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Antwoord oefeninfarct 19 - Bewerkingsoverzicht
2026-08-12T18:39:39Z
Bewerkingsoverzicht voor deze pagina op de wiki
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https://nl.ecgpedia.org/index.php?title=Antwoord_oefeninfarct_19&diff=10239&oldid=prev
Ivos: /* Antwoorden */
2017-07-12T10:17:42Z
<p><span class="autocomment">Antwoorden</span></p>
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<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 10:17</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l28">Regel 28:</td>
<td colspan="2" class="diff-lineno">Regel 28:</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>''' Inferiorinfarct met reeds <del style="font-weight: bold; text-decoration: none;">Qs </del>in de onderwand; waarschijnlijk een RCA-occlusie (III > II, depressie I)'''</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>''' Inferiorinfarct met reeds <ins style="font-weight: bold; text-decoration: none;">Q's </ins>in de onderwand; waarschijnlijk een RCA-occlusie (III > II, depressie I)'''</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>
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Ivos
https://nl.ecgpedia.org/index.php?title=Antwoord_oefeninfarct_19&diff=10101&oldid=prev
Ivos op 10 jul 2017 om 09:10
2017-07-10T09:10:03Z
<p></p>
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<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 10 jul 2017 09:10</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l6">Regel 6:</td>
<td colspan="2" class="diff-lineno">Regel 6:</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>}}</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>}}</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>'''Waar zit het infarct?'''</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>'''Waar zit het infarct?'''</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:KJcasus8.jpg|thumb|600px|left| Beschrijf 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:KJcasus8.jpg|thumb|600px|left| Beschrijf het <ins style="font-weight: bold; text-decoration: none;">ecg</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>{{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>
<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>* 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>***''' Regelmatig met P toppen (positief in I, II / negatief in <del style="font-weight: bold; text-decoration: none;">aVR</del>) die gevolgd worden door een QRS complex, waarschijnlijk een 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>***''' Regelmatig met P<ins style="font-weight: bold; text-decoration: none;">-</ins>toppen (positief in I, II / negatief in <ins style="font-weight: bold; text-decoration: none;">AVR</ins>) die gevolgd worden door een QRS<ins style="font-weight: bold; text-decoration: none;">-</ins>complex, waarschijnlijk een sinusritme. </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>**Hartfrequentie. </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>**Hartfrequentie. </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>***''' 46/min. '''</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>***''' 46/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: <del style="font-weight: bold; text-decoration: none;">170ms </del>QRS: <del style="font-weight: bold; text-decoration: none;">110ms </del>QT: <del style="font-weight: bold; text-decoration: none;">420ms </del>QTc: <del style="font-weight: bold; text-decoration: none;">370ms </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: <ins style="font-weight: bold; text-decoration: none;">170 ms, </ins>QRS: <ins style="font-weight: bold; text-decoration: none;">110 ms, </ins>QT: <ins style="font-weight: bold; text-decoration: none;">420 ms, </ins>QTc: <ins style="font-weight: bold; text-decoration: none;">370 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 I en <del style="font-weight: bold; text-decoration: none;">aVF</del>: dus normaal '''</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 I en <ins style="font-weight: bold; text-decoration: none;">AVF</ins>: dus normaal '''</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>***''' P is <del style="font-weight: bold; text-decoration: none;">postief </del>in II, bifasisch in V1 maar in <del style="font-weight: bold; text-decoration: none;">aVF </del>is hij niet goed te beoordelen, niet breed, lijkt wel normaal '''</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 is <ins style="font-weight: bold; text-decoration: none;">positief </ins>in II, bifasisch in V1 maar in <ins style="font-weight: bold; text-decoration: none;">AVF </ins>is hij niet goed te beoordelen, niet breed, lijkt wel normaal '''</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>***''' Pathologische Q's in III, <del style="font-weight: bold; text-decoration: none;">aVF</del>. Trage R <del style="font-weight: bold; text-decoration: none;">top progressie </del>voorwand. Mogelijk enige aspecifieke <del style="font-weight: bold; text-decoration: none;">interventriculaire </del>geleidingsvertraging (QRS <del style="font-weight: bold; text-decoration: none;">110ms</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>***''' Pathologische Q's in III, <ins style="font-weight: bold; text-decoration: none;">AVF</ins>. Trage R<ins style="font-weight: bold; text-decoration: none;">-topprogressie </ins>voorwand. Mogelijk enige aspecifieke <ins style="font-weight: bold; text-decoration: none;">intraventriculaire </ins>geleidingsvertraging (QRS <ins style="font-weight: bold; text-decoration: none;">110 ms</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>**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>***'''ST elevatie II, III (III>II), aVF, V5 (<del style="font-weight: bold; text-decoration: none;">1 mm </del>elevatie V4 en V6, V1 en V3 moeilijk te beoordelen) ST depressie: I, <del style="font-weight: bold; text-decoration: none;">aVL</del>. Afleiding V3 is V4R en niet geëleveerd.'''</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>elevatie II, III (III > II), aVF, V5 (<ins style="font-weight: bold; text-decoration: none;">1mm-</ins>elevatie V4 en V6, V1 en V3 moeilijk te beoordelen)<ins style="font-weight: bold; text-decoration: none;">; </ins>ST<ins style="font-weight: bold; text-decoration: none;">-</ins>depressie: I, <ins style="font-weight: bold; text-decoration: none;">AVL</ins>. Afleiding V3 is V4R en niet geëleveerd.'''</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>**vergelijking 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>**vergelijking 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"></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>**conclusie. Wat is er aan de hand?</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>**conclusie. 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>
<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;">Inferior infarct </del>met reeds Qs in de onderwand; waarschijnlijk een RCA occlusie (III>II, depressie I)'''</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;">Inferiorinfarct </ins>met reeds Qs in de onderwand; waarschijnlijk een RCA<ins style="font-weight: bold; text-decoration: none;">-</ins>occlusie (III > II, depressie I)'''</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>
</table>
Ivos
https://nl.ecgpedia.org/index.php?title=Antwoord_oefeninfarct_19&diff=6969&oldid=prev
Drj: Nieuwe pagina: {{Casus| |previouspage= Oefeninfarct 18 |previousname= Oefeninfarct 18 |nextpage= Oefeninfarct 20 |nextname= Oefeninfarct 20 }} '''Waar zit het infarct?''' [[Afbeelding:KJcasus8.jpg|t...
2008-10-16T18:40:59Z
<p>Nieuwe pagina: {{Casus| |previouspage= Oefeninfarct 18 |previousname= Oefeninfarct 18 |nextpage= Oefeninfarct 20 |nextname= Oefeninfarct 20 }} '''Waar zit het infarct?''' [[Afbeelding:KJcasus8.jpg|t...</p>
<p><b>Nieuwe pagina</b></p><div>{{Casus|<br />
|previouspage= Oefeninfarct 18<br />
|previousname= Oefeninfarct 18<br />
|nextpage= Oefeninfarct 20<br />
|nextname= Oefeninfarct 20<br />
}}<br />
'''Waar zit het infarct?'''<br />
[[Afbeelding:KJcasus8.jpg|thumb|600px|left| Beschrijf het ECG]]<br />
{{clr}}<br />
==Antwoorden==<br />
* Beschrijf het ECG volgens het 7 + 2 stappenplan<br />
**Ritme<br />
***''' Regelmatig met P toppen (positief in I, II / negatief in aVR) die gevolgd worden door een QRS complex, waarschijnlijk een sinusritme. <br />
**Hartfrequentie. <br />
***''' 46/min. '''<br />
**Geleidingstijden (PQ,QRS,QT) <br />
***''' PQ: 170ms QRS: 110ms QT: 420ms QTc: 370ms '''<br />
**Hartas <br />
***''' Positief in I en aVF: dus normaal '''<br />
**P top morfologie <br />
***''' P is postief in II, bifasisch in V1 maar in aVF is hij niet goed te beoordelen, niet breed, lijkt wel normaal '''<br />
**QRS morfologie <br />
***''' Pathologische Q's in III, aVF. Trage R top progressie voorwand. Mogelijk enige aspecifieke interventriculaire geleidingsvertraging (QRS 110ms)'''<br />
**ST morfologie <br />
***'''ST elevatie II, III (III>II), aVF, V5 (1 mm elevatie V4 en V6, V1 en V3 moeilijk te beoordelen) ST depressie: I, aVL. Afleiding V3 is V4R en niet geëleveerd.'''<br />
**vergelijking met het oude ECG (niet voor handen, dus overslaan)<br />
**conclusie. Wat is er aan de hand?<br />
<br />
<br />
''' Inferior infarct met reeds Qs in de onderwand; waarschijnlijk een RCA occlusie (III>II, depressie I)'''<br />
<br />
{{clr}}</div>
Drj