4. Ritmestoornissen.........................................................................................................................................................3
Indeling........................................................................................................................................................................3
A. Impulse and conduction system..........................................................................................................................3
Bradycardie................................................................................................................................................................. 3
A. Sick Sinus Syndrome............................................................................................................................................3
B. Totaal AV blok.....................................................................................................................................................3
C. Kliniek totaal AV blok...........................................................................................................................................3
D. Pacemaker...........................................................................................................................................................3
E. Vasovagale Syncope............................................................................................................................................4
Behandeling vasovagale syncope........................................................................................................................4
Onregelmatige Pols.....................................................................................................................................................4
A. De overslag (extrasystole)...................................................................................................................................4
B. Voorkamerfibrillatie (VKF)...................................................................................................................................5
VKF prevalentie....................................................................................................................................................5
Tijdig detecteren !!..............................................................................................................................................5
Oorzaken VKF......................................................................................................................................................5
Gevolgen VKF.......................................................................................................................................................6
C. Cardiale embolen................................................................................................................................................6
Doel behandeling VKF..........................................................................................................................................6
D. Stabilisatie Hartritme..........................................................................................................................................6
Preventie cardiale embolden Anti-trombotica (P.O.) : Warfarin.........................................................................6
Warfarin for Stroke Prevention in AF...................................................................................................................7
Anticoagulantia....................................................................................................................................................7
E. Herstel sinus ritme...............................................................................................................................................7
Catheter ablatie...................................................................................................................................................7
Snelle pols...................................................................................................................................................................7
A. Tachycardie: > 100 slagen/min............................................................................................................................7
Smal QRS complex tachycardie............................................................................................................................7
Breed complex tachycardie.................................................................................................................................7
B. Oorzaak tachycardie............................................................................................................................................8
C. Symptomen & Diagnose......................................................................................................................................8
Behandeling: Carotis sinusmassage.....................................................................................................................8
D. Behandeling........................................................................................................................................................8
E. Externe defibrillator.............................................................................................................................................8
Automatische interne cardiovertor defibrillator (AICD)......................................................................................8
F. Indicatie AICD......................................................................................................................................................9
Geen Pols, Plotse dood................................................................................................................................................9
A. Definitie plotse dood...........................................................................................................................................9
, B. Plotse dood – ritmestoornissen...........................................................................................................................9
C. Brugada syndroom (ex!!!)..................................................................................................................................10
D. Inspanning en hartritmestoornissen.................................................................................................................10
E. Screeningsprotocol............................................................................................................................................10
Plotse dood: enkele feiten.................................................................................................................................10
REANIMATIE - CPR - Cardio Pulmonale Rescuscitatie........................................................................................11
AED: automatisch externe defibrillator.............................................................................................................11
Advanced cardiac life support...........................................................................................................................11
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