Ventrikeltachycardie: verschil tussen versies
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| Regel 10: | Regel 10: | ||
| adenosine = no rate reduction (can accelerate) | | adenosine = no rate reduction (can accelerate) | ||
| example = An example of a polymorphic ventricular tachycardia [[Image:vtach.png|250px|Ventricular Tachycardia (VT or V-tach)]] | | example = An example of a polymorphic ventricular tachycardia [[Image:vtach.png|250px|Ventricular Tachycardia (VT or V-tach)]] | ||
| example2 = | | example2 = | ||
| animation = <flash>file=TenTusscherVT.swf|width=300|height=300|quality=best|align=right||</flash> | | animation = <flash>file=TenTusscherVT.swf|width=300|height=300|quality=best|align=right||</flash> | ||
| animationdesc = This movie shows a computer model of ventricular tachycardia in the human heart. The VT in this example is initiated by a ventricular extrasystole and maintained by a re-entry rotor inferior in the left ventricle.<cite>tentusscher</cite> In reality, this is possibly not the etiology of VT in diseased hearts, however it is very illustrative. Read [[Copyright|this]] if you want to use this image in a presentation. [[Media:TenTusscherVT.swf|Link to the file / enlargement]] | | animationdesc = This movie shows a computer model of ventricular tachycardia in the human heart. The VT in this example is initiated by a ventricular extrasystole and maintained by a re-entry rotor inferior in the left ventricle.<cite>tentusscher</cite> In reality, this is possibly not the etiology of VT in diseased hearts, however it is very illustrative. Read [[Copyright|this]] if you want to use this image in a presentation. [[Media:TenTusscherVT.swf|Link to the file / enlargement]] | ||
| Regel 25: | Regel 25: | ||
*'''Polymorphic VT''': the ventricular beats have a changing configuration. The RR interval is 180-600 ms (comparable to a heart rate of 100-333 bpm). | *'''Polymorphic VT''': the ventricular beats have a changing configuration. The RR interval is 180-600 ms (comparable to a heart rate of 100-333 bpm). | ||
*'''Biphasic VT''': a ventricular tachycardia with a QRS complex that alternates from beat to beat. Associated with [[Miscellaneous#Digoxin|digoxin intoxication]]. | *'''Biphasic VT''': a ventricular tachycardia with a QRS complex that alternates from beat to beat. Associated with [[Miscellaneous#Digoxin|digoxin intoxication]]. | ||
<gallery caption="Voorbeeld-ECG's van ventrikeltachycardie"> | |||
Image:12lead_vt1.jpg|Ventrikeltachycardie van 140 / min met een linker bundeltakblok configuratie en linker hartas. | |||
</gallery> | |||
Versie van 12 aug 2007 13:21
| Dit is onderdeel van het hoofdstuk: Ventriculaire ritmestoornissen |
| {{{locatieafbeelding}}} | |
| Atriale frequentie | 60-100 bpm |
| Ventriculaire frequentie | 110-250 bpm |
| Regelmaat | regular |
| Oorsprong ritme | ventricles |
| P-top | AV-dissociation |
| Effect van adenosine | no rate reduction (can accelerate) |
Voorbeeld-ecg: An example of a polymorphic ventricular tachycardia 
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Ventricular tachycardia is defined as a sequence of three or more ventricular beats. The frequency must by higher than 100 bpm, mostly it is 110-250 bpm.
Ventricular tachycardias often origin around old scar tissue in the heart, e.g. after myocardial infarction. Also electrolyte disturbances and ischemia can cause ventricular tachycardias. The cardiac output is often strongly reduced during VT resulting in hypotension and loss of conciousness. VT is a medical emergency as it can deteriorate into Ventricular fibrillation and thus mechanical cardiac arrest.
Ventricular tachycardia can be catechorized as follows:
- Non-sustained VT: three or more ventricular beats with a maximal duration of 30 seconds.
- Sustained VT: a VT of more than 30 seconds duration (or less if treated by electrocardioversion within 30 seconds).
- Monomorphic VT: all ventricular beats have the same configuration.
- Polymorphic VT: the ventricular beats have a changing configuration. The RR interval is 180-600 ms (comparable to a heart rate of 100-333 bpm).
- Biphasic VT: a ventricular tachycardia with a QRS complex that alternates from beat to beat. Associated with digoxin intoxication.
- Voorbeeld-ECG's van ventrikeltachycardie
Ventrikeltachycardie van 140 / min met een linker bundeltakblok configuratie en linker hartas.
