Arrhythmogenic Right Ventricular Cardiomyopathy: Difference between revisions

Arrhythmogenic Right Ventricular Cardiomyopathy (view source)

Revision as of 19:40, 23 July 2007

630 bytes added , 23 July 2007

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 * Late potentialen op een [[signal averaged ECG]]
-De European Society of Cardiology heeft een lijst van diagnostische criteria opgesteld waar iemand aan moet voldoen om de diagnose ARVD te stellen.
+The European Society of Cardiology has created a list of diagnositc criteria for the diagnosis of ARVC.
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-!Diagnostische criteria voor Aritmogene Rechter Ventrikeldysplasie <cite>McKenna1994</cite>
+!Major diagnostic criteria for Aritmogenic Right Ventricular Cardiomyopathy<cite>McKenna1994</cite>
 |-
-|<li>Indien ARVD bij een familielid is vastgesteld bij obductie</li>
+|<ul><li>Familial disease confirmed at necroscopy or surgery</li>
-<li>Plotse hartdood (<35 jaar) bij een familielid</li>
+<li>Severe dilatation and reduciton of right ventricular ejection fraction with no (or only mild) LV impairment</li>
-<li>Sustained of non-sustained VT's met een linker bundeltakblok</li>
+<li>Localised irhgt ventricular aneurysms (akinetic or diskinetic areas with diastolic bulging)</li>
-<li>Frequente extrasystolen (>1000 / 24 uur op een [[Holter]] monitor)</li>
+<li>Severe segmental dilataion of the right ventricle</li>
-<li>Verwijding en verminderde pompkracht van de rechter hartkamer</li>
+<li>Fibrofatty replacement of myocardium on endomyocardial biopsy</li>
-<li>Kleine aneurysmata (ballonvormige verwijdingen) van de rechter hartkamerwand</li>
+</ul>
+|-
+| Diagnostic criteria that can be diagnosed on the ECG
+|-
+|<ul>
+<li>(major) Epsilon wave or localised prolongation (>110ms) of the QRS complex in right precordial leads (V1-V3)</li>
+<li>(minor) Inverted T waves in right precordial leads (V2 and V3) (people aged more than 12 yr; in absence of [[RBBB]]</li>
+<li>(minor) Late potentials (signal averaged ECG)</li>
+<li>(minor) Left bundle branch block type [[Ventricular Tachycardia|ventricular tachycardia]] (sutained and non-sustained) (ECG, [[Holter]], [[Exercise Testnig|exercise testing]]</li>
+<li>(minor) Frequent [[Ventricular Premature Beats|ventricular extrasystoles]] (more than 1000/24h) ([[Holter]])</li>
+</ul>
 |}
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