{"id":10085,"date":"2026-04-01T11:33:06","date_gmt":"2026-04-01T11:33:06","guid":{"rendered":"https:\/\/cardiocases.com\/?post_type=ecg_case&#038;p=10085"},"modified":"2026-04-01T11:33:07","modified_gmt":"2026-04-01T11:33:07","slug":"trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire","status":"publish","type":"ecg_case","link":"https:\/\/cardiocases.com\/fr\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/","title":{"rendered":"Trac\u00e9 2.8: Pause sinusale post-r\u00e9duction de fibrillation auriculaire"},"content":{"rendered":"","protected":false},"featured_media":10084,"template":"","ecg_case_type":[251],"language_ecgcase":[259],"class_list":["post-10085","ecg_case","type-ecg_case","status-publish","has-post-thumbnail","hentry","ecg_case_type-sinus-dysfunction","language_ecgcase-french"],"acf":{"ecg_case_title":"Trac\u00e9 2.8: Pause sinusale post-r\u00e9duction de fibrillation auriculaire","patient_description":"Homme de 74 ans pr\u00e9sentant des syncopes r\u00e9p\u00e9t\u00e9es avec sensation de palpitations pr\u00e9c\u00e9\u00ad dant la perte de connaissance. Enregistrement d\u2019un trac\u00e9 lors de la survenue de palpita\u00adtions.","quiz_question":"Ce patient pr\u00e9sente:","quiz_answer_1":"une tachycardie supra-ventriculaire au d\u00e9but du trac\u00e9","quiz_answer_2":"une tachycardie ventriculaire au d\u00e9but du trac\u00e9","quiz_answer_3":"une tachycardie jonctionnelle au d\u00e9but du trac\u00e9","quiz_answer_4":"une pause sur BAV paroxystique","quiz_answer_5":"une pause sinusale post-r\u00e9ductionnelle","correct_answer":["A","E"],"ecg_image":10084,"ecg_description":"Au d\u00e9but du trac\u00e9, l\u2019activit\u00e9 atriale est irr\u00e9guli\u00e8re, tr\u00e8s rapide, anarchique et correspond \u00e0 une FA conduite avec bloc de branche droit complet (QRS > 120 ms, aspect rsR\u2019 en V1, onde S large et trainante en V6); l\u2019arythmie atriale se r\u00e9duit avec mise en \u00e9vidence d\u2019une pause sinusale post- r\u00e9ductionnelle de plus de 2 secondes; reprise d\u2019une activit\u00e9 sinusale normale avec le m\u00eame aspect de bloc de branche droit.","ecg_info_box":"La survenue d\u2019une pause sinusale post-r\u00e9ductionnelle sur un \u00e9pisode d\u2019arythmie atriale doit \u00eatre \u00e9voqu\u00e9e chez un patient pr\u00e9sentant une fibrillation auriculaire ou un flutter et une syncope. ","commentary_ecg":"Ce type de trac\u00e9 correspond \u00e0 une variante de la maladie de l\u2019oreillette, associant \u00e9pisodes de fibrillation auriculaire et pause survenant uniquement au moment de la r\u00e9duction de l\u2019arythmie. Les palpitations \u00e9taient en rapport avec les \u00e9pisodes de fibrillation auriculaire paroxystique, les syncopes avec la survenue de pauses post- r\u00e9ductionnelles. Pour pr\u00e9venir la survenue de syncope dans ce cadre, 2 strat\u00e9gies sont envisageables. La premi\u00e8re est de consid\u00e9rer que la pause post-r\u00e9ductionnelle n\u2019est que la cons\u00e9quence de l\u2019arythmie et que le traitement doit cibler la fibrillation atriale. Une \u00e9tude avait montr\u00e9 que chez ce type de patients, l\u2019ablation des veines pulmonaires permettait d\u2019\u00e9viter les r\u00e9cidives d\u2019arythmie mais \u00e9galement permettait de supprimer les syncopes. La seconde strat\u00e9gie est de consid\u00e9rer que la pause post-r\u00e9duction traduit l\u2019existence d\u2019une dysfonction sinusale r\u00e9v\u00e9l\u00e9e \u00e0 la r\u00e9duction justifiant la pose d\u2019un stimulateur cardiaque.\r\n","ecg_info_post_answer":"<img class=\"alignnone wp-image-10303 size-large\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/04\/page-093-1024x794.png\" alt=\"\" width=\"800\" height=\"620\" \/>"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Trac\u00e9 2.8: Pause sinusale post-r\u00e9duction de fibrillation auriculaire - Cardiocases<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cardiocases.com\/fr\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Trac\u00e9 2.8: Pause sinusale post-r\u00e9duction de fibrillation auriculaire - Cardiocases\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cardiocases.com\/fr\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiocases\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-01T11:33:07+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cardiocases.com\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/\",\"url\":\"https:\/\/cardiocases.com\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/\",\"name\":\"Trac\u00e9 2.8: Pause sinusale post-r\u00e9duction de fibrillation auriculaire - Cardiocases\",\"isPartOf\":{\"@id\":\"https:\/\/cardiocases.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/cardiocases.com\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/cardiocases.com\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/03\/trace-2-8-ecg-3.jpeg\",\"datePublished\":\"2026-04-01T11:33:06+00:00\",\"dateModified\":\"2026-04-01T11:33:07+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/cardiocases.com\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/cardiocases.com\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/cardiocases.com\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/#primaryimage\",\"url\":\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/03\/trace-2-8-ecg-3.jpeg\",\"contentUrl\":\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/03\/trace-2-8-ecg-3.jpeg\",\"width\":1576,\"height\":1241},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/cardiocases.com\/ecg_case\/trace-2-8-pause-sinusale-post-reduction-de-fibrillation-auriculaire\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/cardiocases.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Trac\u00e9 2.8: Pause sinusale post-r\u00e9duction de fibrillation auriculaire\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/cardiocases.com\/#website\",\"url\":\"https:\/\/cardiocases.com\/\",\"name\":\"Cardiocases\",\"description\":\"Real cardiac device traces, pacemaker &amp; 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