{"id":"00316be161fb","type":"article","url":"https://hartvaat.nl/2026/02/01/inspanningssyncope-bij-een-tienermeisje/","title":"Inspanningssyncope bij een tienermeisje","title_en":"Exertional Syncope in a Female Teenage Student","category":"algemeen","category_label":"Algemeen","professions":["cardioloog"],"tags":["bradycardie","syncope"],"journal":"JAMA Cardiology","doi":"https://jamanetwork.com/journals/jamacardiology/fullarticle/2843432","source_url":"https://doi.org/https://jamanetwork.com/journals/jamacardiology/fullarticle/2843432","authors":[],"significance":3,"published":"2026-02-01","source_date":"2026-02-01","image":"","kennis":[],"congress":"","summary_en":"A diagnostic challenge case of a previously healthy teenage girl presenting with chest tightness and exertional syncope, with ECG showing ST-elevation and elevated troponin T.","created":"2026-07-03T10:25:28Z","updated":"2026-07-03T18:38:16Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Een eerder gezonde tiener presenteerde zich met beklemmend gevoel op de borst en syncope na inspanning. Het ECG toonde ST-elevatie en laboratoriumuitslagen wezen op verhoogd cardiaal troponine T. Een diagnostische puzzel.","abstract_original":"A previously healthy female teenager presents with chest tightness and syncope after exertion. Electrocardiogram results showed ST-segment elevation in leads V1 through V4, aVL, and aVR, and laboratory results indicated elevated cardiac troponin T levels. What would you do next?"}