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KC Pijn op de borst

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6 pages
2021/2022 Written for academic year
Institution
Universiteit Van Amsterdam (UvA)
Course
CMI-3
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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 borst
1400 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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Study
Geneeskunde
Uploaded on
October 12, 2022
Number of pages
6
Written in
2021/2022
Type
Class notes
Professor(s)
Drost
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Kc pijn op de borst
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