Inspanningstesten: verschil tussen versies

Inspanningstesten (bekijk bron)

Versie van 30 okt 2007 07:50

457 bytes verwijderd , 30 okt 2007

geen bewerkingssamenvatting

Vdbilt

bureaucraten, beheerders

191

bewerkingen

@@ Regel 21: / Regel 21: @@
      * Om inspannings tolerantie en therapie te testen bij patienten met hartfalen die eventueel voor harttransplantatie worden opgewerkt.
      *Functionele inspanningtesten kunnen ook gebruikt wiorden om inspanningstolerantie te testen. Bijvoorbeeld ter evaluatie van arbeidsongeschiktheid, topsporters, of revalidatie.
-     *To evaluate selected patients with arrhythmias. The major indications are identification of the appropriate setting in patients with rate-adaptive pacemakers, evaluation of patients with congenital complete heart block considering increased physical activity, evaluation of patients with known or suspected exercise-induced arrhythmia (eg, congenital long QT syndrome), and evaluation of the efficacy of therapy in patients with exercise-induced arrhythmia (including atrial fibrillation) (show table 6). In comparison, exercise testing is not routinely recommended in the evaluation of survivors of sudden cardiac death. (See appropriate topic reviews).
+     *Om ritmestoornissen te evalueren bij geselecteerde patiënten.
-'''Conmtraindicaties'''
+'''Contra-indicaties'''
-Exercise testing is not without potential risks or discomfort to the patient. A national survey published in 1980 analyzed data from over 500,000 exercise tests [19]. For every 10,000 tests there were approximately 3.6 myocardial infarctions, 4.8 serious arrhythmias, and 0.5 deaths [19]. Thus, an assessment of the benefits and risks of testing must be made in each patient prior to the procedure. (See "Life-threatening complications" below).
+Inspannings testen zijn niet helemaal zonder potentieel gevaar en ongemak voor de patient. Myocard infarct, ritmestoornissen zoals VT/VF en zelf dood (hoewel zeer zeldzaam) kunnen optreden bij een inspanningstest. Voor iedere 10.000 testen zijn er 3,6 myocard infarcten, 4,8 ernstige arritmien en 0.5 doden (4). Thus, an assessment of the benefits and risks of testing must be made in each patient prior to the procedure. (See "Life-threatening complications" below).
 The 2001 AHA statement and the 2002 ACC/AHA guidelines have identified absolute and relative cardiovascular contraindications to exercise testing (show table 7) [1,2,14]. Absolute contraindications include the following:
@@ Regel 62: / Regel 62: @@
 Exercise stress testing. Correlations among history of angina, ST-segment response and prevalence of coronary-artery disease in the Coronary Artery Aurgery Study (CASS). Weiner DA; Ryan TJ; McCabe CH; Kennedy JW; Schloss M; Tristani F; Chaitman BR; Fisher LD N Engl J Med 1979 Aug 2;301(5):230-5.
+National survey of exercise stress testing facilities. Stuart RJ Jr; Ellestad MH Chest 1980 Jan;77(1):94-7.