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Gepubliceerd in:
2014 | OriginalPaper | Hoofdstuk
4. Specifiek onderzoek
Auteurs : J.P.M. Hamer, P.G. Pieper, R.B.A. van den Brink
Gepubliceerd in: Anamnese en lichamelijk onderzoek van hart en perifere arteriën
Uitgeverij: Bohn Stafleu van Loghum
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Samenvatting
Aanvullende onderzoeken zijn de bloeddrukmeting en het beoordelen van de centraalveneuze druk. De typen bloeddrukmeters worden besproken alsmede het belang van de juiste manchetbreedte. De methode van meting komt aan de orde en ook de vijf Korotkoff-fasen. Een ‘silent gap’ is een van de oorzaken van meetfouten. De ‘witte jassenhypertensie’ komt voor bij 12-25% van de patiënten. Ook wordt de bloeddrukmeting bij verdenking op coarctatie besproken inclusief de mogelijke bevindingen. De methode om de inspiratoire bloeddrukdaling en ‘pulsus paradoxus’ te boordelen komt aan de orde.
Meten of beoordelen van de centraalveneuze druk is belangrijk voor het opsporen van hartfalen, maar is niet altijd eenvoudig. De problemen bij het beoordelen van de centraalveneuze druk worden vereenvoudigd met behulp van veel tekenvoorbeelden en foto’s. De meetmethode met de veneuze boog wordt inzichtelijk gemaakt. De uitvoering van de methode en de interpretatie van de uitkomsten verschillen in de literatuur nogal. Dit wordt overzichtelijk naast elkaar gezet. De oorzaken van een verhoogde en van een verlaagde centraalveneuze druk worden besproken. Ten slotte komt de abdominojugulaire test aan de orde.
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Metagegevens
- Titel
- Specifiek onderzoek
- Auteurs
-
J.P.M. Hamer
P.G. Pieper
R.B.A. van den Brink
- Copyright
- 2014
- Uitgeverij
- Bohn Stafleu van Loghum
- Boek
-
Anamnese en lichamelijk onderzoek van hart en perifere arteriën
Print ISBN: 978-90-368-0458-5
Elektronisch ISBN: 978-90-368-0459-2
Copyright: 2014
- DOI
- https://doi.org/10.1007/978-90-368-0459-2_4