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Rechtzijdige problematiek

Rechtzijdige problematiek. RV funktie. Infarct in Rv komt procentueel minder voor Beoordeling visueel zoals bekend van LV funktie meting d.m.v T ricuspid A nnular P lane S ystolic E xcursion = TAPSE Soms gedilateerde RV. TAPSE. Meting vanuit apicale 4- kamerscan

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Rechtzijdige problematiek

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  1. Rechtzijdige problematiek Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  2. RV funktie • Infarct in Rv komt procentueel minder voor • Beoordeling • visueel zoals bekend van LV funktie • meting d.m.v Tricuspid Annular Plane Systolic Excursion = TAPSE • Soms gedilateerde RV Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  3. TAPSE • Meting vanuit apicale 4- kamerscan • Meet de verkorting van de RV doormiddel van m-mode Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  4. Meetwaarden TAPSE • < 10 mm = slechte RV funktie • 10 -15 mm = matige RV funktie • 15 - 20 mm = normale RV funktie • > 20 mm = goede RV funktie Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  5. RVVO • Right Ventricul Volume Overlaod • Dilated RV dimension • Paradoxil ventricular septal motion • sever Tricuspid regurgitation Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  6. Causal • ASD = atrium septum defect with right ventricul hypertrofic • pulmonal embolien, without right ventricul hypertrofic • Secundair, leftside volume overlaod Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  7. RVVO Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  8. Pericardium Pericardial Effussion Pericardial thickening Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  9. Small effusion always posterior moderate and large surrounding the heart but is not found behind the left atrium subcostale 4 chamberview first place to see large pericardial effusion result into cardiac tamponade Pericardial Effusion Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  10. Pericardeffusion Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  11. Large effusion surrounding the heart diastolic collaps of RA en RV Paradoxil ventriculair septal motion Pulsed doppler Tricuspid valve flow increased Mitral valve flow decrease by at least 30 - 40 % Cardiac Tamponade Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  12. Causal • Pericarditis • Rupture of the free wall after infarction LV or RV • After bypass Ok Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  13. Pericardial contriction • Echorich pericardium and thickening • systolic retractation apex, looking outside of the body • asynchronic ventrical septum motion • Deceleratie time < 150 msec. Rapid E to F slope • dilated ivc Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  14. Restrictif pericardium Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

  15. Causal • Chronic pericarditis • irradiation mediastium (Hodgkin) Fontys Paramedische Hogeschool Eindhoven, Mariette Raadsen

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