1007/s13341-012-0152-y

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  • DOI: https://doi.org/10.1007/s13341-012-0152-y

Mots clés

  • Fibrillation auriculaire
  • Électrocardiogramme

Keywords

  • Atrial fibrillation
  • Electrocardiography