https://www.stcccv.org.tn/web/app_dev123.php/Home/hightlights/98/show

Method
GET
HTTP Status
200
IP
54.36.149.2
Profiled on
Wed, 07 May 2025 10:43:00 +0200
Token
8d7fc6

HightlightsController :: showAction

Request

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Request Attributes

Key Value
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"Gestion\MetierBundle\Controller\HightlightsController::showAction"
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"security.firewall.map.context.main"
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"hightlights_show"
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[
  "id" => "98"
]
hightlight 
Hightlights {#622
  -id: 98
  -titre: "Initial Outcomes from NACMI\vThe North American COVID-19 STEMI Registry ( Dr  Fourat Zouari)"
  -titreEn: null
  -description: """
    <p style="text-align:center"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:16.0pt">Initial Outcomes from NACMI<br />\r\n
    The North American COVID-19 STEMI Registry</span></strong></span></span></p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:16.0pt">Introduction&nbsp;:</span></em></strong></span></span></p>\r\n
    \r\n
    <ul>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">15 &agrave; 28 % des patients COVID+ hospitalis&eacute;s, ont un taux &eacute;lev&eacute; de</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Troponine.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Les patients COVID+ admis pour un SCA ST+ repr&eacute;sentent une population particuli&egrave;rement fragile avec beaucoup de controverse au sujet de leur gestion.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Mortalit&eacute; &eacute;lev&eacute;e varie entre 12 et 72% selon les &eacute;tudes.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Charge thrombotique tr&egrave;s importante.</span></span></span></li>\r\n
    </ul>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:16.0pt">Objectifs de l&rsquo;&eacute;tude&nbsp;:</span></em></strong></span></span></p>\r\n
    \r\n
    <ul>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Cr&eacute;er un registre multicentrique des patients suspects ou confirm&eacute;s COVID+ qui se pr&eacute;sentent&nbsp; pour un SCA avec sus d&eacute;calage ST ou nouveau BBG.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Comparer les donn&eacute;es d&eacute;mographiques, cliniques, les r&eacute;sultats et les strat&eacute;gies de gestion des patients COVID+ &agrave; une cohorte historique de patients admis pour STEMI.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">&Eacute;laborer des lignes directrices diagnostiques et th&eacute;rapeutiques fond&eacute;es sur des donn&eacute;es solides.</span></span></span></li>\r\n
    </ul>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:16.0pt">Crit&egrave;res d&rsquo;inclusion&nbsp;:</span></em></strong></span></span></p>\r\n
    \r\n
    <ul>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Patients suspects ou confirm&eacute;s COVID 19.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Sus d&eacute;calage ST ou BBGC r&eacute;cent.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Age &gt; 18 ans.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Symptomatologie &eacute;vocatrice d&rsquo;isch&eacute;mie: douleur thoracique, dyspn&eacute;e, arr&ecirc;t cardiaque, choc cardiog&eacute;nique&hellip;).</span></span></span></li>\r\n
    </ul>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:16.0pt">Pas de crit&egrave;res d&rsquo;exclusion</span></em></strong></span></span></p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:16.0pt"><img src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image002.jpg" style="height:459px; width:605px" /></span></em></strong></span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Profils des patients inclus dans le registre NACMI:</span></span></span></p>\r\n
    \r\n
    <ol>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Les patients confirm&eacute;s COVID 19 se pr&eacute;sentant pour STEMI sont thrombolys&eacute;s, puis trait&eacute;s par ATC.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Les patients confirm&eacute;s COVID 19 dont l&rsquo;ECG montre un sus d&eacute;calage diffus et la biologie montre une &eacute;l&eacute;vation des tropo ne sont ni thrombolys&eacute;s ni explor&eacute;s.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Les patients suspects COVID 19 se pr&eacute;sentant pour STEMI b&eacute;n&eacute;ficient d&rsquo;une ATC primaire.</span></span></span></li>\r\n
    </ol>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt"><img src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image004.jpg" style="height:220px; width:616px" /></span></span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Crit&egrave;re de jugement primaire: Taux de MACE intra-hospitalier.</span></span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Crit&egrave;res de jugement secondaires:</span></span></span></p>\r\n
    \r\n
    <ul>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Etiologies du sus d&eacute;calage ST.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Taux de MACE &agrave; 1 an.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Les &eacute;v&egrave;nements composants le MACE.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Charct&eacute;ristiques &eacute;lectrocardiographiques et angiographiques. </span></span></span></li>\r\n
    </ul>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:16.0pt">R&eacute;sultats&nbsp;:</span></em></strong></span></span></p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>\r\n
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    <p style="text-align:justify">&nbsp;</p>\r\n
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    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><img id="_x0000_s1033" src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image005.png" style="height:10.45pt; margin-left:832px; margin-top:-94px; position:absolute; width:240pt; z-index:251666432" /> <img id="_x0000_s1034" src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image005.png" style="height:11.45pt; margin-left:-65px; margin-top:-80px; position:absolute; width:263.7pt; z-index:251669504" /> <img id="_x0000_s1036" src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image005.png" style="height:11.4pt; margin-left:313px; margin-top:-81px; position:absolute; width:261.65pt; z-index:251672576" /> <img alt="Description : Une image contenant table\r\n
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    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:16.0pt">R&eacute;sultats&nbsp;:</span></em></strong></span></span></p>\r\n
    \r\n
    <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><img src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image018.jpg" style="height:22px; width:627px" /></span></span></p>\r\n
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    <p style="margin-left:-47px; text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt"><img src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image022.jpg" style="height:342px; width:611px" /></span></span></span></p>\r\n
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    <p style="margin-left:-47px; text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Compar&eacute;s aux patients suspects ou ceux de la cohorte historique:</span></span></span></p>\r\n
    \r\n
    <ul>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Une pr&eacute;sentation avec sus d&eacute;calage du ST &eacute;tait plus fr&eacute;quente chez les patients diab&eacute;tiques COVID+.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Les patients COVID+ avec sus d&eacute;calage du ST &eacute;taient plus susceptibles de se pr&eacute;senter en intra hospitalier, avec choc cardiog&eacute;nique (mais pas d&#39;arr&ecirc;t cardiaque) avec une FEVG plus basse, et une symptomatologie plus atypique.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Les patients COVID+ avec sus d&eacute;calage du ST &eacute;taient plus susceptibles de ne pas recevoir d&rsquo;angiographie (21%) et de recevoir un traitement pharmacologique.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Surmortalit&eacute; intra hospitali&egrave;re, incidence plus importante d&rsquo;AVC avec une dur&eacute;e de s&eacute;jour plus longue chez les patients COVID +.</span></span></span></li>\r\n
    </ul>\r\n
    \r\n
    <p style="margin-left:-47px; text-align:justify">&nbsp;</p>\r\n
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    <p style="margin-left:-47px; text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><em><span style="font-size:16.0pt">Conclusions&nbsp;:</span></em></strong></span></span></p>\r\n
    \r\n
    <ul>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Les patients <strong>COVID + </strong>avec sus d&eacute;calage du segment ST repr&eacute;sentent une population &agrave; haut risque.</span></span></span></li>\r\n
    \t<li style="text-align: justify;"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:16.0pt">Il est pr&eacute;f&eacute;rable de r&eacute;aliser une angioplastie primaire chez cette population compte tenu de l&rsquo;absence de diff&eacute;rence significative par rapport aux patients <strong>COVID-</strong> en termes d&rsquo;art&egrave;re coupable ou de d&eacute;lai &laquo;door to balloon&nbsp;&raquo;.</span></span></span></li>\r\n
    </ul>\r\n
    \r\n
    <p style="margin-left:-47px; text-align:justify">&nbsp;</p>\r\n
    \r\n
    <p style="text-align:justify">&nbsp;</p>
    """
  -descriptionEn: null
  -descriptionSansEditeur: "15 à 28 % des patients COVID+ hospitalisés, ont un taux élevé de"
  -titrePhoto: null
  -categorieHightlights: CategorieHightlights {#576 …}
  -affiche: null
  -file: null
  #photoHightlights: PersistentCollection {#583 …}
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