Aritmogene rechterventrikeldysplasie: verschil tussen versies
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Regel 11: | Regel 11: | ||
===Diagnose=== | ===Diagnose=== | ||
{| | {| width="623" border="1" cellspacing="1" cellpadding="1" | ||
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| width="37%" valign="center" | '''<font size="2"> Major </font>''' | |||
| width="29%" valign="center" | '''<font size="2"> Minor </font>''' | |||
< | |- | ||
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< | Global / regional dysfunction and structural alterations (imaging techniques) | ||
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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 | |||
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Mild global RV dilatation and/or decrease in RV EF with normal LV<br />Mild RV segmental dilatation<br />Regional RV hypokinesia | |||
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Tissue characterization of the RV myocardium | |||
| width="37%" valign="center" | Fatty infiltration of the RV myocardium | |||
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Repolarization abnormalities | |||
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| width="29%" valign="center" | Inverted T waves in V2-V3 (if age > 12 yrs, in the absence of right bundle branch block) | |||
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Depolarization/conduction abnormalities | |||
| width="37%" valign="center" | Epsilon waves, widening of the QRS complex (>110ms) in V1-V3 | |||
| width="29%" valign="center" | Late potentials | |||
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Arrhythmias | |||
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Sustained/non-sustained ventricular tachycardia with left bundle branch block morphology <br /><br />Frequent ventricular ectopics (>1000/24hours) | |||
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| width="34%" valign="center" | Family history | |||
| width="37%" valign="center" | Family history with anatomic confirmation (autopsy, surgery) | |||
| width="29%" valign="center" | Sudden death in <35 years, with suspicion of ARVC<br />Family history of ARVC (clinical diagnosis) | |||
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