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Samenvatting Cardiorespiratoire Pathologie - Cardiomyopathie en hartfalen
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onderdeel van het vak cardiorespiratoire kine samenvatting van het hoofdstuk : cardiomyopathie en hartfalen
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6. Cardiomyopathie en hartfalen.....................................................................................................................................3Hartfalen......................................................................................................................................................................3
A. Etiologie...............................................................................................................................................................3
Epidemiology of Heart Failure (U.S).....................................................................................................................3
Cardiomyopathie.........................................................................................................................................................3
A. Cardiomyopathie: indeling..................................................................................................................................4
B. Gedilateerde CMP...............................................................................................................................................4
C. Hypertrofe CMP...................................................................................................................................................4
Hypertrofe obstructieve CMP: asymmetrische hypertrofie.................................................................................4
Hypertrofe CMP: kliniek......................................................................................................................................5
Sporthart.............................................................................................................................................................5
Echocardiografische kenmerken van Athlete’s Heart..........................................................................................5
1. LV remodeling na trainingsstop...................................................................................................................5
D. Restrictieve CMP: zeldzaam................................................................................................................................5
Symptomen hartfalen..................................................................................................................................................6
A. Symptomen : pathofysiologie..............................................................................................................................6
B. Linker hartfalen...................................................................................................................................................7
C. Rechter Hartfalen................................................................................................................................................7
Symptomen.........................................................................................................................................................7
1. Cardiale cachexie: >6% gewichtsverlies.......................................................................................................7
NYHA* classificatie ernst hartfalen..............................................................................................................................8
Ventrikeldysfunctie limiteert de patient in zijn dagdagelijkse activiteiten..........................................................8
Levenskwaliteit....................................................................................................................................................8
A. Cardiogene shock: zeer ernstig hartfalen............................................................................................................8
B. Swan Ganz catheters...........................................................................................................................................8
Thermodilutie......................................................................................................................................................9
C. Cardiogenic shock................................................................................................................................................9
Renine angiotensine aldosterone system............................................................................................................9
Diagnostische evaluatie hartfalen...............................................................................................................................9
A. Therapie Hartfalen: Doelstellingen....................................................................................................................10
B. Therapie Hartfalen: algemene maatregelen......................................................................................................10
Aangrijpingspunten hartfalen medicatie...........................................................................................................10
Medicamenteuze therapie........................................................................................................................................10
Specifieke behandeling..............................................................................................................................................10
A. AICD.................................................................................................................................................................. 10
B. Cardiale resynchronisatie therapie (CRT)..........................................................................................................11
CRT bij linker bundeltakblok..............................................................................................................................11
Pre breed QRS....................................................................................................................................................11
, Post smal QRS....................................................................................................................................................11
C. Harttransplantatie.............................................................................................................................................12
D. Assist devices (kunsthart)..................................................................................................................................12
One-Year Mortality After Admission for First Hospitalization for Heart Failure in 1988-2000...........................12
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