ACC lijst met ECG afwijkingen: verschil tussen versies

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Regel 1: Regel 1:
Onderstaande lijst is opgesteld door het American College of Cardiology en bevat alle items, waar een professional die met ECG's werkt, thuis in moet zijn. <cite>ACCECG</cite>
Onderstaande lijst is opgesteld door het American College of Cardiology en bevat alle items, waarin een professional die met ecg's werkt, thuis moet zijn. <cite>ACCECG</cite>
De ACC heeft ook 2 richtlijnen met adviezen over de technische aspecten van het ecg. <cite>ACCtech1</cite> <cite>ACCtech2</cite>


Electrocardiographic Diagnoses
==Electrocardiographic Diagnoses==


NORMAL TRACING
'''NORMAL TRACING'''
1. Normal
# Normal


ECG TECHNICAL PROBLEMS
'''ECG TECHNICAL PROBLEMS'''
# Leads misplaced
# Artifact


2. Leads misplaced
'''SINUS NODE RHYTHMS AND ARRHYTHMIAS'''
# Sinus rhythm
# Sinus tachycardia (>100 beats per minute)
# Sinus bradycardia (<50 beats per minute)
# Sinus arrhythmia
# Sinus arrest or pause
# Sino-atrial exit block


3. Artifact
'''OTHER SUPRAVENTRICULAR RHYTHMS'''
# Atrial premature complexes
# Atrial premature complexes, nonconducted
# Ectopic atrial rhythm
# Ectopic atrial tachycardia, unifocal
# Ectopic atrial tachycardia, multifocal
# Atrial fibrillation
# Atrial flutter
# Junctional premature complexes
# Junctional escape complexes or rhythm
# Accelerated junctional rhythm
# Junctional tachycardia, automatic
# Supraventricular tachycardia, paroxysmal


SINUS NODE RHYTHMS AND ARRHYTHMIAS
'''VENTRICULAR ARRHYTHMIAS'''
4. Sinus rhythm
# Ventricular premature complexes
5. Sinus tachycardia (>100 beats per minute)
# Ventricular escape complexes or rhythm
6. Sinus bradycardia (<50 beats per minute)
# Accelerated idioventricular rhythm
7. Sinus arrhythmia
# Ventricular tachycardia
8. Sinus arrest or pause
# Ventricular tachycardia, polymorphous (including torsade de pointes)
9. Sino-atrial exit block
# Ventricular fibrillation


OTHER SUPRAVENTRICULAR RHYTHMS
'''ATRIALVENTRICULAR CONDUCTION.'''
10. Atrial premature complexes
# First-degree AV block
11. Atrial premature complexes, nonconducted
# Mobitz Type 1 second-degree indeterminate) AV block (Wenckebach) 71. Right ventricular infarction (acute)
12. Ectopic atrial rhythm
# Mobitz Type 2 second-degree AV block
13. Ectopic atrial tachycardia, unifocal
# AV block or conduction ratio, 2:1
14. Ectopic atrial tachycardia, multifocal
# AV block, varying conduction ratio
15. Atrial fibrillation
# AV block, advanced (high-grade)
16. Atrial flutter
# AV block, complete (third-degree)
17. Junctional premature complexes
# AV dissociation
18. Junctional escape complexes or rhythm
19. Accelerated junctional rhythm
20. Junctional tachycardia, automatic
21. Supraventricular tachycardia, paroxysmal


VENTRICULAR ARRHYTHMIAS
'''INTRAVENTRICULAR CONDUCTION'''
22. Ventricular premature complexes
# Left bundle branch block (fixed or intermittent)
23. Ventricular escape complexes or rhythm
# Right bundle branch block (fixed or intermittent, complete or incomplete)
24. Accelerated idioventricular rhythm
# Intraventricular conduction delay, nonspecific
25. Ventricular tachycardia
# Aberrant conduction of supraventricular beats
26. Ventricular tachycardia, polymorphous (including torsade de pointes)
# Left anterior fascicular block
27. Ventricular fibrillation
# Left posterior fascicular block ventricular
# Ventricular pre-excitation (Wolff- Failure of appropriate pacemaker Parkinson-White pattern)


ATRIALVENTRICULAR CONDUCTION.
'''QRS AXIS AND VOLTAGE'''
28. First-degree AV block
# Right axis deviation (+90 to +180 degrees)
29. Mobitz Type 1 second-degree indeterminate) AV block (Wenckebach) 71. Right ventricular infarction (acute)
# Left axis deviation (-30 to -90 degrees)
30. Mobitz Type 2 second-degree AV block
# Indeterminate axis
31. AV block or conduction ratio, 2:1
# Electrical alternans
32. AV block, varying conduction ratio
# Low voltage (<0.5 mV total QRS amplitude in Each extremity lead and <1.0 mV in each Precordial lead)
33. AV block, advanced (high-grade)
34 AV block, complete (third-degree)
35. AV dissociation


INTRAVENTRICULAR CONDUCTION
'''CHAMBER HYPERTROPHY OR ENLARGEMENT'''
36. Left bundle branch block (fixed or intermittent)
# Left atrial enlargement, abnormality, or conduction defect
37. Right bundle branch block (fixed or intermittent, complete or incomplete)
# Right atrial abnormality
38. Intraventricular conduction delay, nonspecific
# Left ventricular hypertrophy (QRS abnormality only)
39. Aberrant conduction of supraventricular beats
# Left ventricular hypertrophy with secondary ST-T Abnormality
40. Left anterior fascicular block
# Right ventricular hypertrophy with or without secondary ST-T abnormality
41. Left posterior fascicular block ventricular
42. Ventricular pre-excitation (Wolff- Failure of appropriate pacemaker Parkinson-White pattern)


QRS AXIS AND VOLTAGE
'''REPOLARIZATION (ST-T,U) ABNORMALITIES'''
43. Right axis deviation (+90 to +180 degrees)
# Early repolarization (normal variant)
44. Left axis deviation (-30 to -90 degrees)
# Juvenile T waves (normal variant)
45. Indeterminate axis
# Nonspecific abnormality, ST segment and/or T wave
46. Electrical alternans
# ST and/or T wave suggests ischemia
47. Low voltage (<0.5 mV total QRS amplitude in Each extremity lead and <1.0 mV in each Precordial lead)
# ST suggests injury
# ST suggests ventricular aneurysm
# Q-T interval prolonged
# Prominent U waves


CHAMBER HYPERTROPHY OR ENLARGEMENT
'''MYOCARDIAL INFARCTION'''
48. Left atrial enlargement, abnormality, or conduction defect
# Inferior MI (acute or recent)
49. Right atrial abnormality
# Inferior MI (old or age indeterminate)
50. Left ventricular hypertrophy (QRS abnormality only)
# Posterior MI (acute or recent)
51. Left ventricular hypertrophy with secondary ST-T Abnormality
# Posterior MI (old or age indeterminate)
52. Right ventricular hypertrophy with or without secondary ST-T abnormality
# Septal MI (acute or recent)
# Anterior MI (acute or recent)
# Anterior MI (old or age indeterminate)
# Lateral MI (acute or recent)
# Lateral MI (old or age indeterminate)
# Right ventricular infarction (acute)


REPOLARIZATION (ST-T,U) ABNORMALITIES
'''CLINICAL DISORDERS'''
53. Early repolarization (normal variant)
# Chronic pulmonary disease pattern
54. Juvenile T waves (normal variant)
# Acute pericarditis
55. Nonspecific abnormality, ST segment and/or T wave
# Suggests hypokalemia
56. ST and/or T wave suggests ischemia
# Suggests hyperkalemia
57. ST suggests injury
# Suggests hypocalcemia
58. ST suggests ventricular aneurysm
# Suggests hypercalcemia
59. Q-T interval prolonged
# Suggests CNS disease
60. Prominent U waves


MYOCARDIAL INFARCTION
'''PACEMAKER'''
61. Inferior MI (acute or recent)
# Atrial-paced rhythm
62. Inferior MI (old or age indeterminate)
# Ventricular-paced rhythm
63. Posterior MI (acute or recent)
# Atrial-sensed ventricular-paced rhythm
64. Posterior MI (old or age indeterminate)
# AV dual-paced rhythm
65. Septal MI (acute or recent)
# Failure of appropriate capture, atrial
66. Anterior MI (acute or recent)
# Failure of appropriate capture, ventricular
67. Anterior MI (old or age indeterminate)
# Failure of appropriate inhibition, atrial
68. Lateral MI (acute or recent)
# Failure of appropriate inhibition, ventricular
69. Lateral MI (old or age indeterminate)
# Failure of appropriate pacemaker firing
70. Right ventricular infarction (acute)
# Retrograde atrial activation.
 
# Pacemaker mediated tachycardia  
CLINICAL DISORDERS
71. Chronic pulmonary disease pattern
72. Acute pericarditis
73. Suggests hypokalemia
74. Suggests hyperkalemia
75. Suggests hypocalcemia
76. Suggests hypercalcemia
77. Suggests CNS disease
 
PACEMAKER
78. Atrial-paced rhythm
79. Ventricular-paced rhythm
80. Atrial-sensed ventricular-paced rhythm
81. AV dual-paced rhythm
82. Failure of appropriate capture, atrial
83. Failure of appropriate capture, ventricular
84. Failure of appropriate inhibition, atrial
85. Failure of appropriate inhibition, ventricular
86. Failure of appropriate pacemaker firing
87. Retrograde atrial activation.
88. Pacemaker mediated tachycardia  


=== Referenties ===
=== Referenties ===
<biblio>
<biblio>
ACCECG pmid=11748119
#ACCtech1 pmid=17322457
 
#ACCtech2 pmid=17322456
#ACCECG pmid=11748119
</biblio>
</biblio>

Huidige versie van 7 jul 2017 om 01:51

Onderstaande lijst is opgesteld door het American College of Cardiology en bevat alle items, waarin een professional die met ecg's werkt, thuis moet zijn. [1] De ACC heeft ook 2 richtlijnen met adviezen over de technische aspecten van het ecg. [2] [3]

Electrocardiographic Diagnoses

NORMAL TRACING

  1. Normal

ECG TECHNICAL PROBLEMS

  1. Leads misplaced
  2. Artifact

SINUS NODE RHYTHMS AND ARRHYTHMIAS

  1. Sinus rhythm
  2. Sinus tachycardia (>100 beats per minute)
  3. Sinus bradycardia (<50 beats per minute)
  4. Sinus arrhythmia
  5. Sinus arrest or pause
  6. Sino-atrial exit block

OTHER SUPRAVENTRICULAR RHYTHMS

  1. Atrial premature complexes
  2. Atrial premature complexes, nonconducted
  3. Ectopic atrial rhythm
  4. Ectopic atrial tachycardia, unifocal
  5. Ectopic atrial tachycardia, multifocal
  6. Atrial fibrillation
  7. Atrial flutter
  8. Junctional premature complexes
  9. Junctional escape complexes or rhythm
  10. Accelerated junctional rhythm
  11. Junctional tachycardia, automatic
  12. Supraventricular tachycardia, paroxysmal

VENTRICULAR ARRHYTHMIAS

  1. Ventricular premature complexes
  2. Ventricular escape complexes or rhythm
  3. Accelerated idioventricular rhythm
  4. Ventricular tachycardia
  5. Ventricular tachycardia, polymorphous (including torsade de pointes)
  6. Ventricular fibrillation

ATRIALVENTRICULAR CONDUCTION.

  1. First-degree AV block
  2. Mobitz Type 1 second-degree indeterminate) AV block (Wenckebach) 71. Right ventricular infarction (acute)
  3. Mobitz Type 2 second-degree AV block
  4. AV block or conduction ratio, 2:1
  5. AV block, varying conduction ratio
  6. AV block, advanced (high-grade)
  7. AV block, complete (third-degree)
  8. AV dissociation

INTRAVENTRICULAR CONDUCTION

  1. Left bundle branch block (fixed or intermittent)
  2. Right bundle branch block (fixed or intermittent, complete or incomplete)
  3. Intraventricular conduction delay, nonspecific
  4. Aberrant conduction of supraventricular beats
  5. Left anterior fascicular block
  6. Left posterior fascicular block ventricular
  7. Ventricular pre-excitation (Wolff- Failure of appropriate pacemaker Parkinson-White pattern)

QRS AXIS AND VOLTAGE

  1. Right axis deviation (+90 to +180 degrees)
  2. Left axis deviation (-30 to -90 degrees)
  3. Indeterminate axis
  4. Electrical alternans
  5. Low voltage (<0.5 mV total QRS amplitude in Each extremity lead and <1.0 mV in each Precordial lead)

CHAMBER HYPERTROPHY OR ENLARGEMENT

  1. Left atrial enlargement, abnormality, or conduction defect
  2. Right atrial abnormality
  3. Left ventricular hypertrophy (QRS abnormality only)
  4. Left ventricular hypertrophy with secondary ST-T Abnormality
  5. Right ventricular hypertrophy with or without secondary ST-T abnormality

REPOLARIZATION (ST-T,U) ABNORMALITIES

  1. Early repolarization (normal variant)
  2. Juvenile T waves (normal variant)
  3. Nonspecific abnormality, ST segment and/or T wave
  4. ST and/or T wave suggests ischemia
  5. ST suggests injury
  6. ST suggests ventricular aneurysm
  7. Q-T interval prolonged
  8. Prominent U waves

MYOCARDIAL INFARCTION

  1. Inferior MI (acute or recent)
  2. Inferior MI (old or age indeterminate)
  3. Posterior MI (acute or recent)
  4. Posterior MI (old or age indeterminate)
  5. Septal MI (acute or recent)
  6. Anterior MI (acute or recent)
  7. Anterior MI (old or age indeterminate)
  8. Lateral MI (acute or recent)
  9. Lateral MI (old or age indeterminate)
  10. Right ventricular infarction (acute)

CLINICAL DISORDERS

  1. Chronic pulmonary disease pattern
  2. Acute pericarditis
  3. Suggests hypokalemia
  4. Suggests hyperkalemia
  5. Suggests hypocalcemia
  6. Suggests hypercalcemia
  7. Suggests CNS disease

PACEMAKER

  1. Atrial-paced rhythm
  2. Ventricular-paced rhythm
  3. Atrial-sensed ventricular-paced rhythm
  4. AV dual-paced rhythm
  5. Failure of appropriate capture, atrial
  6. Failure of appropriate capture, ventricular
  7. Failure of appropriate inhibition, atrial
  8. Failure of appropriate inhibition, ventricular
  9. Failure of appropriate pacemaker firing
  10. Retrograde atrial activation.
  11. Pacemaker mediated tachycardia

Referenties

  1. Kadish AH, Buxton AE, Kennedy HL, Knight BP, Mason JW, Schuger CD, Tracy CM, Winters WL Jr, Boone AW, Elnicki M, Hirshfeld JW Jr, Lorell BH, Rodgers GP, Tracy CM, Weitz HH, American College of Cardiology/American Heart Association/American College of Physicians-American Society of Internal Medicine Task Force, and International Society for Holter and Noninvasive Electrocardiology. ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography: A report of the ACC/AHA/ACP-ASIM task force on clinical competence (ACC/AHA Committee to develop a clinical competence statement on electrocardiography and ambulatory electrocardiography) endorsed by the International Society for Holter and noninvasive electrocardiology. Circulation. 2001 Dec 18;104(25):3169-78. PubMed ID:11748119 | HubMed [ACCECG]
  2. Kligfield P, Gettes LS, Bailey JJ, Childers R, Deal BJ, Hancock EW, van Herpen G, Kors JA, Macfarlane P, Mirvis DM, Pahlm O, Rautaharju P, Wagner GS, American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology, American College of Cardiology Foundation, Heart Rhythm Society, Josephson M, Mason JW, Okin P, Surawicz B, and Wellens H. Recommendations for the standardization and interpretation of the electrocardiogram: part I: The electrocardiogram and its technology: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society: endorsed by the International Society for Computerized Electrocardiology. Circulation. 2007 Mar 13;115(10):1306-24. DOI:10.1161/CIRCULATIONAHA.106.180200 | PubMed ID:17322457 | HubMed [ACCtech1]
  3. Mason JW, Hancock EW, Gettes LS, American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology, American College of Cardiology Foundation, Heart Rhythm Society, Bailey JJ, Childers R, Deal BJ, Josephson M, Kligfield P, Kors JA, Macfarlane P, Pahlm O, Mirvis DM, Okin P, Rautaharju P, Surawicz B, van Herpen G, Wagner GS, and Wellens H. Recommendations for the standardization and interpretation of the electrocardiogram: part II: Electrocardiography diagnostic statement list: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society: endorsed by the International Society for Computerized Electrocardiology. Circulation. 2007 Mar 13;115(10):1325-32. DOI:10.1161/CIRCULATIONAHA.106.180201 | PubMed ID:17322456 | HubMed [ACCtech2]

Alle samenvattingen van Medline: PubMed | HubMed

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