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2006 | OriginalPaper | Hoofdstuk

Is antistolling bij een flutter met wisselend blok geïndiceerd?

Auteurs : dr. A.H.M. Moons, dr. R.B.A. van den Brink

Gepubliceerd in: Vademecum permanente nascholing huisartsen

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Boezemflutter is een ritmestoornis waarbij de atria met een stabiele frequentie van 240-320/min (meestal rond de 300/min) worden geactiveerd. De atrio-ventriculaire geleiding (AV-geleiding) is meestal regulair, namelijk ≥ 2:1. In uitzonderlijke gevallen kan er zelfs 1:1 AV-geleiding optreden (zoals bij een hoge adrenerge tonus of na verlenging van de boezemflutter-cycluslengte door anti-aritmica, bijvoorbeeld flecaïnide), wat tot gevaarlijke hoge ventrikelfrequenties kan leiden. Soms is er sprake van een wisselend AV-blok.
Literatuur
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Metagegevens
Titel
Is antistolling bij een flutter met wisselend blok geïndiceerd?
Auteurs
dr. A.H.M. Moons
dr. R.B.A. van den Brink
Copyright
2006
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-313-8808-0_7