{"id":30012256,"date":"2024-03-08T11:17:52","date_gmt":"2024-03-08T10:17:52","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=30012256"},"modified":"2024-03-11T16:44:37","modified_gmt":"2024-03-11T15:44:37","slug":"scintigraphies-cardiaques-au-chu-de-poitiers","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/scintigraphies-cardiaques-au-chu-de-poitiers\/","title":{"rendered":"Scintigraphies cardiaques au CHU de Poitiers"},"content":{"rendered":"\n<p>En effet, apr\u00e8s 10 ann\u00e9es de collaboration sur le site de la polyclinique pour la r\u00e9alisation des scintigraphies myocardiques, le CHU de Poitiers et le SINEM ont d\u00e9cid\u00e9 d\u2019offrir l\u2019acc\u00e8s \u00e0 cet examen dans leur service respectif afin d\u2019accroitre l\u2019offre de soins pour les patients de notre territoire de sant\u00e9. Ces derniers pourront d\u00e9sormais r\u00e9aliser leur scintigraphie cardiaque au sein du service de m\u00e9decine nucl\u00e9aire du CHU ou celui du SINEM sur le site de la polyclinique. La nouvelle gamma cam\u00e9ra du CHU de Poitiers viendra donc en compl\u00e9ment de la cam\u00e9ra d\u00e9di\u00e9e du SINEM auparavant exploit\u00e9e dans le cadre du GIE.\u00a0<\/p>\n<p>La scintigraphie cardiaque, appel\u00e9e aussi scintigraphie de perfusion myocardique, est un examen d\u2019imagerie non invasif qui est r\u00e9alis\u00e9 pour contr\u00f4ler le flux sanguin dans le muscle cardiaque apr\u00e8s un effort physique. Pour cela, on injecte un produit radioactif qui se diffuse par la circulation sanguine et qui, gr\u00e2ce \u00e0 une gamma cam\u00e9ra, une cam\u00e9ra \u00e0 scintillation, permet de visualiser les zones saines, endommag\u00e9es ou mal irrigu\u00e9es du c\u0153ur. La scintigraphie est \u00e0 la fois un examen de d\u00e9pistage mais \u00e9galement de suivi des maladies coronariennes. Il s\u2019agit d\u2019un examen plut\u00f4t long puisqu\u2019il est coupl\u00e9 \u00e0 un test d\u2019effort. Il s\u2019agit de comparer l\u2019irrigation du c\u0153ur tout de suite apr\u00e8s un effort, entre 15 et 20 minutes apr\u00e8s, puis 3 \u00e0 4h apr\u00e8s l\u2019effort. Si le patient n\u2019est pas en capacit\u00e9 de r\u00e9aliser l\u2019effort, ils se voit administrer un m\u00e9dicament stimulant le muscle cardiaque. Au CHU de Poitiers, cette activit\u00e9 repose sur une \u00e9troite collaboration entre les m\u00e9decins nucl\u00e9aires et les cardiologues. Deux praticiens en m\u00e9decine nucl\u00e9aire sont sp\u00e9cialis\u00e9s dans la r\u00e9alisation de cet examen, le Dr Moran Berraho et le Dr Thierry Rosenberg, \u00e9galement cardiologue.\u00a0 Guillaume Trainaud compl\u00e8te\u00a0: \u00ab\u00a0<em>La scintigraphie cardiaque est une activit\u00e9 transversale qui n\u00e9cessite l\u2019intervention de cardiologues en m\u00e9decine nucl\u00e9aire. Nous avons toujours eu le soutien du service de la cardiologie avec lequel le Dr Rosenberg fait le lien. Depuis 2019, nous b\u00e9n\u00e9ficions de la pr\u00e9sence d\u2019un interne pour la r\u00e9alisation des tests d\u2019efforts qui pr\u00e9c\u00e8dent l\u2019examen. Les m\u00e9decins nucl\u00e9aires ne sont pas habilit\u00e9s \u00e0 faire l\u2019\u00e9preuve d\u2019effort et les cardiologues ne sont pas habilit\u00e9 \u00e0 injecter des produits radioactifs\u00a0\u00bb<\/em>.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2024\/03\/gamma-camera-3.jpg\"><img decoding=\"async\" width=\"900\" height=\"592\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2024\/03\/gamma-camera-3.jpg\" alt=\"\" class=\"wp-image-30012730\"\/><\/a><figcaption class=\"wp-element-caption\"><em>Le Dr Moran Berraho et le Dr Thierry Rosenberg<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<p>La centralisation de l\u2019activit\u00e9 au CHU de Poitiers est rendue possible gr\u00e2ce \u00e0 l\u2019acquisition d\u2019une nouvelle gamma cam\u00e9ra qui viendra s\u2019ajouter aux deux autres cam\u00e9ras d\u00e9j\u00e0 en place d\u00e9but avril. Elle permettra de r\u00e9pondre \u00e0 l\u2019augmentation constante des demandes de scintigraphies cardiaques. \u00ab <em>Nous faisons beaucoup de bilans pour des pathologies cardiaques graves. Et nous faisons de plus en plus d\u2019examens de d\u00e9pistage notamment des scintigraphies myocardites dans les populations \u00e0 risque parmi lesquelles, les diab\u00e9tiques<\/em>\u00a0\u00bb. Le nouvel \u00e9quipement, qui repose sur le m\u00eame fonctionnement que les deux autres, est plus performant. \u00ab\u00a0<em>Celui-ci est \u00e9quip\u00e9 d\u2019un collimateur sp\u00e9cifique aux examens de cardiologie qui permet une acquisition des images beaucoup plus rapide, et le gain de temps est toujours b\u00e9n\u00e9fique. Il permettra d\u2019effectuer l\u2019examen en dix minutes alors qu\u2019il dure vingt minutes avec les autres gamma cam\u00e9ra. Cela permettra de r\u00e9aliser d\u2019avantage d\u2019examens. De plus, les images acquises sont de meilleure qualit\u00e9<\/em>\u00a0\u00bb, se r\u00e9jouissent les Dr Thierry Rosenberg et Moran Berraho. De plus, la nouvelle gamma cam\u00e9ra pr\u00e9sente l\u2019avantage de pouvoir \u00eatre utilis\u00e9e pour tout type d\u2019examens de m\u00e9decine nucl\u00e9aire. Aussi l\u2019\u00e9quipement est-il r\u00e9serv\u00e9 chaque lundi \u00e0 \u00a0la r\u00e9alisation de scintigraphies osseuses. \u00ab\u00a0<em>C\u2019est un \u00e9quipement polyvalent qui permet un grand nombre d\u2019applications notamment pour les examens plus rares. En effet, le service de m\u00e9decine nucl\u00e9aire r\u00e9alise tous types de demandes d\u2019examens<\/em>\u00a0\u00bb, souligne Guillaume Trainaud.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2024\/03\/gamma-camera-1.jpg\"><img decoding=\"async\" width=\"900\" height=\"600\" data-id=\"30012895\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2024\/03\/gamma-camera-1.jpg\" alt=\"\" class=\"wp-image-30012895\"\/><\/a><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2024\/03\/gamma-camera-2.jpg\"><img decoding=\"async\" width=\"900\" height=\"546\" data-id=\"30012901\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2024\/03\/gamma-camera-2.jpg\" alt=\"\" class=\"wp-image-30012901\"\/><\/a><\/figure>\n<\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Entre avril 2014 et fin 2023 la majorit\u00e9 de l\u2019activit\u00e9 de scintigraphie cardiaque publique a \u00e9t\u00e9 r\u00e9alis\u00e9e dans les locaux du service de m\u00e9decine\u2026","protected":false},"author":12,"featured_media":30012607,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-30012256","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Scintigraphies cardiaques au CHU de Poitiers - Site du CHU de Poitiers<\/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:\/\/www.chu-poitiers.fr\/scintigraphies-cardiaques-au-chu-de-poitiers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Scintigraphies cardiaques au CHU de Poitiers - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Entre avril 2014 et fin 2023 la majorit\u00e9 de l\u2019activit\u00e9 de scintigraphie cardiaque publique a \u00e9t\u00e9 r\u00e9alis\u00e9e dans les locaux du service de m\u00e9decine nucl\u00e9aire priv\u00e9 (SINEM) sur le site de la polyclinique dans le cadre d\u2019un Groupement d\u2019Int\u00e9r\u00eat Economique (GIE). Depuis janvier 2024, la partie publique de cette activit\u00e9 est de nouveau r\u00e9alis\u00e9e au sein du service de m\u00e9decine nucl\u00e9aire du CHU de Poitiers.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.chu-poitiers.fr\/scintigraphies-cardiaques-au-chu-de-poitiers\/\" \/>\n<meta property=\"og:site_name\" content=\"Site du CHU de Poitiers\" \/>\n<meta property=\"article:published_time\" content=\"2024-03-08T10:17:52+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-11T15:44:37+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2024\/03\/avant-apres.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"900\" \/>\n\t<meta property=\"og:image:height\" content=\"320\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Morgane Pr\u00e9maud\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Morgane Pr\u00e9maud\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"NewsArticle\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/scintigraphies-cardiaques-au-chu-de-poitiers\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/scintigraphies-cardiaques-au-chu-de-poitiers\\\/\"},\"author\":{\"name\":\"Morgane Pr\u00e9maud\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#\\\/schema\\\/person\\\/c3b1c950cff7a774b33177b5cdabb2cb\"},\"headline\":\"Scintigraphies cardiaques au CHU de Poitiers\",\"datePublished\":\"2024-03-08T10:17:52+00:00\",\"dateModified\":\"2024-03-11T15:44:37+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/scintigraphies-cardiaques-au-chu-de-poitiers\\\/\"},\"wordCount\":701,\"publisher\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/scintigraphies-cardiaques-au-chu-de-poitiers\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2024\\\/03\\\/avant-apres.jpg\",\"articleSection\":[\"Non classifi\u00e9(e)\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/scintigraphies-cardiaques-au-chu-de-poitiers\\\/\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/scintigraphies-cardiaques-au-chu-de-poitiers\\\/\",\"name\":\"Scintigraphies cardiaques au CHU de Poitiers - 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