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Versie van 4 mei 2006 00:34

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→‎Longembolie

Abdelghani

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@@ Regel 70: / Regel 70: @@
 '''NB''' Een longembolie kan een Rechter-Bundeltakblok veroorzaken.
+Diepe S in afleiding VI. ST elevatie in afleiding II. Diepe Q + neg. T in afl. III. Draaiing van de hartas links/rechts Meestal rechts. Vaak sinustachycardie of boezemfibrilleren. Compleet of incompleet RBTB. ST depressie in T-top inversie precordiaal. Toename R/S ratio in VI.
+Studies of ECG findings in Pulmonary Embolism:
+• Ferrari E, et al. The ECG in pulmonary embolism. Chest. 1997;111:537-43
+    − Anterior T wave inversions had a sensitivity of 85%, specificity of 81% for massive PE
+      in 80 patients with suspected to have PE; this was the most common finding on ECG
+      (68%), followed by S1Q3T3 (50%)
+• Rodger M, et al. Diagnostic value of the electrocardiogram in suspected pulmonary embolism.
+Am J Cardiol. 2000; 86:807-9
+    − In 246 consecutive patients with PE compared to controls, only tachycardia and
+      incomplete RBBB differentiated PE from no PE.
+• Sreeram N, et al. Value of the 12-lead ECG at hospital admission in the diagnosis of PE. Am
+J Cardio 1999;73:298-303
+    − In 49 patients with PE, ECGs were analyzed for RV overload. Although many of the
+      patients with PE had signs of RV overload on ECG, these signs were non-specific and
+      performed poorly in patients with underlying lung disease
+• Stein PD, et al. Clinical characteristics of patients with acute pulmonary embolism. Am J Cardio. 1991;68:1723
+    − In this retrospective study of 117 patients with acute PE, non-specific ST-T wave  changes were the most commonfinding on the ECG (49%)
 ===Emfyseem===