2024-
2025
Samenvatting Hart
PROF DR JANSSENS
JOZEFIEN CEULEMANS
,Semeiologie hart ...................................................................................................................... 13
2B: lichamelijk onderzoek ........................................................................................................ 13
Inspectie ............................................................................................................................... 13
Cyanose ............................................................................................................................ 13
Raynaudfenomeen ....................................................................................................... 13
Centrale cyanose .......................................................................................................... 13
Anemie ............................................................................................................................. 13
Pijnpatronen ..................................................................................................................... 13
Dyspnee ............................................................................................................................ 14
Cachexie en ascites........................................................................................................... 14
Hypothyroidie ................................................................................................................... 14
Syndromale kenmerken ................................................................................................... 14
Downsyndroom ............................................................................................................ 14
Marfan syndroom ......................................................................................................... 14
Turner syndroom .......................................................................................................... 14
Noonan syndroom ........................................................................................................ 15
Holt-oram syndroom .................................................................................................... 15
Williams-Beuren syndroom .......................................................................................... 15
Steinert disease ............................................................................................................ 15
Faciale kenmerken ........................................................................................................... 15
Ogen ............................................................................................................................. 15
Rendu Ossler Weber..................................................................................................... 15
Acrale kenmerken ............................................................................................................ 16
Endocarditis .................................................................................................................. 16
Clubbing ........................................................................................................................ 16
Differentiele cyanose ................................................................................................... 16
Perifeer vaatlijden ........................................................................................................ 16
Oedeem ............................................................................................................................ 16
Pitting oedeem ............................................................................................................. 16
Lyfmoedeem................................................................................................................. 16
Coarctatio aortae ............................................................................................................. 16
Thoraxwand ...................................................................................................................... 17
Arteriële bloeddrukmeting ................................................................................................... 17
Mean pressure ............................................................................................................. 17
, Palpatie ................................................................................................................................. 17
Arteriële pulsaties ............................................................................................................ 17
Hartfrequentie.................................................................................................................. 17
Linker ictus ....................................................................................................................... 18
Rechter ictus ..................................................................................................................... 18
Tietze syndroom ............................................................................................................... 18
Oedemen/ascites ............................................................................................................. 18
Ascites........................................................................................................................... 18
CVD meting ....................................................................................................................... 18
Hepatojugulaire reflux.................................................................................................. 19
V-golven in massief TI................................................................................................... 19
Kussmauls teken ........................................................................................................... 19
Uitdagende situaties ........................................................................................................ 19
Percussie............................................................................................................................... 19
College 2a: Anamnese in de cardiologie .................................................................................. 19
Inleiding ................................................................................................................................ 20
Thoracale pijn ....................................................................................................................... 20
Afkomst pijn ................................................................................................................. 20
Cruciale vragen ............................................................................................................. 20
Aantal ziekteprocessen .................................................................................................... 20
Angor pectoris .............................................................................................................. 20
Hartinfarct .................................................................................................................... 21
Pericarditis .................................................................................................................... 21
Dissectie AO-thoracalis................................................................................................. 21
Longpathologie ............................................................................................................. 21
Slokdarmpathologie ..................................................................................................... 22
Musculoskeletaal.............................................................................................................. 22
Kortademigheid .................................................................................................................... 22
Definitie ............................................................................................................................ 22
Afkomst ............................................................................................................................ 22
Cruciale vragen ................................................................................................................. 22
Tijd van opkomen ......................................................................................................... 23
Moeilijkste: in- of uitademen ....................................................................................... 23
Wanneer optredend ..................................................................................................... 23
Hoesten/fluimen .......................................................................................................... 23
, Effecten van medicatie ................................................................................................. 23
Hartkloppingen ................................................................................................................. 23
Definitie ........................................................................................................................ 23
Afkomst ........................................................................................................................ 23
Cruciale vragen ................................................................................................................. 24
sinusTC.......................................................................................................................... 24
Atriale of ventriculaire extrasystole ............................................................................. 24
Atriale flutter ................................................................................................................ 24
VKF ................................................................................................................................ 25
Sinusarrest .................................................................................................................... 25
Totaal AV-blok .............................................................................................................. 25
= hart heel traag, prikkel van VK komt niet meer in K → zware en trage hartslagen.. 25
Flauwvallen/syncope ............................................................................................................ 25
Definitie ............................................................................................................................ 25
Afkomst ............................................................................................................................ 26
Cruciale vragen ................................................................................................................. 26
Orthostatische syncope................................................................................................ 26
Syncope door warmte .................................................................................................. 26
Syncope na inspanning ................................................................................................. 26
Syncope op vagale prikkel ............................................................................................ 26
Besluit ................................................................................................................................... 27
Semeilogie: hartauscultatie en hemodynamica ..................................................................... 27
Auscultatiezones .................................................................................................................. 27
Ostium aortae................................................................................................................... 27
Ostium pulmonale ............................................................................................................ 27
Ostium tricuspidale .......................................................................................................... 27
Apex .................................................................................................................................. 27
Gradatie ............................................................................................................................ 28
Harttonen ............................................................................................................................. 28
S1 ...................................................................................................................................... 28
S2 ...................................................................................................................................... 28
ASD ............................................................................................................................... 29
S3 ...................................................................................................................................... 29
S4 ...................................................................................................................................... 29
Gallop ritme .................................................................................................................. 29
2025
Samenvatting Hart
PROF DR JANSSENS
JOZEFIEN CEULEMANS
,Semeiologie hart ...................................................................................................................... 13
2B: lichamelijk onderzoek ........................................................................................................ 13
Inspectie ............................................................................................................................... 13
Cyanose ............................................................................................................................ 13
Raynaudfenomeen ....................................................................................................... 13
Centrale cyanose .......................................................................................................... 13
Anemie ............................................................................................................................. 13
Pijnpatronen ..................................................................................................................... 13
Dyspnee ............................................................................................................................ 14
Cachexie en ascites........................................................................................................... 14
Hypothyroidie ................................................................................................................... 14
Syndromale kenmerken ................................................................................................... 14
Downsyndroom ............................................................................................................ 14
Marfan syndroom ......................................................................................................... 14
Turner syndroom .......................................................................................................... 14
Noonan syndroom ........................................................................................................ 15
Holt-oram syndroom .................................................................................................... 15
Williams-Beuren syndroom .......................................................................................... 15
Steinert disease ............................................................................................................ 15
Faciale kenmerken ........................................................................................................... 15
Ogen ............................................................................................................................. 15
Rendu Ossler Weber..................................................................................................... 15
Acrale kenmerken ............................................................................................................ 16
Endocarditis .................................................................................................................. 16
Clubbing ........................................................................................................................ 16
Differentiele cyanose ................................................................................................... 16
Perifeer vaatlijden ........................................................................................................ 16
Oedeem ............................................................................................................................ 16
Pitting oedeem ............................................................................................................. 16
Lyfmoedeem................................................................................................................. 16
Coarctatio aortae ............................................................................................................. 16
Thoraxwand ...................................................................................................................... 17
Arteriële bloeddrukmeting ................................................................................................... 17
Mean pressure ............................................................................................................. 17
, Palpatie ................................................................................................................................. 17
Arteriële pulsaties ............................................................................................................ 17
Hartfrequentie.................................................................................................................. 17
Linker ictus ....................................................................................................................... 18
Rechter ictus ..................................................................................................................... 18
Tietze syndroom ............................................................................................................... 18
Oedemen/ascites ............................................................................................................. 18
Ascites........................................................................................................................... 18
CVD meting ....................................................................................................................... 18
Hepatojugulaire reflux.................................................................................................. 19
V-golven in massief TI................................................................................................... 19
Kussmauls teken ........................................................................................................... 19
Uitdagende situaties ........................................................................................................ 19
Percussie............................................................................................................................... 19
College 2a: Anamnese in de cardiologie .................................................................................. 19
Inleiding ................................................................................................................................ 20
Thoracale pijn ....................................................................................................................... 20
Afkomst pijn ................................................................................................................. 20
Cruciale vragen ............................................................................................................. 20
Aantal ziekteprocessen .................................................................................................... 20
Angor pectoris .............................................................................................................. 20
Hartinfarct .................................................................................................................... 21
Pericarditis .................................................................................................................... 21
Dissectie AO-thoracalis................................................................................................. 21
Longpathologie ............................................................................................................. 21
Slokdarmpathologie ..................................................................................................... 22
Musculoskeletaal.............................................................................................................. 22
Kortademigheid .................................................................................................................... 22
Definitie ............................................................................................................................ 22
Afkomst ............................................................................................................................ 22
Cruciale vragen ................................................................................................................. 22
Tijd van opkomen ......................................................................................................... 23
Moeilijkste: in- of uitademen ....................................................................................... 23
Wanneer optredend ..................................................................................................... 23
Hoesten/fluimen .......................................................................................................... 23
, Effecten van medicatie ................................................................................................. 23
Hartkloppingen ................................................................................................................. 23
Definitie ........................................................................................................................ 23
Afkomst ........................................................................................................................ 23
Cruciale vragen ................................................................................................................. 24
sinusTC.......................................................................................................................... 24
Atriale of ventriculaire extrasystole ............................................................................. 24
Atriale flutter ................................................................................................................ 24
VKF ................................................................................................................................ 25
Sinusarrest .................................................................................................................... 25
Totaal AV-blok .............................................................................................................. 25
= hart heel traag, prikkel van VK komt niet meer in K → zware en trage hartslagen.. 25
Flauwvallen/syncope ............................................................................................................ 25
Definitie ............................................................................................................................ 25
Afkomst ............................................................................................................................ 26
Cruciale vragen ................................................................................................................. 26
Orthostatische syncope................................................................................................ 26
Syncope door warmte .................................................................................................. 26
Syncope na inspanning ................................................................................................. 26
Syncope op vagale prikkel ............................................................................................ 26
Besluit ................................................................................................................................... 27
Semeilogie: hartauscultatie en hemodynamica ..................................................................... 27
Auscultatiezones .................................................................................................................. 27
Ostium aortae................................................................................................................... 27
Ostium pulmonale ............................................................................................................ 27
Ostium tricuspidale .......................................................................................................... 27
Apex .................................................................................................................................. 27
Gradatie ............................................................................................................................ 28
Harttonen ............................................................................................................................. 28
S1 ...................................................................................................................................... 28
S2 ...................................................................................................................................... 28
ASD ............................................................................................................................... 29
S3 ...................................................................................................................................... 29
S4 ...................................................................................................................................... 29
Gallop ritme .................................................................................................................. 29
