Supraventriculaire ritmestoornissen: verschil tussen versies
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| Regel 12: | Regel 12: | ||
'''Lees ook:''' | '''Lees ook:''' | ||
* | *Stroomdiagram: [[Media:narrow_tachycardia_flow.png|Diagnostiek van de smalcomplex tachycardie]] naar <cite>ESCnarrowQRS</cite>. | ||
*[[Ritmestoornissen|Inleidend hoofdstuk ritmestoornissen]] | *[[Ritmestoornissen|Inleidend hoofdstuk ritmestoornissen]] | ||
*[[Mechanismen van ritmestoornissen]] | *[[Mechanismen van ritmestoornissen]] | ||
| Regel 24: | Regel 24: | ||
{| class="wikitable" font-size="90%" | {| class="wikitable" font-size="90%" | ||
|- style="text-align:center;background-color:#6EB4EB;" | |- style="text-align:center;background-color:#6EB4EB;" | ||
|+''' | |+'''Overzicht van supraventriculaire tachycardiën''' | ||
|- | |- | ||
! | ! | ||
| Regel 36: | Regel 36: | ||
| colspan="8" style="text-align:left;background-color:#cfefcf;" | '''Narrow complex (QRS<0.12)''' | | colspan="8" style="text-align:left;background-color:#cfefcf;" | '''Narrow complex (QRS<0.12)''' | ||
|- | |- | ||
! [[ | ! [[Sinustachycardie]] | ||
| regular | | regular | ||
| 100-180 bpm | | 100-180 bpm | ||
| Regel 44: | Regel 44: | ||
| gradual slowing | | gradual slowing | ||
|- | |- | ||
! [[ | ! [[Boezemfibrilleren]] | ||
| grossly irregular | | grossly irregular | ||
| 400-600 bpm | | 400-600 bpm | ||
| Regel 52: | Regel 52: | ||
| slows down rate; irregularity remains | | slows down rate; irregularity remains | ||
|- | |- | ||
! [[ | ! [[Boezemflutter]] | ||
| regular (sometimes alternating block) | | regular (sometimes alternating block) | ||
| 250-350 bpm | | 250-350 bpm | ||
| Regel 68: | Regel 68: | ||
| stops | | stops | ||
|- | |- | ||
! [[ | ! [[Atriale Tachycardie]] | ||
| regular | | regular | ||
| 120-250 bpm | | 120-250 bpm | ||
| Regel 76: | Regel 76: | ||
| temporary AV-block | | temporary AV-block | ||
|- | |- | ||
! [[AVRT|Atrio-Ventricular Reentry | ! [[AVRT|Atrio-Ventricular Reentry Tachycardie (AVRT)- orthodroom]] | ||
| regular | | regular | ||
| 150-250 bpm | | 150-250 bpm | ||
| Regel 84: | Regel 84: | ||
| stops | | stops | ||
|- | |- | ||
! [[AVJT|AV junctional | ! [[AVJT|AV junctional tachycardie]] | ||
| regular | | regular | ||
| 60-100 bpm | | 60-100 bpm | ||
| Regel 94: | Regel 94: | ||
| colspan="8" style="text-align:left;background-color:#cfefcf;" | '''Wide complex (QRS>0.12)''' | | colspan="8" style="text-align:left;background-color:#cfefcf;" | '''Wide complex (QRS>0.12)''' | ||
|- | |- | ||
! [[ | ! [[Supraventriculaire tachycardie met block]] | ||
| (ir)regular depending on SVT | | (ir)regular depending on SVT | ||
| 150-250 bpm | | 150-250 bpm | ||
| Regel 102: | Regel 102: | ||
| temporary increased AV-block (eg 4:1) | | temporary increased AV-block (eg 4:1) | ||
|- | |- | ||
! [[AVRT|Atrio-ventricular Reentry | ! [[AVRT|Atrio-ventricular Reentry Tachycardie (AVRT) - antidroom]] | ||
| regular | | regular | ||
| 150-250 bpm | | 150-250 bpm | ||
| Regel 112: | Regel 112: | ||
|} | |} | ||
== | ==Referenties== | ||
<biblio> | <biblio> | ||
#ESCnarrowQRS pmid=14563598 | #ESCnarrowQRS pmid=14563598 | ||
</biblio> | </biblio> | ||
Versie van 10 sep 2007 17:55
Supraventriculaire ritmestoornissen komen uit de atria. Voorbeelden zijn:
- Sinustachycardie
- Atriaal ritme
- Boezemflutter
- Boezemfibrilleren
- Atriale Tachycardie
- Atrio-ventricular Reentry Tachycardie AVRT
Supraventriculaire ectopische slagen kunnen leiden tot:
Lees ook:
- Stroomdiagram: Diagnostiek van de smalcomplex tachycardie naar ESCnarrowQRS.
- Inleidend hoofdstuk ritmestoornissen
- Mechanismen van ritmestoornissen
- Sinusritme
- Nodale ritmestoornissen
- Ventriculaire ritmestoornissen
- Supraventriculaire tachycardie met aberrantie
- Wolff-Parkinson-White syndroom
| regularity | atrial frequency | ventricular frequency | origin (SVT/VT) | p-wave | effect of adenosine | ||
|---|---|---|---|---|---|---|---|
| Narrow complex (QRS<0.12) | |||||||
| Sinustachycardie | regular | 100-180 bpm | 100-180 bpm | sinusnode (SVT) | precedes every QRS complex | gradual slowing | |
| Boezemfibrilleren | grossly irregular | 400-600 bpm | 75-175 bpm | atria (SVT) | absent | slows down rate; irregularity remains | |
| Boezemflutter | regular (sometimes alternating block) | 250-350 bpm | 75-150 bpm (3:1 or 2:1 block is most common) | atria (SVT) | negative sawtooth in lead II | temporary reduced conduction (e.g. 4:1) | |
| AVNRT | regular | 180-250 bpm | 180-250 bpm | AV-node (SVT) | in QRS complex (R') | stops | |
| Atriale Tachycardie | regular | 120-250 bpm | 75-200 bpm | atria | precedes QRS, p wave differs from sinus-p | temporary AV-block | |
| Atrio-Ventricular Reentry Tachycardie (AVRT)- orthodroom | regular | 150-250 bpm | 150-250 bpm | circle: av-node - ventricles - bypass - atria | RP < PR | stops | |
| AV junctional tachycardie | regular | 60-100 bpm | 70-130 bpm | AV node | RP < PR | reduces rate | |
| Wide complex (QRS>0.12) | |||||||
| Supraventriculaire tachycardie met block | (ir)regular depending on SVT | 150-250 bpm | 75-200 bpm | atria (SVT) | absent | temporary increased AV-block (eg 4:1) | |
| Atrio-ventricular Reentry Tachycardie (AVRT) - antidroom | regular | 150-250 bpm | 150-250 bpm | circular: bypass - atria - av-node - ventricles | RP < PR | stops | |
Referenties
<biblio>
- ESCnarrowQRS pmid=14563598
</biblio>