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Aritmogene rechterventrikeldysplasie: verschil tussen versies
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→Diagnose
| Regel 11: | Regel 11: | ||
===Diagnose=== | ===Diagnose=== | ||
{| cellSpacing="1" cellPadding="1" width="623" border="1"<TBODY> | |||
<TR> | |||
<TD vAlign="center" width="34%"> | |||
<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%"> | |||
<TR> | |||
<TD vAlign="center" width="34%"> | |||
<P>Repolarization abnormalities</P> | |||
<TD vAlign="center" width="37%"> | |||
<TD vAlign="center" width="29%">Inverted T waves in V2-V3 (if age > 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 (>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> </P> | |||
<TD vAlign="center" width="29%"> | |||
<P>Sustained/non-sustained ventricular tachycardia with left bundle branch block morphology <BR><BR>Frequent ventricular ectopics (>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 <35 years, with suspicion of ARVC<BR>Family history of ARVC (clinical diagnosis) | |||
</TBODY> | |||
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===Behandeling=== | ===Behandeling=== | ||