Prise en charge du choc cardiogénique chez l’enfant: aspects physiopathologiques et thérapeutiques View Full Text


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Article Info

DATE

2012-03

AUTHORS

O. Brissaud, J. -B. Thambo, J. Guichoux, P. Nolent, S. Dauger

ABSTRACT

Le choc cardiogénique est une insuffisance circulatoire aiguë en lien avec une diminution du débit cardiaque (DC) et une congestion pulmonaire (oedème). Cet état correspond à une inadéquation entre l’apport et la demande tissulaire en oxygène (O2) de l’organisme. La définition du choc cardiogénique répond à des critères très stricts chez l’adulte et repose notamment sur des mesures hémodynamiques invasives. Il peut survenir dans un contexte de cardiopathie préexistante ou non, faire suite ou être associé à un choc septique, ou survenir sur un terrain d’insuffisance cardiaque prolongée. Chez l’enfant, la définition du choc cardiogénique est davantage clinique en lien avec une incompétence myocardique. Comme chez l’adulte, la réalisation d’une échocardiographie est une étape essentielle du diagnostic. Ainsi, malgré les différences de définition, le choc cardiogénique constitue, aussi en pédiatrie, le stade ultime de la défaillance cardiaque. L’approche thérapeutique devra permettre de corriger une cause curable et de mettre en place des actions précoces et préventives évitant la décompensation notamment chez des enfants connus comme insuffisants cardiaques. Les objectifs principaux du traitement du choc cardiogénique sont de permettre de rétablir une contractilité myocardique normale avec une volémie efficace. More... »

PAGES

195-208

References to SciGraph publications

  • 2009-02. Heart failure in children: Clinical aspect and management in THE INDIAN JOURNAL OF PEDIATRICS
  • 2010-03. Clinical practice in EUROPEAN JOURNAL OF PEDIATRICS
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  • Journal

    TITLE

    Médecine Intensive Réanimation

    ISSUE

    2

    VOLUME

    21

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s13546-012-0453-1

    DOI

    http://dx.doi.org/10.1007/s13546-012-0453-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1044700943


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    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s13546-012-0453-1'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s13546-012-0453-1'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s13546-012-0453-1'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s13546-012-0453-1'


     

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