Supraventriculaire ritmestoornissen: verschil tussen versies

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Regel 12: Regel 12:


'''Lees ook:'''
'''Lees ook:'''
*Flowchart: [[Media:narrow_tachycardia_flow.png|Diagnostiek van de smalcomplex tachycardie]] naar <cite>ESCnarrowQRS</cite>.
*Stroomdiagram: [[Media:narrow_tachycardia_flow.png|Diagnostiek van de smalcomplex tachycardie]] naar <cite>ESCnarrowQRS</cite>.
*[[Ritmestoornissen|Inleidend hoofdstuk ritmestoornissen]]
*[[Ritmestoornissen|Inleidend hoofdstuk ritmestoornissen]]
*[[Mechanismen van ritmestoornissen]]
*[[Mechanismen van ritmestoornissen]]
Regel 24: Regel 24:
{| class="wikitable" font-size="90%"
{| class="wikitable" font-size="90%"
|- style="text-align:center;background-color:#6EB4EB;"
|- style="text-align:center;background-color:#6EB4EB;"
|+'''An overview of supraventricular tachycardias'''
|+'''Overzicht van supraventriculaire tachycardiën'''
|-
|-
!
!
Regel 36: Regel 36:
| colspan="8" style="text-align:left;background-color:#cfefcf;" | '''Narrow complex (QRS<0.12)'''
| colspan="8" style="text-align:left;background-color:#cfefcf;" | '''Narrow complex (QRS<0.12)'''
|-
|-
! [[Sinustachycardia]]
! [[Sinustachycardie]]
| regular
| regular
| 100-180 bpm
| 100-180 bpm
Regel 44: Regel 44:
| gradual slowing
| gradual slowing
|-
|-
! [[Atrial Fibrillation]]
! [[Boezemfibrilleren]]
| grossly irregular
| grossly irregular
| 400-600 bpm  
| 400-600 bpm  
Regel 52: Regel 52:
| slows down rate; irregularity remains
| slows down rate; irregularity remains
|-
|-
! [[Atrial Flutter]]
! [[Boezemflutter]]
| regular (sometimes alternating block)  
| regular (sometimes alternating block)  
| 250-350 bpm  
| 250-350 bpm  
Regel 68: Regel 68:
| stops
| stops
|-
|-
! [[Atrial Tachycardia]]
! [[Atriale Tachycardie]]
| regular
| regular
| 120-250 bpm  
| 120-250 bpm  
Regel 76: Regel 76:
| temporary AV-block
| temporary AV-block
|-
|-
! [[AVRT|Atrio-Ventricular Reentry Tachycardia (AVRT)- orthodromic]]
! [[AVRT|Atrio-Ventricular Reentry Tachycardie (AVRT)- orthodroom]]
| regular  
| regular  
| 150-250 bpm
| 150-250 bpm
Regel 84: Regel 84:
| stops
| stops
|-
|-
! [[AVJT|AV junctional tachycardia]]
! [[AVJT|AV junctional tachycardie]]
| regular  
| regular  
| 60-100 bpm
| 60-100 bpm
Regel 94: Regel 94:
| colspan="8" style="text-align:left;background-color:#cfefcf;" | '''Wide complex (QRS>0.12)'''
| colspan="8" style="text-align:left;background-color:#cfefcf;" | '''Wide complex (QRS>0.12)'''
|-
|-
! [[Supraventricular tachycardia with block]]
! [[Supraventriculaire tachycardie met block]]
| (ir)regular depending on SVT
| (ir)regular depending on SVT
| 150-250 bpm
| 150-250 bpm
Regel 102: Regel 102:
| temporary increased AV-block (eg 4:1)
| temporary increased AV-block (eg 4:1)
|-
|-
! [[AVRT|Atrio-ventricular Reentry Tachycardia (AVRT) - antidrome]]
! [[AVRT|Atrio-ventricular Reentry Tachycardie (AVRT) - antidroom]]
| regular  
| regular  
| 150-250 bpm
| 150-250 bpm
Regel 112: Regel 112:
|}
|}


==References==
==Referenties==
<biblio>
<biblio>
#ESCnarrowQRS pmid=14563598
#ESCnarrowQRS pmid=14563598
</biblio>
</biblio>

Versie van 10 sep 2007 17:55

Supraventriculaire ritmestoornissen komen uit de atria. Voorbeelden zijn:

Supraventriculaire ectopische slagen kunnen leiden tot:

Lees ook:


Overzicht van supraventriculaire tachycardiën
regularity atrial frequency ventricular frequency origin (SVT/VT) p-wave effect of adenosine
Narrow complex (QRS<0.12)
Sinustachycardie regular 100-180 bpm 100-180 bpm sinusnode (SVT) precedes every QRS complex gradual slowing
Boezemfibrilleren grossly irregular 400-600 bpm 75-175 bpm atria (SVT) absent slows down rate; irregularity remains
Boezemflutter regular (sometimes alternating block) 250-350 bpm 75-150 bpm (3:1 or 2:1 block is most common) atria (SVT) negative sawtooth in lead II temporary reduced conduction (e.g. 4:1)
AVNRT regular 180-250 bpm 180-250 bpm AV-node (SVT) in QRS complex (R') stops
Atriale Tachycardie regular 120-250 bpm 75-200 bpm atria precedes QRS, p wave differs from sinus-p temporary AV-block
Atrio-Ventricular Reentry Tachycardie (AVRT)- orthodroom regular 150-250 bpm 150-250 bpm circle: av-node - ventricles - bypass - atria RP < PR stops
AV junctional tachycardie regular 60-100 bpm 70-130 bpm AV node RP < PR reduces rate
Wide complex (QRS>0.12)
Supraventriculaire tachycardie met block (ir)regular depending on SVT 150-250 bpm 75-200 bpm atria (SVT) absent temporary increased AV-block (eg 4:1)
Atrio-ventricular Reentry Tachycardie (AVRT) - antidroom regular 150-250 bpm 150-250 bpm circular: bypass - atria - av-node - ventricles RP < PR stops

Referenties

  1. Blomström-Lundqvist C, Scheinman MM, Aliot EM, Alpert JS, Calkins H, Camm AJ, Campbell WB, Haines DE, Kuck KH, Lerman BB, Miller DD, Shaeffer CW, Stevenson WG, Tomaselli GF, Antman EM, Smith SC Jr, Alpert JS, Faxon DP, Fuster V, Gibbons RJ, Gregoratos G, Hiratzka LF, Hunt SA, Jacobs AK, Russell RO Jr, Priori SG, Blanc JJ, Budaj A, Burgos EF, Cowie M, Deckers JW, Garcia MA, Klein WW, Lekakis J, Lindahl B, Mazzotta G, Morais JC, Oto A, Smiseth O, Trappe HJ, and European Society of Cardiology Committee, NASPE-Heart Rhythm Society. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary. a report of the American college of cardiology/American heart association task force on practice guidelines and the European society of cardiology committee for practice guidelines (writing committee to develop guidelines for the management of patients with supraventricular arrhythmias) developed in collaboration with NASPE-Heart Rhythm Society. J Am Coll Cardiol. 2003 Oct 15;42(8):1493-531. DOI:10.1016/j.jacc.2003.08.013 | PubMed ID:14563598 | HubMed [ESCnarrowQRS]
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