PD.1: Diagnostiek van coronairlijden Flashcards

1
Q

Anamnese pijn op de borst

A

Leeftijd
Risicofactoren
Soort pijn
Uitstraling
Relatie met bv. inspanning, emotie, eten
Houdingsafhankelijk
Dyspnoe
Fysieke inspanning

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2
Q

Differentiaal diagnose

A

Musculoskeletaal
Hyperventileren
Gastro-intestinaal
Pulmonaal
Cardiaal

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3
Q

Differentiaal diagnose pulmonaal

A

Pneunomie
Longembolie
Pneumothorax

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4
Q

Differentiaal diagnose cardiaal

A

Pericarditis
Aortaklep stenose
Ritmestoornis
Coronairlijden

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5
Q

Lichamelijk onderzoek

A

Rust ECG
Rust echocardiogram

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6
Q

Diagnostisch onderzoek

A

Anatomie
- Coronaire CT
Fysiologie
- Stress ECG/fietsproef
- MBI spect
- Dobutamine stress echo
- Stress MRI

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7
Q

Coronaire CT

A

Hoge sensitiviteit
Lage specificiteit

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8
Q

Stress ECG / fietsproef

A

Lage sensitiviteit
Hoge specificiteit

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9
Q

MIBI spect

A

Redelijke sensitiviteit
Matige specificiteit

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10
Q

Dobutamine stress echo

A

Redelijke sensitiviteit
Redelijke specificiteit

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10
Q

Stress MRI

A

Redelijke sensitiviteit
Redelijke specificiteit

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10
Q

Behandeling

A

Medicatie
Revascularisatie

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