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2.032-6.25 3.242-10.035 3.242A17.52 17.52 0 0 1 0 26.598C3.576 28.746 7.821 30 12.385 30"></path></g></svg></span></a></div></div><hr class="d5c7y9-0 jAAhhm"/></div></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Définition</h3><p>La maladie coronarienne définit une maladie touchant les artères coronaires du coeur. Les vaisseaux coronaires approvisionnent le muscle cardiaque en oxygène et constituent ainsi le moteur du système circulatoire.</p> <p>Des dépôts de graisses, de calcification et de tissu fibreux au niveau des parois des artères coronaires entraînent un rétrécissement des vaisseaux, responsable d`un obstacle à l`écoulement du sang. Par conséquent, l`approvisionnement du myocarde en oxygène et en nutriments devient insuffisant, ce qui est à l`origine de symptômes, tels que des douleurs rétrosternales et un sentiment d`oppression (angine de poitrie) pouvant aller jusqu`àl`infarctus du myocarde ou à la mort subite.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Causes</h3><p>De nombreux facteurs peuvent favoriser la formation de plaques au niveau des vaisseaux coronaires sans pour autant conduire nécessairement à une maladie coronarienne. C`est surtout l`association de plusieurs facteurs qui favorise la survenue de la maladie coronarienne.</p> <h3>Facteurs de risque « influençables »pouvant conduire à une maladie coronarienne:</h3> <ul> <li>Hypertension artérielle </li> <li>Hypercholestérolémie </li> <li>Abus de nicotine </li> <li>Taux de sucre élevé dans le sang </li> <li>Surcharge pondérale, obésité </li> <li>Stress </li> <li>Sédentarité </li> </ul> <h3>Facteurs de risque «non influençables» pouvant conduire à une maladie coronarienne:</h3> <ul> <li>Age </li> <li>Prédisposition familiale </li> <li>Sexe (les femmes sont protégées avant la ménopause par les oestrogènes) </li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Troubles (symptômes)</h3><p>Le symptôme le plus caractéristique de la maladie coronarienne est la douleur angineuse, aussi appelée angine de poitrine, survenant d`abord lors d`efforts physiques importants.</p> <p>Lorsque la maladie progresse, les douleurs et la sensation d`oppression apparaissent déjà lors d`efforts modérés (ex. monter les escaliers, se pencher vers l`avant). Le patient éprouve des difficultés respiratoires et la douleur irradie souvent vers la mâchoire, le bras gauche et la partie supérieure de l`abdomen. </p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Examens (diagnostic)</h3><ul> <li>Anamnèse médicale avec prise en compte des symptômes du malade plus anamnèse familiale </li> <li>Electrocardiogramme(ECG) </li> <li>ECG d`effort </li> <li>Holter (le patient porte un ECG portatif pendant 24 à 48 heures) </li> <li>Ultrasons (échocardiogramme) </li> <li>Scintigraphie cardiaque, cathétérisme cardiaque avec injection de produit de contraste pour visualiser les vaisseaux coronaires et le muscle cardiaque.</li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Options thérapeutiques</h3><p>Elimination des facteurs de risque, notamment réduction de l`hypertension artérielle, diminution de la surcharge pondérale, arrêt du tabac et régulation de la glycémie.</p> <p>Plusieurs médicaments peuvent être utilisés pour améliorer l`approvisionnement du myocarde en oxygène et prévenir la survenue d`un infarctus du myocarde.</p> <p>Dans de nombreux cas, le recours à ces médicaments n`est pas suffisant et une intervention chirurgicale s`avère nécessaire : dilatation du segment rétréci par un cathéter avec ballonnet ou pose d`un bypass court-circuitant les vaisseaux bouchés. </p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Complications possibles</h3><p>Sans traitement approprié, une partie du myocarde mal approvisionnée en oxygène se nécrose et meurt. Dans de nombreux cas, l`infarctus du myocarde entraîne le décès du patient.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Vorbeugemassnahmen (Präventionsmassnahmen)</h3><p>Zur Vorbeugung gegen eine koronare Herzkrankheit werden folgende Massnahmen empfohlen</p> <ul> <li>Nicht rauchen</li> <li>Gewichtsabnahme bei Übergewicht</li> <li>Regelmässige Bewegung</li> <li>Konsequente Einhaltung der Therapie von Blutdruck, Blutfetterhöhungen und einer allfälligen Zuckerkrankheit</li> <li>Gute Work-life Balance (Abbau von Stressfaktoren)</li> </ul></div></div></div><div class="kw3gvu-1 cqHIiz"><div class="riphwg-1 kw3gvu-2 fycNAX"><div width="12" offset="0" class="riphwg-2 iwBqiC"><div class="kw3gvu-0 eUIIhe"><h1 class="kw3gvu-3 dxKopd">Egalement susceptible de vous intéresser</h1></div></div></div></div><div class="ulmjm-1 fbgsh"><div class="riphwg-1 ulmjm-0 hHrAfN"><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/syndrome_borderline_une_douche_ecossaise_de_sentiments"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Astrid-Habenstein--Privatklinik-Wyss-AG.jpg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Astrid-Habenstein--Privatklinik-Wyss-AG.jpg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Astrid-Habenstein--Privatklinik-Wyss-AG.jpg?ratio=0.5625&width=425" alt="Syndrome borderline" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE">Syndrome borderline : une douche écossaise de sentiments</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">21.07.2021</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Dr Astrid Habenstein est cheffe de clinique à la clinique privée Wyss AG. Dans une interview accordée à TCS MyMed, elle nous parle du syndrome borderline et de la manière...</p></div></a></div><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/substances_toxiques_dans_les_constructions_des_agents_pathogenes_entre_les_murs"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_L-ften_Fenster.jpeg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_L-ften_Fenster.jpeg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Adobe/Adobe_L-ften_Fenster.jpeg?ratio=0.5625&width=425" alt="Substances toxiques dans les constructions" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE">Substances toxiques dans les constructions : des agents pathogènes entre les murs</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">14.07.2021</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Toute personne passe chaque jour plusieurs heures dans son chez-soi. Une bonne qualité de l’air ambiant est indispensable pour le bien-être et chacun peut largement y contribuer...</p></div></a></div><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/les_dysfonctionnements_de_la_thyroide"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_Schilddr-se.jpeg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_Schilddr-se.jpeg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Adobe/Adobe_Schilddr-se.jpeg?ratio=0.5625&width=425" alt="Thyroïde" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE">Les dysfonctionnements de la thyroïde</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">05.07.2021</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Le Docteur Julien Ducry, médecin adjoint du service d’endocrinologie et diabétologie de l’HFR – Fribourg, Hôpital Cantonal, nous parle des problèmes qui peuvent affecter le fonctionnement...</p></div></a></div></div></div><section class="qxqpcn-0 eehpjO"><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 qxqpcn-1 eDaGiC"><div class="qxqpcn-2 jlFskx"><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 iwBqiC"><div class="no1smy-0 hHbyRT"><p style="margin-left:0cm; margin-right:0cm">Ce site web utilise des cookies. 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Les vaisseaux coronaires approvisionnent le muscle cardiaque en oxygène et constituent ainsi le moteur du système circulatoire.\u003c/p\u003e\n\u003cp\u003eDes dépôts de graisses, de calcification et de tissu fibreux au niveau des parois des artères coronaires entraînent un rétrécissement des vaisseaux, responsable d`un obstacle à l`écoulement du sang. Par conséquent, l`approvisionnement du myocarde en oxygène et en nutriments devient insuffisant, ce qui est à l`origine de symptômes, tels que des douleurs rétrosternales et un sentiment d`oppression (angine de poitrie) pouvant aller jusqu`àl`infarctus du myocarde ou à la mort subite.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eCauses\u003c/h3\u003e\u003cp\u003eDe nombreux facteurs peuvent favoriser la formation de plaques au niveau des vaisseaux coronaires sans pour autant conduire nécessairement à une maladie coronarienne. C`est surtout l`association de plusieurs facteurs qui favorise la survenue de la maladie coronarienne.\u003c/p\u003e\n\u003ch3\u003eFacteurs de risque « influençables »pouvant conduire à une maladie coronarienne:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eHypertension artérielle \u003c/li\u003e\n \u003cli\u003eHypercholestérolémie \u003c/li\u003e\n \u003cli\u003eAbus de nicotine \u003c/li\u003e\n \u003cli\u003eTaux de sucre élevé dans le sang \u003c/li\u003e\n \u003cli\u003eSurcharge pondérale, obésité \u003c/li\u003e\n \u003cli\u003eStress \u003c/li\u003e\n \u003cli\u003eSédentarité \u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eFacteurs de risque «non influençables» pouvant conduire à une maladie coronarienne:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eAge \u003c/li\u003e\n \u003cli\u003ePrédisposition familiale \u003c/li\u003e\n \u003cli\u003eSexe (les femmes sont protégées avant la ménopause par les oestrogènes) \u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eTroubles (symptômes)\u003c/h3\u003e\u003cp\u003eLe symptôme le plus caractéristique de la maladie coronarienne est la douleur angineuse, aussi appelée angine de poitrine, survenant d`abord lors d`efforts physiques importants.\u003c/p\u003e\n\u003cp\u003eLorsque la maladie progresse, les douleurs et la sensation d`oppression apparaissent déjà lors d`efforts modérés (ex. monter les escaliers, se pencher vers l`avant). Le patient éprouve des difficultés respiratoires et la douleur irradie souvent vers la mâchoire, le bras gauche et la partie supérieure de l`abdomen.\u0026nbsp; \u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eExamens (diagnostic)\u003c/h3\u003e\u003cul\u003e\n \u003cli\u003eAnamnèse médicale avec prise en compte des symptômes du malade plus anamnèse familiale \u003c/li\u003e\n \u003cli\u003eElectrocardiogramme(ECG) \u003c/li\u003e\n \u003cli\u003eECG d`effort \u003c/li\u003e\n \u003cli\u003eHolter (le patient porte un ECG portatif pendant 24 à 48 heures) \u003c/li\u003e\n \u003cli\u003eUltrasons (échocardiogramme) \u003c/li\u003e\n \u003cli\u003eScintigraphie cardiaque, cathétérisme cardiaque avec injection de produit de contraste pour visualiser les vaisseaux coronaires et le muscle cardiaque.\u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eOptions thérapeutiques\u003c/h3\u003e\u003cp\u003eElimination des facteurs de risque, notamment réduction de l`hypertension artérielle, diminution de la surcharge pondérale, arrêt du tabac et régulation de la glycémie.\u003c/p\u003e\n\u003cp\u003ePlusieurs médicaments peuvent être utilisés pour améliorer l`approvisionnement du myocarde en oxygène et prévenir la survenue d`un infarctus du myocarde.\u003c/p\u003e\n\u003cp\u003eDans de nombreux cas, le recours à ces médicaments n`est pas suffisant et une intervention chirurgicale s`avère nécessaire : dilatation du segment rétréci par un cathéter avec ballonnet ou pose d`un bypass court-circuitant les vaisseaux bouchés. \u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eComplications possibles\u003c/h3\u003e\u003cp\u003eSans traitement approprié, une partie du myocarde mal approvisionnée en oxygène se nécrose et meurt. Dans de nombreux cas, l`infarctus du myocarde entraîne le décès du patient.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eVorbeugemassnahmen (Präventionsmassnahmen)\u003c/h3\u003e\u003cp\u003eZur Vorbeugung gegen eine koronare Herzkrankheit werden folgende Massnahmen empfohlen\u003c/p\u003e\n\u003cul\u003e\n \u003cli\u003eNicht rauchen\u003c/li\u003e\n \u003cli\u003eGewichtsabnahme bei Übergewicht\u003c/li\u003e\n \u003cli\u003eRegelmässige Bewegung\u003c/li\u003e\n \u003cli\u003eKonsequente Einhaltung der Therapie von Blutdruck, Blutfetterhöhungen und einer allfälligen Zuckerkrankheit\u003c/li\u003e\n \u003cli\u003eGute Work-life Balance (Abbau von Stressfaktoren)\u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}}]},{"type":"Area","children":[{"type":"Wrapper","children":[{"type":"Pe009TeaserGridHeader","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"headline":"Egalement susceptible de vous intéresser"}},{"type":"Pe008TeaserGrid","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"teaserCount":3},"children":[{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"21.07.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Astrid-Habenstein--Privatklinik-Wyss-AG.jpg","loadingIndicator":false,"alt":"Syndrome borderline","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/syndrome_borderline_une_douche_ecossaise_de_sentiments"}},"text":{"type":"Text","props":{"type":"normal","content":"Dr Astrid Habenstein est cheffe de clinique à la clinique privée Wyss AG. 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