Summary
Samenvatting Pathologie
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Samenvatting Pathologie
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swessel6
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Hart en vaatziektenAandoeningen
Arteriosclerose
Myocardinfarct
Angina pectoris
Decompensatio cordis
Hypertensie
Perifeer vaatlijden
Stollingsproblemen
Arteriosclerose (slagaderverkalking)
Ophoping van vetten, cholesterol en calcium in de bloedvaatwand.
De ophoping zorgt voor plaque en dit zorgt voor bloedvat vernauwing.
Ook wordt het bloedvat stijver door ophoping van deze stoffen
Oorzaken
Ongezonde leefstijl (roken, vet eten, weinig bewegen en overgewicht)
Te hoog cholesterol
Hogere leeftijd
Erfelijke vaatverkalking
Hypertensie
Diabetes mellitus
Onderzoek/diagnose
ECG
Bloedonderzoek
Inspanningstest
Echo
Angiografie
Hartkatheterisatie
Behandeling
Leefstijladvies
Medicatie verhoogd cholesterol en hypertensie (bètablokkers, diuretica)
Invasief ingrijpen (katheterisatie, OK, dotteren, pacemaker, klepoperatie)
Acuut coronair syndroom
Myocardinfarct
Afsluiting deel van de kransslagader
Ernst is afhankelijk van de hoeveelheid en plaats van de afsluiting
Angina pectoris
Vernauwing in de kransslagaders
Beperkte doorgang van bloed/O2 naar de hartspier
Stabiel: klachten bij inspanning of overgang van warm-koud
Instabiel: klachten ook in rust
Symptomen
Pijn op de borst
Uitstraling naar kaak, linkerarm, tussen de schouderbladen
Zweterig en kortademig
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