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weblectuur PAV

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Collegedictaat van 10 pagina's voor het vak OWG aan de HZ (weblectuur PAV)

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Weblectuur Perifeer arterieel vaatlijden.
Frans Abbink, blok 6, 13-09-2017

Ontstaan en beloop van PAV
Claudicatio Intermittens: intermiterend mank lopen.

PAV: uiting van atheroclleroce in de arterinn vanaf de aortaiifurlatie.

Arteriosclerose VS atherosclerose
Atheroclleroce: verharding en verdikking van de vaatwand door opeenhoping van iloedplaatjec,
veten en ontctekingclellen aan de iinneniijde van de vaatwand.

Arterioclleroce: het verharden van de arterinle vaatwand.

!Let op: beide worden vaak aderverkalking genoemd!

Risicofactoren voor atherosclerose
 Faltoren die je niet kunt veranderen:
o Hyperloagulatie (camenklonteren van iloedplaatjec);
o Geneticlh;
o Infeltie;
o Geclalht;
o Leefijd.

 Faltoren die je wel kan veranderen:
o Levencctijl:
 Roken;
 Dieet;
 Lilhamelijke inaltiviteit.

 Faltoren die je niet kunt veranderen maar waar wel ietc aangedaan kan worden:
o Diaietec;
o Hyperlipidemie (te hoog iloedvetgehalte);
o Hypertencie (hoge iloeddruk);
o Oiecitac.




1

, Atherogenese




Uitingsvormen artherosclerose




Gegeneraliseerde aandoeningen
65% van de PAV patinnten heef iewijc voor andere vaclulaire pathologie

Prognose – morbiditeit
Kan op een vaclulaire moriiditeit in een ander vaatied iinnen 10 jaar:
 PAV 21%  hercen infarlt.
 PAV 24%  lhroniclh hartalen.
 PAV 43%  loronaire hartiiekten.

Ernctig PAV heef een mortaliteit van 44%




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Uploaded on
December 22, 2018
Number of pages
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Written in
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Frans abbink
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R101,15
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