https://nl.ecgpedia.org/index.php?action=history&feed=atom&title=Antwoord_casus_21 2026-08-25T12:09:04Z Bewerkingsoverzicht voor deze pagina op de wiki MediaWiki 1.43.1 https://nl.ecgpedia.org/index.php?title=Antwoord_casus_21&diff=10277&oldid=prev 2017-07-12T12:59:57Z

<p><span class="autocomment">Antwoorden</span></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="nl"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Oudere versie</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Versie van 12 jul 2017 12:59</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l11">Regel 11:</td> <td colspan="2" class="diff-lineno">Regel 11:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***&#039;&#039;&#039;Positief in II, III en AVF. Vrijwel iso-elektrisch in I. Dus een verticale hartas.&#039;&#039;&#039;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***&#039;&#039;&#039;Positief in II, III en AVF. Vrijwel iso-elektrisch in I. Dus een verticale hartas.&#039;&#039;&#039;</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**P-top-morfologie  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**P-top-morfologie  </div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''De P-top is niet hoger dan 2,5 mm in afleiding II en het terminale deel in V1 is niet groter dan 1 mm, dus geen rechter- of linkeratriumdilatatie. Er is evidente [[<del style="font-weight: bold; text-decoration: none;">Pta depressie</del>|PTa-depressie]] in afleiding II, III en AVF. PTa-elevatie in AVR.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''De P-top is niet hoger dan 2,5 mm in afleiding II en het terminale deel in V1 is niet groter dan 1 mm, dus geen rechter- of linkeratriumdilatatie. Er is evidente [[<ins style="font-weight: bold; text-decoration: none;">PTa segment</ins>|PTa-depressie]] in afleiding II, III en AVF. PTa-elevatie in AVR.'''</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**QRS-morfologie  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**QRS-morfologie  </div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***&#039;&#039;&#039;Geen pathologische Q&#039;s. Geen microvoltages. Geen bundeltakblok. Geen linkerventrikelhypertrofie. Vrijwel normale R-topprogressie over de voorwand.&#039;&#039;&#039;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***&#039;&#039;&#039;Geen pathologische Q&#039;s. Geen microvoltages. Geen bundeltakblok. Geen linkerventrikelhypertrofie. Vrijwel normale R-topprogressie over de voorwand.&#039;&#039;&#039;</div></td></tr> <!-- diff cache key ecgpedia_nl:diff:1.41:old-10276:rev-10277:php=table --> </table>

Ivos https://nl.ecgpedia.org/index.php?title=Antwoord_casus_21&diff=10276&oldid=prev 2017-07-12T12:57:23Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="nl"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Oudere versie</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Versie van 12 jul 2017 12:57</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1">Regel 1:</td> <td colspan="2" class="diff-lineno">Regel 1:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Antwoorden===</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Antwoorden===</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[Afbeelding:Ptadepressieecg.png|thumb| Nogmaals het <del style="font-weight: bold; text-decoration: none;">ECG</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[Afbeelding:Ptadepressieecg.png|thumb| Nogmaals het <ins style="font-weight: bold; text-decoration: none;">ecg</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* Beschrijf het <del style="font-weight: bold; text-decoration: none;">ECG </del>volgens het 7 + 2 stappenplan</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* Beschrijf het <ins style="font-weight: bold; text-decoration: none;">ecg </ins>volgens het 7+2<ins style="font-weight: bold; text-decoration: none;">-</ins>stappenplan</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Ritme</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Ritme</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''Het is een regulair ritme en ieder QRS complex wordt voorafgegaan door een <del style="font-weight: bold; text-decoration: none;">p</del>-top. De <del style="font-weight: bold; text-decoration: none;">p </del>top is positief in II,III en AVF en komt dus vanuit de sinusknoop. Conclusie: sinusritme.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''Het is een regulair ritme en ieder QRS<ins style="font-weight: bold; text-decoration: none;">-</ins>complex wordt voorafgegaan door een <ins style="font-weight: bold; text-decoration: none;">P</ins>-top. De <ins style="font-weight: bold; text-decoration: none;">P-</ins>top is positief in II, III en AVF en komt dus vanuit de sinusknoop. Conclusie: sinusritme.'''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Hartfrequentie<del style="font-weight: bold; text-decoration: none;">. </del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Hartfrequentie</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''Gebruik de 'telmethode' (ongeveer <del style="font-weight: bold; text-decoration: none;">2 1/2 </del>grote hokjes ~&gt; 300-150-100), dus ongeveer 130/min.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''Gebruik de 'telmethode' (ongeveer <ins style="font-weight: bold; text-decoration: none;">2½ </ins>grote hokjes ~&gt; 300-150-100), dus ongeveer 130/min.'''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Geleidingstijden (PQ,QRS,QT)  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Geleidingstijden (PQ, QRS, QT)  </div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''PQ-tijd=0.<del style="font-weight: bold; text-decoration: none;">16sec </del>(4 kleine hokjes), QRS duur=0.<del style="font-weight: bold; text-decoration: none;">08sec</del>, QT tijd=<del style="font-weight: bold; text-decoration: none;">280ms</del>'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''PQ-tijd = 0<ins style="font-weight: bold; text-decoration: none;">,16 sec</ins>. (4 kleine hokjes), QRS<ins style="font-weight: bold; text-decoration: none;">-</ins>duur = 0<ins style="font-weight: bold; text-decoration: none;">,08 sec</ins>., QT<ins style="font-weight: bold; text-decoration: none;">-</ins>tijd = <ins style="font-weight: bold; text-decoration: none;">280 ms</ins>'''</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Hartas  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Hartas  </div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''Positief in II, III en AVF. Vrijwel <del style="font-weight: bold; text-decoration: none;">Iso</del>-<del style="font-weight: bold; text-decoration: none;">electrisch </del>in I. Dus een verticale hartas.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''Positief in II, III en AVF. Vrijwel <ins style="font-weight: bold; text-decoration: none;">iso</ins>-<ins style="font-weight: bold; text-decoration: none;">elektrisch </ins>in I. Dus een verticale hartas.'''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**P top morfologie  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**P<ins style="font-weight: bold; text-decoration: none;">-</ins>top<ins style="font-weight: bold; text-decoration: none;">-</ins>morfologie  </div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''De <del style="font-weight: bold; text-decoration: none;">p </del>top is niet hoger dan 2<del style="font-weight: bold; text-decoration: none;">.</del>5 mm in afleiding II en het terminale deel in V1 is niet groter dan 1 <del style="font-weight: bold; text-decoration: none;">mm2</del>, dus geen rechter of <del style="font-weight: bold; text-decoration: none;">linker atriumdilatatie</del>. Er is evidente [[Pta depressie]] in afleiding II,III en AVF. <del style="font-weight: bold; text-decoration: none;">Pta </del>elevatie in AVR.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''De <ins style="font-weight: bold; text-decoration: none;">P-</ins>top is niet hoger dan 2<ins style="font-weight: bold; text-decoration: none;">,</ins>5 mm in afleiding II en het terminale deel in V1 is niet groter dan 1 <ins style="font-weight: bold; text-decoration: none;">mm</ins>, dus geen rechter<ins style="font-weight: bold; text-decoration: none;">- </ins>of <ins style="font-weight: bold; text-decoration: none;">linkeratriumdilatatie</ins>. Er is evidente [[Pta <ins style="font-weight: bold; text-decoration: none;">depressie|PTa-</ins>depressie]] in afleiding II, III en AVF. <ins style="font-weight: bold; text-decoration: none;">PTa-</ins>elevatie in AVR.'''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**QRS morfologie  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**QRS<ins style="font-weight: bold; text-decoration: none;">-</ins>morfologie  </div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''Geen pathologische Q's. Geen microvoltages. Geen bundeltakblok. Geen <del style="font-weight: bold; text-decoration: none;">linker ventrikelhypertrofie</del>. Vrijwel normale R <del style="font-weight: bold; text-decoration: none;">top progressie </del>over de voorwand.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''Geen pathologische Q's. Geen microvoltages. Geen bundeltakblok. Geen <ins style="font-weight: bold; text-decoration: none;">linkerventrikelhypertrofie</ins>. Vrijwel normale R<ins style="font-weight: bold; text-decoration: none;">-topprogressie </ins>over de voorwand.'''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**ST morfologie  </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**ST<ins style="font-weight: bold; text-decoration: none;">-</ins>morfologie  </div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''Geen ST elevatie of depressie. Geen afwijkend negatieve T toppen.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''Geen ST<ins style="font-weight: bold; text-decoration: none;">-</ins>elevatie of <ins style="font-weight: bold; text-decoration: none;">-</ins>depressie. Geen afwijkend negatieve T<ins style="font-weight: bold; text-decoration: none;">-</ins>toppen.'''</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">vergelijking </del>met het oude <del style="font-weight: bold; text-decoration: none;">ECG </del>(niet <del style="font-weight: bold; text-decoration: none;">voor handen</del>, dus overslaan)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Vergelijking </ins>met het oude <ins style="font-weight: bold; text-decoration: none;">ecg </ins>(niet <ins style="font-weight: bold; text-decoration: none;">voorhanden</ins>, dus overslaan)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">conclusie</del>. Wat is er aan de hand?</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Conclusie</ins>. Wat is er aan de hand?</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <!-- diff cache key ecgpedia_nl:diff:1.41:old-6348:rev-10276:php=table --> </table>

Ivos https://nl.ecgpedia.org/index.php?title=Antwoord_casus_21&diff=6348&oldid=prev 2008-04-02T10:05:41Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="nl"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Oudere versie</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Versie van 2 apr 2008 10:05</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l20">Regel 20:</td> <td colspan="2" class="diff-lineno">Regel 20:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>'''Antwoord: pericarditis.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>'''Antwoord: <ins style="font-weight: bold; text-decoration: none;">[[</ins>pericarditis<ins style="font-weight: bold; text-decoration: none;">]]</ins>.'''</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{clr}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{clr}}</div></td></tr> <!-- diff cache key ecgpedia_nl:diff:1.41:old-6347:rev-6348:php=table --> </table>

Drj https://nl.ecgpedia.org/index.php?title=Antwoord_casus_21&diff=6347&oldid=prev 2008-04-02T10:05:32Z

<p>Nieuwe pagina: ===Antwoorden=== <a href="/wiki/Bestand:Ptadepressieecg.png" title="Bestand:Ptadepressieecg.png">thumb| Nogmaals het ECG</a> * Beschrijf het ECG volgens het 7 + 2 stappenplan **Ritme ***&#039;&#039;&#039;Het is een regulair ritme en ieder QRS comp...</p> <p><b>Nieuwe pagina</b></p><div>===Antwoorden===<br /> [[Afbeelding:Ptadepressieecg.png|thumb| Nogmaals het ECG]]<br /> * Beschrijf het ECG volgens het 7 + 2 stappenplan<br /> **Ritme<br /> ***&#039;&#039;&#039;Het is een regulair ritme en ieder QRS complex wordt voorafgegaan door een p-top. De p top is positief in II,III en AVF en komt dus vanuit de sinusknoop. Conclusie: sinusritme.&#039;&#039;&#039;<br /> **Hartfrequentie. <br /> ***&#039;&#039;&#039;Gebruik de &#039;telmethode&#039; (ongeveer 2 1/2 grote hokjes ~&gt; 300-150-100), dus ongeveer 130/min.&#039;&#039;&#039;<br /> **Geleidingstijden (PQ,QRS,QT) <br /> ***&#039;&#039;&#039;PQ-tijd=0.16sec (4 kleine hokjes), QRS duur=0.08sec, QT tijd=280ms&#039;&#039;&#039;<br /> **Hartas <br /> ***&#039;&#039;&#039;Positief in II, III en AVF. Vrijwel Iso-electrisch in I. Dus een verticale hartas.&#039;&#039;&#039;<br /> **P top morfologie <br /> ***&#039;&#039;&#039;De p top is niet hoger dan 2.5 mm in afleiding II en het terminale deel in V1 is niet groter dan 1 mm2, dus geen rechter of linker atriumdilatatie. Er is evidente [[Pta depressie]] in afleiding II,III en AVF. Pta elevatie in AVR.&#039;&#039;&#039;<br /> **QRS morfologie <br /> ***&#039;&#039;&#039;Geen pathologische Q&#039;s. Geen microvoltages. Geen bundeltakblok. Geen linker ventrikelhypertrofie. Vrijwel normale R top progressie over de voorwand.&#039;&#039;&#039;<br /> **ST morfologie <br /> ***&#039;&#039;&#039;Geen ST elevatie of depressie. Geen afwijkend negatieve T toppen.&#039;&#039;&#039;<br /> **vergelijking met het oude ECG (niet voor handen, dus overslaan)<br /> **conclusie. Wat is er aan de hand?<br /> <br /> <br /> &#039;&#039;&#039;Antwoord: pericarditis.&#039;&#039;&#039;<br /> <br /> {{clr}}</div>

Drj