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KC Pijn op de borst
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Collegedictaat van 6 pagina's voor het vak CMI-3 aan de UvA (KC Pijn op de borst)
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KC Pijn op de borst1400 mensen per dag melden zich bij Nederlandse huisartsenpraktijken met pijn op de borst.
CABG = Coronaire by pass
LIMA = Left Internal Mammarian Artery.
LAD
MO = eerste zijtak circum ex, RDP is laatste rechter kransslag
Binnen 3 uur kan je het meest nog doen om hartweefsel te redden, daarna ben je eigenlijk te laat.
Binnen 6 uur nog goede winst, bij uitzonderingen binnen 1 dag. Maar eigenlijk kan je dan weinig
doen.
Medicatie: metformine, ACE remmer, beta blokker, trombocytenaggegratie remmer en statine
fl
, Hindoestanen hebben 3x verhoogd risico HVZ ten opzichte van white Europeans. Creolen 2x
verhoogd risico ten opzichte van white europeans. En hindoestanen hebben ook nog hoge
mortaliteit aan HVZ.
Antwoord: Geen (N)STEMI te zien. Wel: geen normale T-toppen op basis van het oude ECG.
Misschien een pathologische Q in aVF, maar net niet lang genoeg.
ECG beoordeling: sinus ritme 52 o/min, horizontale as, ….. zie DIA
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