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Antwoord casus 21 - Bewerkingsoverzicht
2024-03-29T07:43:45Z
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https://nl.ecgpedia.org/index.php?title=Antwoord_casus_21&diff=10277&oldid=prev
Ivos: /* Antwoorden */
2017-07-12T12:59:57Z
<p><span dir="auto"><span class="autocomment">Antwoorden</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Oudere versie</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Versie van 12 jul 2017 12:59</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l11">Regel 11:</td>
<td colspan="2" class="diff-lineno">Regel 11:</td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***'''Positief in II, III en AVF. Vrijwel iso-elektrisch in I. Dus een verticale hartas.'''</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***'''Positief in II, III en AVF. Vrijwel iso-elektrisch in I. Dus een verticale hartas.'''</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**P-top-morfologie </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**P-top-morfologie </div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''De P-top is niet hoger dan 2,5 mm in afleiding II en het terminale deel in V1 is niet groter dan 1 mm, dus geen rechter- of linkeratriumdilatatie. Er is evidente [[<del style="font-weight: bold; text-decoration: none;">Pta depressie</del>|PTa-depressie]] in afleiding II, III en AVF. PTa-elevatie in AVR.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''De P-top is niet hoger dan 2,5 mm in afleiding II en het terminale deel in V1 is niet groter dan 1 mm, dus geen rechter- of linkeratriumdilatatie. Er is evidente [[<ins style="font-weight: bold; text-decoration: none;">PTa segment</ins>|PTa-depressie]] in afleiding II, III en AVF. PTa-elevatie in AVR.'''</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**QRS-morfologie </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**QRS-morfologie </div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***'''Geen pathologische Q's. Geen microvoltages. Geen bundeltakblok. Geen linkerventrikelhypertrofie. Vrijwel normale R-topprogressie over de voorwand.'''</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>***'''Geen pathologische Q's. Geen microvoltages. Geen bundeltakblok. Geen linkerventrikelhypertrofie. Vrijwel normale R-topprogressie over de voorwand.'''</div></td></tr>
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Ivos
https://nl.ecgpedia.org/index.php?title=Antwoord_casus_21&diff=10276&oldid=prev
Ivos op 12 jul 2017 om 12:57
2017-07-12T12:57:23Z
<p></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Oudere versie</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Versie van 12 jul 2017 12:57</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1">Regel 1:</td>
<td colspan="2" class="diff-lineno">Regel 1:</td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Antwoorden===</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Antwoorden===</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[Afbeelding:Ptadepressieecg.png|thumb| Nogmaals het <del style="font-weight: bold; text-decoration: none;">ECG</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[Afbeelding:Ptadepressieecg.png|thumb| Nogmaals het <ins style="font-weight: bold; text-decoration: none;">ecg</ins>]]</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* Beschrijf het <del style="font-weight: bold; text-decoration: none;">ECG </del>volgens het 7 + 2 stappenplan</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>* Beschrijf het <ins style="font-weight: bold; text-decoration: none;">ecg </ins>volgens het 7+2<ins style="font-weight: bold; text-decoration: none;">-</ins>stappenplan</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Ritme</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Ritme</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''Het is een regulair ritme en ieder QRS complex wordt voorafgegaan door een <del style="font-weight: bold; text-decoration: none;">p</del>-top. De <del style="font-weight: bold; text-decoration: none;">p </del>top is positief in II,III en AVF en komt dus vanuit de sinusknoop. Conclusie: sinusritme.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''Het is een regulair ritme en ieder QRS<ins style="font-weight: bold; text-decoration: none;">-</ins>complex wordt voorafgegaan door een <ins style="font-weight: bold; text-decoration: none;">P</ins>-top. De <ins style="font-weight: bold; text-decoration: none;">P-</ins>top is positief in II, III en AVF en komt dus vanuit de sinusknoop. Conclusie: sinusritme.'''</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Hartfrequentie<del style="font-weight: bold; text-decoration: none;">. </del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Hartfrequentie</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''Gebruik de 'telmethode' (ongeveer <del style="font-weight: bold; text-decoration: none;">2 1/2 </del>grote hokjes ~> 300-150-100), dus ongeveer 130/min.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''Gebruik de 'telmethode' (ongeveer <ins style="font-weight: bold; text-decoration: none;">2½ </ins>grote hokjes ~> 300-150-100), dus ongeveer 130/min.'''</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**Geleidingstijden (PQ,QRS,QT) </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Geleidingstijden (PQ, QRS, QT) </div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''PQ-tijd=0.<del style="font-weight: bold; text-decoration: none;">16sec </del>(4 kleine hokjes), QRS duur=0.<del style="font-weight: bold; text-decoration: none;">08sec</del>, QT tijd=<del style="font-weight: bold; text-decoration: none;">280ms</del>'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''PQ-tijd = 0<ins style="font-weight: bold; text-decoration: none;">,16 sec</ins>. (4 kleine hokjes), QRS<ins style="font-weight: bold; text-decoration: none;">-</ins>duur = 0<ins style="font-weight: bold; text-decoration: none;">,08 sec</ins>., QT<ins style="font-weight: bold; text-decoration: none;">-</ins>tijd = <ins style="font-weight: bold; text-decoration: none;">280 ms</ins>'''</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Hartas </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**Hartas </div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''Positief in II, III en AVF. Vrijwel <del style="font-weight: bold; text-decoration: none;">Iso</del>-<del style="font-weight: bold; text-decoration: none;">electrisch </del>in I. Dus een verticale hartas.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''Positief in II, III en AVF. Vrijwel <ins style="font-weight: bold; text-decoration: none;">iso</ins>-<ins style="font-weight: bold; text-decoration: none;">elektrisch </ins>in I. Dus een verticale hartas.'''</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**P top morfologie </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**P<ins style="font-weight: bold; text-decoration: none;">-</ins>top<ins style="font-weight: bold; text-decoration: none;">-</ins>morfologie </div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''De <del style="font-weight: bold; text-decoration: none;">p </del>top is niet hoger dan 2<del style="font-weight: bold; text-decoration: none;">.</del>5 mm in afleiding II en het terminale deel in V1 is niet groter dan 1 <del style="font-weight: bold; text-decoration: none;">mm2</del>, dus geen rechter of <del style="font-weight: bold; text-decoration: none;">linker atriumdilatatie</del>. Er is evidente [[Pta depressie]] in afleiding II,III en AVF. <del style="font-weight: bold; text-decoration: none;">Pta </del>elevatie in AVR.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''De <ins style="font-weight: bold; text-decoration: none;">P-</ins>top is niet hoger dan 2<ins style="font-weight: bold; text-decoration: none;">,</ins>5 mm in afleiding II en het terminale deel in V1 is niet groter dan 1 <ins style="font-weight: bold; text-decoration: none;">mm</ins>, dus geen rechter<ins style="font-weight: bold; text-decoration: none;">- </ins>of <ins style="font-weight: bold; text-decoration: none;">linkeratriumdilatatie</ins>. Er is evidente [[Pta <ins style="font-weight: bold; text-decoration: none;">depressie|PTa-</ins>depressie]] in afleiding II, III en AVF. <ins style="font-weight: bold; text-decoration: none;">PTa-</ins>elevatie in AVR.'''</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**QRS morfologie </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**QRS<ins style="font-weight: bold; text-decoration: none;">-</ins>morfologie </div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''Geen pathologische Q's. Geen microvoltages. Geen bundeltakblok. Geen <del style="font-weight: bold; text-decoration: none;">linker ventrikelhypertrofie</del>. Vrijwel normale R <del style="font-weight: bold; text-decoration: none;">top progressie </del>over de voorwand.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''Geen pathologische Q's. Geen microvoltages. Geen bundeltakblok. Geen <ins style="font-weight: bold; text-decoration: none;">linkerventrikelhypertrofie</ins>. Vrijwel normale R<ins style="font-weight: bold; text-decoration: none;">-topprogressie </ins>over de voorwand.'''</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**ST morfologie </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**ST<ins style="font-weight: bold; text-decoration: none;">-</ins>morfologie </div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>***'''Geen ST elevatie of depressie. Geen afwijkend negatieve T toppen.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>***'''Geen ST<ins style="font-weight: bold; text-decoration: none;">-</ins>elevatie of <ins style="font-weight: bold; text-decoration: none;">-</ins>depressie. Geen afwijkend negatieve T<ins style="font-weight: bold; text-decoration: none;">-</ins>toppen.'''</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">vergelijking </del>met het oude <del style="font-weight: bold; text-decoration: none;">ECG </del>(niet <del style="font-weight: bold; text-decoration: none;">voor handen</del>, dus overslaan)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Vergelijking </ins>met het oude <ins style="font-weight: bold; text-decoration: none;">ecg </ins>(niet <ins style="font-weight: bold; text-decoration: none;">voorhanden</ins>, dus overslaan)</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">conclusie</del>. Wat is er aan de hand?</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Conclusie</ins>. Wat is er aan de hand?</div></td></tr>
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Ivos
https://nl.ecgpedia.org/index.php?title=Antwoord_casus_21&diff=6348&oldid=prev
Drj op 2 apr 2008 om 10:05
2008-04-02T10:05:41Z
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Oudere versie</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Versie van 2 apr 2008 10:05</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l20">Regel 20:</td>
<td colspan="2" class="diff-lineno">Regel 20:</td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>'''Antwoord: pericarditis.'''</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>'''Antwoord: <ins style="font-weight: bold; text-decoration: none;">[[</ins>pericarditis<ins style="font-weight: bold; text-decoration: none;">]]</ins>.'''</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{clr}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{clr}}</div></td></tr>
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Drj
https://nl.ecgpedia.org/index.php?title=Antwoord_casus_21&diff=6347&oldid=prev
Drj: Nieuwe pagina: ===Antwoorden=== Nogmaals het ECG * Beschrijf het ECG volgens het 7 + 2 stappenplan **Ritme ***'''Het is een regulair ritme en ieder QRS comp...
2008-04-02T10:05:32Z
<p>Nieuwe pagina: ===Antwoorden=== <a href="/wiki/Bestand:Ptadepressieecg.png" title="Bestand:Ptadepressieecg.png">thumb| Nogmaals het ECG</a> * Beschrijf het ECG volgens het 7 + 2 stappenplan **Ritme ***'''Het is een regulair ritme en ieder QRS comp...</p>
<p><b>Nieuwe pagina</b></p><div>===Antwoorden===<br />
[[Afbeelding:Ptadepressieecg.png|thumb| Nogmaals het ECG]]<br />
* Beschrijf het ECG volgens het 7 + 2 stappenplan<br />
**Ritme<br />
***'''Het is een regulair ritme en ieder QRS complex wordt voorafgegaan door een p-top. De p top is positief in II,III en AVF en komt dus vanuit de sinusknoop. Conclusie: sinusritme.'''<br />
**Hartfrequentie. <br />
***'''Gebruik de 'telmethode' (ongeveer 2 1/2 grote hokjes ~> 300-150-100), dus ongeveer 130/min.'''<br />
**Geleidingstijden (PQ,QRS,QT) <br />
***'''PQ-tijd=0.16sec (4 kleine hokjes), QRS duur=0.08sec, QT tijd=280ms'''<br />
**Hartas <br />
***'''Positief in II, III en AVF. Vrijwel Iso-electrisch in I. Dus een verticale hartas.'''<br />
**P top morfologie <br />
***'''De p top is niet hoger dan 2.5 mm in afleiding II en het terminale deel in V1 is niet groter dan 1 mm2, dus geen rechter of linker atriumdilatatie. Er is evidente [[Pta depressie]] in afleiding II,III en AVF. Pta elevatie in AVR.'''<br />
**QRS morfologie <br />
***'''Geen pathologische Q's. Geen microvoltages. Geen bundeltakblok. Geen linker ventrikelhypertrofie. Vrijwel normale R top progressie over de voorwand.'''<br />
**ST morfologie <br />
***'''Geen ST elevatie of depressie. Geen afwijkend negatieve T toppen.'''<br />
**vergelijking met het oude ECG (niet voor handen, dus overslaan)<br />
**conclusie. Wat is er aan de hand?<br />
<br />
<br />
'''Antwoord: pericarditis.'''<br />
<br />
{{clr}}</div>
Drj