ACC lijst met ECG afwijkingen: verschil tussen versies

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(7 tussenliggende versies door 2 gebruikers niet weergegeven)
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'''
# Normal
# Normal


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


!SINUS NODE RHYTHMS AND ARRHYTHMIAS
'''SINUS NODE RHYTHMS AND ARRHYTHMIAS'''
# Sinus rhythm
# Sinus rhythm
# Sinus tachycardia (>100 beats per minute)
# Sinus tachycardia (>100 beats per minute)
Regel 18: Regel 19:
# Sino-atrial exit block
# Sino-atrial exit block


OTHER SUPRAVENTRICULAR RHYTHMS
'''OTHER SUPRAVENTRICULAR RHYTHMS'''
10. Atrial premature complexes
# Atrial premature complexes
11. Atrial premature complexes, nonconducted
# Atrial premature complexes, nonconducted
12. Ectopic atrial rhythm
# Ectopic atrial rhythm
13. Ectopic atrial tachycardia, unifocal
# Ectopic atrial tachycardia, unifocal
14. Ectopic atrial tachycardia, multifocal
# Ectopic atrial tachycardia, multifocal
15. Atrial fibrillation
# Atrial fibrillation
16. Atrial flutter
# Atrial flutter
17. Junctional premature complexes
# Junctional premature complexes
18. Junctional escape complexes or rhythm
# Junctional escape complexes or rhythm
19. Accelerated junctional rhythm
# Accelerated junctional rhythm
20. Junctional tachycardia, automatic
# Junctional tachycardia, automatic
21. Supraventricular tachycardia, paroxysmal
# Supraventricular tachycardia, paroxysmal


VENTRICULAR ARRHYTHMIAS
'''VENTRICULAR ARRHYTHMIAS'''
22. Ventricular premature complexes
# Ventricular premature complexes
23. Ventricular escape complexes or rhythm
# Ventricular escape complexes or rhythm
24. Accelerated idioventricular rhythm
# Accelerated idioventricular rhythm
25. Ventricular tachycardia
# Ventricular tachycardia
26. Ventricular tachycardia, polymorphous (including torsade de pointes)
# Ventricular tachycardia, polymorphous (including torsade de pointes)
27. Ventricular fibrillation
# Ventricular fibrillation


ATRIALVENTRICULAR CONDUCTION.
'''ATRIALVENTRICULAR CONDUCTION.'''
28. First-degree AV block
# First-degree AV block
29. Mobitz Type 1 second-degree indeterminate) AV block (Wenckebach) 71. Right ventricular infarction (acute)
# Mobitz Type 1 second-degree indeterminate) AV block (Wenckebach) 71. Right ventricular infarction (acute)
30. Mobitz Type 2 second-degree AV block
# Mobitz Type 2 second-degree AV block
31. AV block or conduction ratio, 2:1
# AV block or conduction ratio, 2:1
32. AV block, varying conduction ratio
# AV block, varying conduction ratio
33. AV block, advanced (high-grade)
# AV block, advanced (high-grade)
34 AV block, complete (third-degree)
# AV block, complete (third-degree)
35. AV dissociation
# AV dissociation


INTRAVENTRICULAR CONDUCTION
'''INTRAVENTRICULAR CONDUCTION'''
36. Left bundle branch block (fixed or intermittent)
# Left bundle branch block (fixed or intermittent)
37. Right bundle branch block (fixed or intermittent, complete or incomplete)
# Right bundle branch block (fixed or intermittent, complete or incomplete)
38. Intraventricular conduction delay, nonspecific
# Intraventricular conduction delay, nonspecific
39. Aberrant conduction of supraventricular beats
# Aberrant conduction of supraventricular beats
40. Left anterior fascicular block
# Left anterior fascicular block
41. Left posterior fascicular block ventricular
# Left posterior fascicular block ventricular
42. Ventricular pre-excitation (Wolff- Failure of appropriate pacemaker Parkinson-White pattern)
# Ventricular pre-excitation (Wolff- Failure of appropriate pacemaker Parkinson-White pattern)


QRS AXIS AND VOLTAGE
'''QRS AXIS AND VOLTAGE'''
43. Right axis deviation (+90 to +180 degrees)
# Right axis deviation (+90 to +180 degrees)
44. Left axis deviation (-30 to -90 degrees)
# Left axis deviation (-30 to -90 degrees)
45. Indeterminate axis
# Indeterminate axis
46. Electrical alternans
# Electrical alternans
47. Low voltage (<0.5 mV total QRS amplitude in Each extremity lead and <1.0 mV in each Precordial lead)
# Low voltage (<0.5 mV total QRS amplitude in Each extremity lead and <1.0 mV in each Precordial lead)


CHAMBER HYPERTROPHY OR ENLARGEMENT
'''CHAMBER HYPERTROPHY OR ENLARGEMENT'''
48. Left atrial enlargement, abnormality, or conduction defect
# Left atrial enlargement, abnormality, or conduction defect
49. Right atrial abnormality
# Right atrial abnormality
50. Left ventricular hypertrophy (QRS abnormality only)
# Left ventricular hypertrophy (QRS abnormality only)
51. Left ventricular hypertrophy with secondary ST-T Abnormality
# Left ventricular hypertrophy with secondary ST-T Abnormality
52. Right ventricular hypertrophy with or without secondary ST-T abnormality
# Right ventricular hypertrophy with or without secondary ST-T abnormality


REPOLARIZATION (ST-T,U) ABNORMALITIES
'''REPOLARIZATION (ST-T,U) ABNORMALITIES'''
53. Early repolarization (normal variant)
# Early repolarization (normal variant)
54. Juvenile T waves (normal variant)
# Juvenile T waves (normal variant)
55. Nonspecific abnormality, ST segment and/or T wave
# Nonspecific abnormality, ST segment and/or T wave
56. ST and/or T wave suggests ischemia
# ST and/or T wave suggests ischemia
57. ST suggests injury
# ST suggests injury
58. ST suggests ventricular aneurysm
# ST suggests ventricular aneurysm
59. Q-T interval prolonged
# Q-T interval prolonged
60. Prominent U waves
# Prominent U waves


MYOCARDIAL INFARCTION
'''MYOCARDIAL INFARCTION'''
61. Inferior MI (acute or recent)
# Inferior MI (acute or recent)
62. Inferior MI (old or age indeterminate)
# Inferior MI (old or age indeterminate)
63. Posterior MI (acute or recent)
# Posterior MI (acute or recent)
64. Posterior MI (old or age indeterminate)
# Posterior MI (old or age indeterminate)
65. Septal MI (acute or recent)
# Septal MI (acute or recent)
66. Anterior MI (acute or recent)
# Anterior MI (acute or recent)
67. Anterior MI (old or age indeterminate)
# Anterior MI (old or age indeterminate)
68. Lateral MI (acute or recent)
# Lateral MI (acute or recent)
69. Lateral MI (old or age indeterminate)
# Lateral MI (old or age indeterminate)
70. Right ventricular infarction (acute)
# Right ventricular infarction (acute)


CLINICAL DISORDERS
'''CLINICAL DISORDERS'''
71. Chronic pulmonary disease pattern
# Chronic pulmonary disease pattern
72. Acute pericarditis
# Acute pericarditis
73. Suggests hypokalemia
# Suggests hypokalemia
74. Suggests hyperkalemia
# Suggests hyperkalemia
75. Suggests hypocalcemia
# Suggests hypocalcemia
76. Suggests hypercalcemia
# Suggests hypercalcemia
77. Suggests CNS disease
# Suggests CNS disease


PACEMAKER
'''PACEMAKER'''
78. Atrial-paced rhythm
# Atrial-paced rhythm
79. Ventricular-paced rhythm
# Ventricular-paced rhythm
80. Atrial-sensed ventricular-paced rhythm
# Atrial-sensed ventricular-paced rhythm
81. AV dual-paced rhythm
# AV dual-paced rhythm
82. Failure of appropriate capture, atrial
# Failure of appropriate capture, atrial
83. Failure of appropriate capture, ventricular
# Failure of appropriate capture, ventricular
84. Failure of appropriate inhibition, atrial
# Failure of appropriate inhibition, atrial
85. Failure of appropriate inhibition, ventricular
# Failure of appropriate inhibition, ventricular
86. Failure of appropriate pacemaker firing
# Failure of appropriate pacemaker firing
87. Retrograde atrial activation.
# Retrograde atrial activation.
88. Pacemaker mediated tachycardia  
# 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