Summary
Samenvatting Overzicht cardiale aandoeningen GNK jaar 2 Thema 2
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In dit document vind je een overzicht van alle hartaandoeningen die je moet weten in thema 2 van geneeskunde jaar 2
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HartaandoeningenAANDOENING ONDERVERDELING SYMPTOMEN DIAGNOSTIEK BEHANDELING EXTRA INFO
HARTFALEN Linkszijdig hartfalen Duizelig, syncope, plotse Hoogste prevalentie
(SYNDROOM) hartdood, ¯inspanning, Oorzaak: klepaandoening/
koude-intolerantie, ischemie / hypertensie
orthopneu, dyspneu Vaak: dilatatie LA
Rechtszijdig Ascites, perifeer oedeem, PAH (mPAP>25mmHg); Oorzaak: druk in hart /
hartfalen (Cor nycturie, hepatomegalie, CVD; RV-hypertrofie; longaandoening
pulmonale) CVD Tricuspidalis-insufficiëntie. Vaak t.g.v. linkszijdig HF
Acuut hartfalen Acuut heftige dyspneu in CVD, Crepitaties O2 Oorzaak: chorda tendinae
rust, bleek, crepitaties, ECG, X-thorax Opiaten ruptuur, infectie, acute
tachypneu, tachycardie, Bloed (CRP, proBNP, D- Vasodilator (sBP>110) hypertensie, nierfalen,
duizelig, cardiogene shock dimeer, full-blood) Lisdiureticum ritmestoornis, anemie
Chronisch links- Chronisch moe, dyspneu ECG Diureticum i.c.m. ACE- Onvermogen LV-lediging
forward hartfalen d’effort, syncope, duizelig, E.v.t. NT-pro BNP remmer Oorzaak: cardiomyopathie /
gewicht, systole souffle, + b-blokker indien ischemie / hypertensie /
BP, koude-intolerantie geen overvulling aortaklepaandoening
Chronisch links- Zelfde als links-forwad, ECG Bloed niet goed LV in ->
backward hartfalen orthopneu, pulmonale E.v.t. NT-pro BNP stase in de longen
hypertensie, gewicht Oorzaak: links-forward HF/klep /
ischemie/ cardiomyopathie
Chronisch rechts- Symptomen van linker HF, ECG Onvermogen RV-lediging
forward harfalen gewicht; E.v.t. NT-pro BNP Oorzaak: linker HF / pulmonale
Bij geïsoleerd rechts HF: hypertensie / klepafwijking /
geen crepitaties longembolie
Chronisch rechts- Symptomen linker HF, ECG Bloed niet goed RV in ->
backward hartfalen gewicht, gestuwde hals- E.v.t. NT-pro BNP stase in venen
venen, perifeer oedeem, Oorzaak: linker HF / rechts-
ascites, nycturie forward HF / klepafwijking
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