Aritmogene rechterventrikeldysplasie: verschil tussen versies

Regel 11: Regel 11:


===Diagnose===
===Diagnose===
 
{| cellSpacing="1" cellPadding="1" width="623" border="1"<TBODY>
<TR>
<TD vAlign="center" width="34%">&nbsp;
<TD vAlign="center" width="37%"><B><FONT size="2">
<P align="center">Major</B></FONT></P>
<TD vAlign="center" width="29%"><B><FONT size="2">
<P align="center">Minor</B></FONT></P>
<TR>
<TD vAlign="center" width="34%">
<P>Global / regional dysfunction and structural alterations (imaging techniques)</P>
<TD vAlign="center" width="37%">
<P>Severe right ventricular dilatation Decrease in RV EF with normal/nearly normal LV EF<BR>RV localised aneurysms (akinetic / diskinetic areas with systolic bulging)<BR>Severe RV segmental dilatation </P>
<TD vAlign="center" width="29%">
<P>Mild global RV dilatation and/or decrease in RV EF with normal LV<BR>Mild RV segmental dilatation<BR>Regional RV hypokinesia</P>
<TR>
<TD vAlign="center" width="34%">
<P>Tissue characterization of the RV myocardium</P>
<TD vAlign="center" width="37%">Fatty infiltration of the RV myocardium
<TD vAlign="center" width="29%">&nbsp;
<TR>
<TD vAlign="center" width="34%">
<P>Repolarization abnormalities</P>
<TD vAlign="center" width="37%">&nbsp;
<TD vAlign="center" width="29%">Inverted T waves in V2-V3 (if age &gt; 12 yrs, in the absence of right bundle branch block)
<TR>
<TD vAlign="center" width="34%">
<P>Depolarization/conduction abnormalities</P>
<TD vAlign="center" width="37%">Epsilon waves, widening of the QRS complex (&gt;110ms) in V1-V3
<TD vAlign="center" width="29%">Late potentials
<TR>
<TD vAlign="center" width="34%">
<P>Arrhythmias</P>
<TD vAlign="center" width="37%">
<P>&nbsp;</P>
<TD vAlign="center" width="29%">
<P>Sustained/non-sustained ventricular tachycardia with left bundle branch block morphology <BR><BR>Frequent ventricular ectopics (&gt;1000/24hours)</P>
<TR>
<TD vAlign="center" width="34%">Family history
<TD vAlign="center" width="37%">Family history with anatomic confirmation (autopsy, surgery)
<TD vAlign="center" width="29%">Sudden death in &lt;35 years, with suspicion of ARVC<BR>Family history of ARVC (clinical diagnosis)
</TBODY>
|}


===Behandeling===
===Behandeling===
5.024

bewerkingen