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Arrhythmogenic Right Ventricular Cardiomyopathy: Difference between revisions
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Arrhythmogenic Right Ventricular Cardiomyopathy (view source)
Revision as of 19:40, 23 July 2007
, 23 July 2007→Diagnose
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* Late potentialen op een [[signal averaged ECG]] | * Late potentialen op een [[signal averaged ECG]] | ||
The European Society of Cardiology has created a list of diagnositc criteria for the diagnosis of ARVC. | |||
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{| class="wikitable" align="right" width="400px" | {| class="wikitable" align="right" width="400px" | ||
! | !Major diagnostic criteria for Aritmogenic Right Ventricular Cardiomyopathy<cite>McKenna1994</cite> | ||
|- | |- | ||
|<li> | |<ul><li>Familial disease confirmed at necroscopy or surgery</li> | ||
<li> | <li>Severe dilatation and reduciton of right ventricular ejection fraction with no (or only mild) LV impairment</li> | ||
<li> | <li>Localised irhgt ventricular aneurysms (akinetic or diskinetic areas with diastolic bulging)</li> | ||
<li> | <li>Severe segmental dilataion of the right ventricle</li> | ||
<li> | <li>Fibrofatty replacement of myocardium on endomyocardial biopsy</li> | ||
<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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