Aritmogene rechterventrikeldysplasie: verschil tussen versies

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Aritmogene rechterventrikeldysplasie (bekijk bron)

Versie van 5 mrt 2006 22:06

175 bytes verwijderd ,  5 mrt 2006
→‎Diagnose
Regel 11: Regel 11:


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


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