{"id":15172691,"date":"2025-01-13T09:02:00","date_gmt":"2025-01-13T08:02:00","guid":{"rendered":"https:\/\/kapitalis.com\/tunisie\/?p=15172691"},"modified":"2025-01-13T09:02:02","modified_gmt":"2025-01-13T08:02:02","slug":"les-potins-du-cardiologue-conduire-cest-savoir-sarreter","status":"publish","type":"post","link":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/","title":{"rendered":"Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater"},"content":{"rendered":"\n<p><strong><em>Au-del\u00e0 du cas particulier \u00e9voqu\u00e9 dans cette lettre ouverte, et qui rel\u00e8ve de la pratique quotidienne d\u2019un cardiologue aux prises avec des situations requ\u00e9rant des d\u00e9cisions parfois critiques, c\u2019est l\u2019intelligence du rapport entre le m\u00e9decin, le patient et la maladie qui est ici analys\u00e9e.<\/em><\/strong> <\/p>\n\n\n\n<p><strong>Dr Mounir Hanablia<\/strong><\/p>\n\n\n\n<!--more-->\n\n\n\n<p>A Madame F. B. Az, Sage-Femme.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Ch\u00e8re&nbsp;Madame.&nbsp;<\/p>\n\n\n\n<p>Je voudrais vous apporter quelques informations concernant votre parente, que j\u2019avais vue deux ou trois fois depuis environ deux ans, la derni\u00e8re fois remonte \u00e0 peut-\u00eatre un an. Selon ce dont je me souviens, une coronarographie avait \u00e9t\u00e9 indiqu\u00e9e par un de mes coll\u00e8gues, dont je n\u2019avais pas jug\u00e9 l\u2019indication justifi\u00e9e.&nbsp;<\/p>\n\n\n\n<p>Puisque la question m\u2019a \u00e9t\u00e9 pos\u00e9e, je voudrais pr\u00e9ciser que la coronarographie ne s\u2019imposait pas quand votre parente \u00e9tait venue me voir.<\/p>\n\n\n\n<p>Il me semble, si mes souvenirs sont corrects, que l\u2019histoire clinique ne pr\u00e9jugeait&nbsp;pas d\u2019atteinte coronarienne et que l\u2019ECG et le Holter Rythmique ne r\u00e9v\u00e9laient pas de signes d\u2019isch\u00e9mie myocardique \u00e9volutive. Il n\u2019y avait \u00e0 priori aucune raison de demander cet examen, qui comme tout autre, soumet le patient \u00e0 un risque m\u00eame minime qu\u2019on doit \u00eatre justifi\u00e9 de prendre.<\/p>\n\n\n\n<p>D\u2019autre part, l\u2019anti-coagulation de la patiente amenait in\u00e9vitablement \u00e0 la question de l\u2019association avec les anti-agr\u00e9gants plaquettaires (Plavix, Asp\u00e9gic) en cas d\u2019implantation de stents, \u00e9ventualit\u00e9 que, obligatoirement, on garde \u00e0 l\u2019esprit avant toute coronarographie, du fait du risque h\u00e9morragique prohibitif qu\u2019elle imposerait.<\/p>\n\n\n\n<p>Ainsi, pour moi, seule une situation d\u2019urgence (infarctus du myocarde) pouvait&nbsp;justifier chez cette patiente une implantation de stents. Et celle-ci n\u2019existait pas quand je l\u2019ai&nbsp;vue.&nbsp;<\/p>\n\n\n\n<p>J\u2019ignore pourquoi et dans quel contexte la coll\u00e8gue qui l\u2019a prise en charge apr\u00e8s moi a prescrit la coronarographie .Peut-\u00eatre l\u2019indication est-elle devenue justifi\u00e9e, deux ann\u00e9es apr\u00e8s, dans le cadre de l\u2019\u00e9volution naturelle de la maladie coronaire.&nbsp;<\/p>\n\n\n\n<p>J\u2019apprends maintenant qu\u2019elle a \u00e9t\u00e9 explor\u00e9e et que trois stents lui ont \u00e9t\u00e9 prescrits, dont il s\u2019av\u00e8re que l\u2019implantation pose probl\u00e8me du fait d\u2019une thrombop\u00e9nie, ce qui ram\u00e8ne cette patiente en fibrillation auriculaire soumise aux anticoagulants, il faut le rappeler, pour des ictus&nbsp;isch\u00e9miques c\u00e9r\u00e9braux r\u00e9p\u00e9t\u00e9s, \u00e0 son point de d\u00e9part, celui du traitement m\u00e9dical et de la temporisation. Le praticien, cette fois et contrairement \u00e0 ses habitudes et&nbsp;\u00e0 sa r\u00e9putation, a pr\u00e9f\u00e9r\u00e9 temporiser,&nbsp;et il a \u00e0 mon avis bien fait.&nbsp;<\/p>\n\n\n\n<p>Eu \u00e9gard \u00e0 ce qui m\u2019a \u00e9t\u00e9 rapport\u00e9 (que je n\u2019ai moi m\u00eame pas visualis\u00e9, et dont je n\u2019ai&nbsp;pas pris connaissance de documents en faisant \u00e9tat), l\u2019indication de l\u2019implantation des stents existe selon l\u2019\u00e9tude de r\u00e9f\u00e9rence Syntax qui d\u00e9montre chez les tritronculaires stent\u00e9s (3 art\u00e8res principales st\u00e9nos\u00e9es) une nette augmentation de la survie \u00e0 1 an et \u00e0 5 ans. Naturellement l\u2019existence d\u2019un diab\u00e8te modifie les r\u00e9sultats en faveur de la chirurgie, mais&nbsp;on ne va pas op\u00e9rer une dame de plus de 70 ans qui a fait plusieurs ictus c\u00e9r\u00e9braux.&nbsp;&nbsp;<\/p>\n\n\n\n<p>N\u00e9anmoins l\u2019\u00e9tude de r\u00e9f\u00e9rence ult\u00e9rieure Excel d\u00e9montre que cette diminution de mortalit\u00e9 cardiaque est <em>\u00abcompens\u00e9e\u00bb<\/em> par une \u00e9l\u00e9vation associ\u00e9e due \u00e0 des accidents vasculaires et c\u00e9r\u00e9braux ou d\u2019autres \u00e9v\u00e9nements. D\u2019aucuns ont m\u00eame os\u00e9 parler de risque ind\u00e9pendant d\u00fb au stent.&nbsp;<\/p>\n\n\n\n<p>En tous&nbsp;cas,&nbsp; selon Excel, la mortalit\u00e9 globale, stents ou pas, ne varie pas au moins \u00e0 1 an. Et on a vu comment le score Syntax II avait&nbsp;introduit dans l\u2019\u00e9tude de la survie d\u2019autres facteurs (\u00e2ge, insuffisance r\u00e9nale, insuffisance respiratoire, cancer, etc.) qui ont tout autant leur importance.<\/p>\n\n\n\n<p>Ceci devrait donc vous convaincre que dans le cas clinique pr\u00e9sent, celui de votre parente, le traitement m\u00e9dical seul (anticoagulants, antihypertenseur) pourrait aussi bien faire l\u2019affaire puisque la thrombop\u00e9nie introduit&nbsp;un facteur impr\u00e9visible important dans tout stenting&nbsp;ult\u00e9rieur.&nbsp;<\/p>\n\n\n\n<p>Et en fin de compte, la coronarographie, ou le d\u00e9faut de coronarographie, n\u2019a eu aucune incidence sur sa survie, ni dans la r\u00e9alit\u00e9 puisque deux ann\u00e9es apr\u00e8s elle est toujours vivante et n\u2019a pas fait d\u2019infarctus, ni sur le plan th\u00e9orique puisque cette attitude est valid\u00e9e par les \u00e9tudes de r\u00e9f\u00e9rence cit\u00e9es.\u00a0 Avec mes salutations les plus respectueuses.\u00a0<\/p>\n\n\n\n<p>* <em>M\u00e9decin de libre pratique.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Consid\u00e9rations \u00e0 propos du rapport entre le m\u00e9decin, le patient et la maladie. <\/p>\n","protected":false},"author":8,"featured_media":11101905,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[992,99475,998,1000,2433],"tags":[120069,120070,120068,104801,120071,104990],"class_list":["post-15172691","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-a-la-une","category-science","category-societe","category-tribune","category-tunisie","tag-anti-agregants-plaquettaires","tag-anti-coagulation","tag-atteinte-coronarienne","tag-coronarographie","tag-etude-syntax","tag-stents"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater - Kapitalis<\/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:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater - Kapitalis\" \/>\n<meta property=\"og:description\" content=\"Consid\u00e9rations \u00e0 propos du rapport entre le m\u00e9decin, le patient et la maladie.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/\" \/>\n<meta property=\"og:site_name\" content=\"Kapitalis\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/KapitalisInfo\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-01-13T08:02:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-13T08:02:02+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2023\/12\/Coronographie.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"webmaster kapitalis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@KapitalisInfo\" \/>\n<meta name=\"twitter:site\" content=\"@KapitalisInfo\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"webmaster kapitalis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\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\":\"Article\",\"@id\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/\"},\"author\":{\"name\":\"webmaster kapitalis\",\"@id\":\"https:\/\/kapitalis.com\/tunisie\/#\/schema\/person\/d71f33a9ca44f7bad4698210b480c8e9\"},\"headline\":\"Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater\",\"datePublished\":\"2025-01-13T08:02:00+00:00\",\"dateModified\":\"2025-01-13T08:02:02+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/\"},\"wordCount\":811,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/kapitalis.com\/tunisie\/#organization\"},\"image\":{\"@id\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2023\/12\/Coronographie.jpg\",\"keywords\":[\"anti-agr\u00e9gants plaquettaires\",\"anti-coagulation\",\"atteinte coronarienne\",\"coronarographie\",\"\u00e9tude Syntax\",\"stents\"],\"articleSection\":[\"A LA UNE\",\"Science\",\"SOCIETE\",\"TRIBUNE\",\"Tunisie\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/\",\"url\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/\",\"name\":\"Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater - Kapitalis\",\"isPartOf\":{\"@id\":\"https:\/\/kapitalis.com\/tunisie\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2023\/12\/Coronographie.jpg\",\"datePublished\":\"2025-01-13T08:02:00+00:00\",\"dateModified\":\"2025-01-13T08:02:02+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#primaryimage\",\"url\":\"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2023\/12\/Coronographie.jpg\",\"contentUrl\":\"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2023\/12\/Coronographie.jpg\",\"width\":1200,\"height\":630},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/kapitalis.com\/tunisie\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/kapitalis.com\/tunisie\/#website\",\"url\":\"https:\/\/kapitalis.com\/tunisie\/\",\"name\":\"Kapitalis\",\"description\":\"L&#039;actualit\u00e9 en Tunisie et dans le monde\",\"publisher\":{\"@id\":\"https:\/\/kapitalis.com\/tunisie\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/kapitalis.com\/tunisie\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/kapitalis.com\/tunisie\/#organization\",\"name\":\"Kapitalis\",\"url\":\"https:\/\/kapitalis.com\/tunisie\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/kapitalis.com\/tunisie\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2022\/05\/Kapitalis-big-size.png\",\"contentUrl\":\"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2022\/05\/Kapitalis-big-size.png\",\"width\":5000,\"height\":1500,\"caption\":\"Kapitalis\"},\"image\":{\"@id\":\"https:\/\/kapitalis.com\/tunisie\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/KapitalisInfo\/\",\"https:\/\/x.com\/KapitalisInfo\",\"https:\/\/www.youtube.com\/channel\/UC-yDYrHyfFBWWZaOw3FPg9Q\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/kapitalis.com\/tunisie\/#\/schema\/person\/d71f33a9ca44f7bad4698210b480c8e9\",\"name\":\"webmaster kapitalis\",\"url\":\"https:\/\/kapitalis.com\/tunisie\/author\/webmaster-kapitalis\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater - Kapitalis","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/","og_locale":"fr_FR","og_type":"article","og_title":"Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater - Kapitalis","og_description":"Consid\u00e9rations \u00e0 propos du rapport entre le m\u00e9decin, le patient et la maladie.","og_url":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/","og_site_name":"Kapitalis","article_publisher":"https:\/\/www.facebook.com\/KapitalisInfo\/","article_published_time":"2025-01-13T08:02:00+00:00","article_modified_time":"2025-01-13T08:02:02+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2023\/12\/Coronographie.jpg","type":"image\/jpeg"}],"author":"webmaster kapitalis","twitter_card":"summary_large_image","twitter_creator":"@KapitalisInfo","twitter_site":"@KapitalisInfo","twitter_misc":{"\u00c9crit par":"webmaster kapitalis","Dur\u00e9e de lecture estim\u00e9e":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#article","isPartOf":{"@id":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/"},"author":{"name":"webmaster kapitalis","@id":"https:\/\/kapitalis.com\/tunisie\/#\/schema\/person\/d71f33a9ca44f7bad4698210b480c8e9"},"headline":"Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater","datePublished":"2025-01-13T08:02:00+00:00","dateModified":"2025-01-13T08:02:02+00:00","mainEntityOfPage":{"@id":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/"},"wordCount":811,"commentCount":0,"publisher":{"@id":"https:\/\/kapitalis.com\/tunisie\/#organization"},"image":{"@id":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#primaryimage"},"thumbnailUrl":"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2023\/12\/Coronographie.jpg","keywords":["anti-agr\u00e9gants plaquettaires","anti-coagulation","atteinte coronarienne","coronarographie","\u00e9tude Syntax","stents"],"articleSection":["A LA UNE","Science","SOCIETE","TRIBUNE","Tunisie"],"inLanguage":"fr-FR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/","url":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/","name":"Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater - Kapitalis","isPartOf":{"@id":"https:\/\/kapitalis.com\/tunisie\/#website"},"primaryImageOfPage":{"@id":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#primaryimage"},"image":{"@id":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#primaryimage"},"thumbnailUrl":"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2023\/12\/Coronographie.jpg","datePublished":"2025-01-13T08:02:00+00:00","dateModified":"2025-01-13T08:02:02+00:00","breadcrumb":{"@id":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#primaryimage","url":"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2023\/12\/Coronographie.jpg","contentUrl":"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2023\/12\/Coronographie.jpg","width":1200,"height":630},{"@type":"BreadcrumbList","@id":"https:\/\/kapitalis.com\/tunisie\/2025\/01\/13\/les-potins-du-cardiologue-conduire-cest-savoir-sarreter\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/kapitalis.com\/tunisie\/"},{"@type":"ListItem","position":2,"name":"Les potins du cardiologue: conduire, c\u2019est savoir s\u2019arr\u00eater"}]},{"@type":"WebSite","@id":"https:\/\/kapitalis.com\/tunisie\/#website","url":"https:\/\/kapitalis.com\/tunisie\/","name":"Kapitalis","description":"L&#039;actualit\u00e9 en Tunisie et dans le monde","publisher":{"@id":"https:\/\/kapitalis.com\/tunisie\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/kapitalis.com\/tunisie\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/kapitalis.com\/tunisie\/#organization","name":"Kapitalis","url":"https:\/\/kapitalis.com\/tunisie\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/kapitalis.com\/tunisie\/#\/schema\/logo\/image\/","url":"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2022\/05\/Kapitalis-big-size.png","contentUrl":"https:\/\/kapitalis.com\/tunisie\/wp-content\/uploads\/2022\/05\/Kapitalis-big-size.png","width":5000,"height":1500,"caption":"Kapitalis"},"image":{"@id":"https:\/\/kapitalis.com\/tunisie\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/KapitalisInfo\/","https:\/\/x.com\/KapitalisInfo","https:\/\/www.youtube.com\/channel\/UC-yDYrHyfFBWWZaOw3FPg9Q"]},{"@type":"Person","@id":"https:\/\/kapitalis.com\/tunisie\/#\/schema\/person\/d71f33a9ca44f7bad4698210b480c8e9","name":"webmaster kapitalis","url":"https:\/\/kapitalis.com\/tunisie\/author\/webmaster-kapitalis\/"}]}},"_links":{"self":[{"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/posts\/15172691","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/comments?post=15172691"}],"version-history":[{"count":1,"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/posts\/15172691\/revisions"}],"predecessor-version":[{"id":15172709,"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/posts\/15172691\/revisions\/15172709"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/media\/11101905"}],"wp:attachment":[{"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/media?parent=15172691"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/categories?post=15172691"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kapitalis.com\/tunisie\/wp-json\/wp\/v2\/tags?post=15172691"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}