Metabolic alterations in dialysis patients Drechsler, C.
Hele tekst
(2) -589@6/.1/7/8=<. ,478@5.-0.6.7=< 2DEO.D"PDAOEOEOPDANAOQHPKB=?D=HHAJCEJCFKQNJAU QLKJSDE?DI=JULAKLHA D=RA?KJPNE>QPA@=J@CERAJPDAENOQLLKNP
(3) &=REJCOP=NPA@?HEJE?=HNAOA=N?D=O=IA@E?=HOPQ@AJP '?ANP=EJHU@E@JKPEI=CEJA @ABAJ@EJC=.D"PDAOEOEJ*AE@AJOARAN=HUA=NOH=PAN
(4) 5EPDLHA=OQNA'NAIAI>AN PDA ?AJPNA REOEPO SEPDEJ PDA " =J@ 1D=NL OPQ@EAO >AEJC OQNNKQJ@A@ >U = CNA=P PA=I =J@ >A?KIEJC B=O?EJ=PA@ >U PDA ?HEJE?=H NAOA=N?D PK LQNOQA PDEO @EO?ELHEJA IKNA@AALHU
(5) !KIEJCPKPDA,APDANH=J@OPKBKHHKSPDA+=OPANKB1?EAJ?A.NKCN=IIAEJ!HEJE?=H #LE@AIEKHKCU 'SKQH@HEGAPKPD=JG0AJXA@A+QPOANPBKNDANBNEAJ@HU=J@KLAJ DA=NPA@OQLLKNPEJPDALH=JJEJC=J@?KJ@Q?PEKJKBIUNAOA=N?DLANEK@EJ*AE@AJ
(6) 0AJXA 'D=RAHA=NJP=HKPBNKIUKQ=J@=IRANUCN=PABQH=>KQPPDABNQEPBQHPEIA PKD=RAOLAJPSEPDUKQ
(7) ,KPKJHUPDAAT?AHHAJP@EO?QOOEKJOSEPDEJPDALNKFA?P >QP =HOKUKQN?KJOP=JPOQLLKNPEJIUABBKNPOPKHA=NJ"QP?DSANA=I=VEJC
(8) 2D=JGUKQ OKIQ?D ' =I RANU CN=PABQH PK =HH IU #LE ?KHHA=CQAO BKN UKQN CAVAHHECDAE@ OQLLKNP =J@ CKK@ @EO?QOOEKJO
(9) 'J L=NPE?QH=N IU G=IANCAJKKPFAO 0QPCAN )ENOPAJ #HEO=>APD "=NEQO =J@ PDA ?KHHA=CQAO BNKI DAP JEAN?HQ>FA "E=J= +=NEKJ ,UJGA "EJ=J@= 5EAJAGA 2AOO= %QN>AU
(10) 0QPCAN D=REJC HA=NJP = HKP KB "QP?D ATLNAOOEKJO BNKI UKQ '=I=HOKD=LLUPKDA=NUKQQOEJCPDAp2=?GANi>UJKS 2KIU?KHHA=CQAOBNKIPDA,ALDNKHKCU"AL=NPIAJP=PPDA*3+!hI=JUPD=JGO BKNUKQNDAHLBQHJAOOEJ?HEJE?=HSKNG
(11) '=IL=NPE?QH=NHUCN=PABQHPK2KJ0=>AHEJG BKNDEO?KJOP=JPOQLLKNP PDALNA?EKQO=@REOA=J@AT?AHHAJPOQLANREOEKJ
(12) .=QHR=J @AN KKC=J@1PAB=J ANCAN BKNPDAENCNA=PPA=?DEJC=J@?HEJE?=HPN=EJEJC
(13) 'NA=HHU AJFKUA@PDAGE@JAUPN=JOLH=JPKQPL=PEAJP?HEJE?O=J@@EO?QOOEKJOSEPDUKQ=HH
(14) 7KQ I=@AIAQJ@ANOP=J@L=PDKLDUOEKHKCEAO=J@PNA=PIAJPOPN=PACEAO =J@OD=NLAJA@ PDA?HEJE?=HLANOLA?PERAOKBIUNAOA=N?D
(15).
(16) .
(17) -589@6/.1/7/8=<. 2D=JGO PK =HH ?KHHA=CQAO BNKI DAP &=JO +=G 'JOPEPQPA BKN PDA CAVAHHECDAE@ PDA @=P= I=J=CAIAJP=J@BNQEPBQH?KHH=>KN=PEKJ
(18) #HO=J@0=U PD=JGUKQEJL=NPE?QH=N BKNUKQNOQLLKNPEJ,#!-1"LNKFA?PO
(19) HHL=PEAJPO SDKD=RA?KJPNE>QPA@PKPDA,#!-1"=J@"OPQ@EAOPD=JGUKQ BKN UKQN ABBKNPO =J@ ?KJPEJQA@ @A@E?=PEKJ PK L=NPE?EL=PA EJ PDA OPQ@EAO
(20) +=JU PD=JGOPK=HH@K?PKNO=J@JQNOAOSDKD=RAP=GAJL=NPEJPDA@=P=?KHHA?PEKJ=J@ ?=NAKBOPQ@UL=NPE?EL=JPO
(21) 2K =HH J=PEKJ=H =J@ EJPANJ=PEKJ=H ?KHHA=CQAO SEPD SDKI ' SKNGA@ PKCAPDAN ?KJ?ANJEJC " 1&0. =J@ ,#!-1" PD=JG UKQ BKN UKQN ?KHH=>KN=PEKJ =J@ OQLLKNP
(22) 'JL=NPE?QH=N 'SKQH@HEGAPKPD=JG)=PF=BKNDAN?KJOP=JPOQLLKNP=J@PDA AT?AHHAJPPA=ISKNGEJPDAKNC=JEV=PEKJ=J@?=NAKBPDA">EK>=JG
(23) .NKB
(24) 0EPVh'=IRANUCN=PABQH=J@SKQH@HEGAPKPD=JGUKQBKNUKQNIAJPKNODEL =J@PDAAT?AHHAJP@EO?QOOEKJO@QNEJCIUNAOA=N?D
(25) 2DA#QNKLA=J0AJ=HOOK?E=PEKJh#QNKLA=J"E=HUOEO=J@2N=JOLH=JPOOK?E=PEKJ AJ=>HA@IAPK?KIAPK*AE@AJ3JERANOEPU+A@E?=H!AJPAN=J@LANBKNINAOA=N?D =PPDA"AL=NPIAJPKB!HEJE?=H#LE@AIEKHKCU
(26) 2D=JGUKQRANUIQ?DBKNPDEOCNA=P KLLKNPQJEPU 'D=RAAJFKUA@IUOP=U=J@?KQH@?KJOE@AN=>HU=@R=J?AIUOGEHHO EJ?HEJE?=HNAOA=N?D
(27) LLNA?E=PEJCPDAEJEPE=PERAOKBPDA"AQPO?DA$KNO?DQJCOCAIAEJO?D=BPBKNUKQJC EJRAOPEC=PKNOhPD=JGUKQOKIQ?DBKNPDA?D=HHAJCEJCKLLKNPQJEPUPKL=NPE?EL=PA EJPDAUKQJCEJRAOPEC=PKNO=?=@AIU=J@UKQNOQLLKNP
(28) +U EJPANJ=PEKJ=H ?KHHA=CQAO 1=J@NEJ 1=QN=>D 1=N= PD=JG UKQ BKN PDA FKEJP AJPDQOE=OIPKATLHKNAPDA"QP?DH=JCQ=CA=J@?QHPQNA%KK@HQ?GSEPD=HHUKQN BQNPDANLH=JO
(29) 7RKJJAhPD=JGUKQBKNUKQNSAH?KIA=J@ABBKNPOBKNPDApEJPANJ=PEKJ=HOi
(30) +=JU PD=JGOBKNUKQNKNC=JEV=PEKJ=HOQLLKNP =J@=HOK2=I=N=hPD=JGUKQRANUIQ?D .
(31) -589@6/.1/7/8=<. +UL=N=JUILDO"EJ=J@==J@1=QN=>DhPD=JGUKQBKNUKQNCAJQEJABNEAJ@ODEL =J@ PDA SKJ@ANBQH PEIA PKCAPDAN "EJ=J@= PDA ?D=HHAJCEJC ALE@AIEKHKCE?=H @EO?QOOEKJO D=RA =HS=UO >AAJ = LHA=OQNA BKN IA JKP PK BKNCAP KQN PN=RAHHEJC PKCAPDANPK?KJCNAOOAO=J@?KQNOAO
(32) p*APPDAIQOE?LH=UihEOKJAKBKQND=LLU OHKC=JO=J@'PNQHU=?GJKSHA@CA=HHUKQNBNEAJ@HUDAHLUKQD=RACERAJ=P=HHPEIAO
(33) 1=QN=>D UKQN OK?E=H OQLLKNP S=O B=JP=OPE?
(34) AEJC GALP EJ >QOU SKNG UKQN AJPANP=EJEJC=J@AJFKU=>HAJASOPDANA>U=HS=UOI=@AIAOIEHA
(35) 2D=JGUKQBKN PDACNA=P@EO?QOOEKJO PDApKLAJA=Ni PDAOLKJP=JAEPU =J@UKQN?KJOP=JPBNEAJ@HU OQLLKNP
(36) JCAHEG= PD=JGUKQBKNPDACNA=P?KRANUKQ?NA=PA@BKNPDEO>KKG "A=N+QI=J@"=@ @AOLEPAIUB=RKQNBKNH=JCQ=CAO EPEOD=N@PKATLNAOOIU PD=JGOPKUKQEJSKN@O
(37) 7KQNQJ@ANOP=J@EJC PDAB=EPD =@REOA EJPAHHA?PQ=HOLENEP =J@ QJ@AO?NE>=>HA OQLLKNP PK IA PDNKQCDKQP IU SDKHA HEBA =NA EJR=HQ=>HA
(38) ' =LLNA?E=PAUKQNDKJAOPU EJ?HQ@EJC?KILHEIAJPO=J@?NEPE?EOIO
(39) '=IRANUCN=PABQH =>KQPUKQN?=NA UKQNHKRA=J@PNQOPEJIA =J@BQNPDANPD=JGUKQBKNUKQN?KJOP=JP EJPANAOP=J@LKOEPERAOPEIQH=PEKJ
(40) "A=N!HAIAJO UKQN?NA=PEREPUD=O?KJPNE>QPA@ PKEJOLENAIAPD=JGUKQBKNUKQNCNA=POK?E=>EHEPU=J@?KIL=JU
(41) HHKPDANB=IEHU IAI>ANO=J@BNEAJ@O PD=JGUKQBKNUKQNEJPANAOP=J@OQLLKNP "A=NHAThUKQ=NA=I=VEJC
(42) 2DEOPDAOEOSKQH@JKPD=RA>AAJSNEPPAJSEPDKQP UKQNEIIAJOAOQLLKNP
(43) 7KQSANAPDANK?GPKOPA=@U=J@OQLLKNPIAPDNKQCDKQP PDA SDKHA PEIA
(44) !KIEJC PK PDA ,APDANH=J@O SEPD IA D=O >AAJ = >EC ?D=HHAJCA SDE?DUKQOQ??AOOBQHHUIAPPKAJ=>HAQOHEREJCEJPDAO=IALH=?A
(45) 2D=JGUKQOK IQ?DBKNUKQNATPN=KN@EJ=NUOPNAJCPD UKQNDKJAOPU=J@?KJOEOPAJ?U
(46) 2D=JGUKQ BKNUKQNEJR=HQ=>HAHKREJCDAHL=J@UKQNL=PEAJ?A
(47) #JFKUEJC=SKJ@ANBQHHEBASEPD UKQ '=IHKKGEJCBKNS=N@PKI=JUIKNAD=LLU=J@AT?EPEJCUA=NOPKCAPDAN . .
(48) -589@6/.1/7/8=<. .
(49) 3<=90:>,63-+=398<. 2<=8/9>+52,*=287< . .EHV1 2KI=O?DEPV ;.,1<5.; 0EPV# KADI %N=IIAN2 +WNV5
(50) . . .=N=PDUNKE@DKNIKJAHARAHEO=OOK?E=PA@SEPDIKNP=HEPU=J@?=N@EKR=O?QH=N ARAJPO EJ L=PEAJPO QJ@ANCKEJC ?KNKJ=NU =JCEKCN=LDU
(51) >;9:/+8 /+;= 9>;8+6 EJLNAOO
(52). . .EHV 1 2KI=O?DEPV ;.,1<5.; "AGGAN (+ +WNV 5
(53) 4EP=IEJ " @Am?EAJ?U=J@IUK?=N@E=H@EOA=OAO
(54) +KH,QPN$KK@0AO
(55) +=N
(56). . ;.,1<5.; )N=JA4 0EPV# +WNV5 5=JJAN!
(57) %HU?AIE??KJPNKH=J@ ?=N@EKR=O?QH=NARAJPOEJ@E=>APE?DAIK@E=HUOEOL=PEAJPO
(58) 3;->6+=398
(59) "A?
(60) . . &=DJAN1 *KABnAN+ HAE?GAJ ;.,1<5.; +EHKR=JKRE?" $=OOJ=?DP + 4AJPV + /QEJGHAN + HHKHEK
(61) #LE@AIEKHKCU KB =@NAJ=H ?NEOEO EJ ?DNKJE? =@NAJ=H EJOQBm?EAJ?U PDA JAA@ BKN JAS LNARAJPEKJ OPN=PACEAO
(62) >;8.9-;3896
(63) +=N
(64) . . )N=JA 4 5EJGHAN ) ;.,1<5.; *EHEAJPD=H ( +WNV 5 5=JJAN !
(65) OOK?E=PEKJKB*"* !DKHAOPANKH=J@'Jn=II=PEKJSEPD!=N@EKR=O?QH=N #RAJPO =J@ +KNP=HEPU EJ .=PEAJPO SEPD 2ULA "E=>APAO +AHHEPQO KJ &AIK@E=HUOEO
(66) ??ALPA@ BKN LQ>HE?=PEKJ EJ 7 3.8/B 3< ,KR
(67). . ;.,1<5.; )N=JA 4 %NKKPAJ@KNOP "! 0EPV # 5EJGHAN ) +WNV 5 "AGGAN $5 5=JJAN !
(68) 2DA =OOK?E=PEKJ >APSAAJ L=N=PDUNKE@ DKNIKJA =J@ IKNP=HEPU EJ @E=HUOEO L=PEAJPO EO IK@EmA@ >U S=OPEJC
(69) "/:2;96 3+6 ';+8<:6+8=-?P
(70). . ;.,1<5.; )N=JA 4 5EJGHAN ) "AGGAN $5 5=JJAN !
(71) !D=JCAO EJ =@ELKJA?PEJ=J@PDANEOGKBOQ@@AJ@A=PD OPNKGA IUK?=N@E=HEJB=N?PEKJ =J@IKNP=HEPUEJDAIK@E=HUOEOL=PEAJPO
(72) 3.8/B8=1AL
(73)
(74).
(75) 3<=90:>,63-+=398<. . 5=JJAN! ;.,1<5.; )N=JA4
(76) ! NA=?PERALNKPAEJ=J@QNAIE=
(77) 1AIEJ "E=H
(78) (QH QC
(79). . 5EJGHAN ) &KBBI=JJ ++ )N=JA 4 ;.,1<5.; +WNV 5 5=JJAN !
(80) LKHELKLNKPAEJ#CAJKPULALNA@E?PO?=N@EKR=O?QH=NAJ@LKEJPOEJ@E=HUOEO L=PEAJPOSEPDPULA@E=>APAOIAHHEPQO
(81) =2/;9<-6/;9<3< +8 . ;.,1<5.; @A +QPOANP 0 %NKKPAJ@KNOP "! KAO?DKPAJ #5 )NA@EAP 02 HA!AOOEA1 5=JJAN! "AGGAN$5
(82) OOK?E=PEKJKB>K@UI=OOEJ@AT SEPD@A?HEJAEJNAOE@Q=HGE@JAUBQJ?PEKJ=BPANEJEPE=PEKJKB@E=HUOEO
(83) 7 3.8/B3<(QJA
(84) )N=JA4 5EJGHAN) ;.,1<5.; *EHEAJPD=H( +=NV5 5=JJAN!
(85) #BBA?PKB =PKNR=OP=PEJKJEJn=II=PEKJ=J@KQP?KIAEJL=PEAJPOSEPDPULA@E=>APAO IAHHEPQOKJDAIK@E=HUOEO
(86) 3.8/B8="A?AI>AN
(87) 5EJGHAN) 5=JJAN! ;.,1<5.; *EHEAJPD=H( +=NV5 )N=JA4
(88) !D=JCA EJ , PANIEJ=H LNK PULA J=PNEQNAPE? LALPE@A =J@ PDA NEOG KB OQ@@AJ @A=PD OPNKGA IUK?=N@E=HEJB=N?PEKJ =J@=HH ?=QOAIKNP=HEPUEJ@E=>APE? @E=HUOEOL=PEAJPO
(89) >;/+;=1ALPAI>AN
(90) +KJGO" 1SK>K@=$ NAQJEC$ )N=JA4 ;.,1<5.; HQI& *AEOEJC " 5=JJAN!
(91) .DAJKPULEJCKBPULA@E=>APAOIAHHEPQO>UiCAJAPE?mAH@ SKNGj=NA@=P=OQBm?EAJPPD=P=NA>=OA@KJHUKJ=MQAOPEKJJ=ENA
(92) =<-2 !/.*9-2/8<-2;1ALPAI>AN
(93) 5=JJAN ! ;.,1<5.; )N=JA 4
(94) *ELE@ IAP=>KHEOI EJ ?DNKJE? GE@JAU @EOA=OA PDA NKHA KB OP=PEJO EJ ?=N@EKR=O?QH=N NEOG
(95) %/8 ">=; (=JQ=NU
(96) )N=JA 4 ;.,1<5.; 5=JJAN !
(97) "UOHELE@AIE= EJn=II=PEKJ =J@ @E=HUOEOKQP?KIAOSD=PSAGJKSJKS
(98) >;;#:38"/:2;96B:/;=/8< ,KRAI>AN
(99) .
(100) >;;3->6>7)3=+/. >;;2,>5>6(2=*. !DNEOPE=JA"NA?DOHANS=O>KNJKJ$A>NQ=NU EJ.H=QAJ %ANI=JU
(101) BPANODA L=OOA@OA?KJ@=NUO?DKKH>EPQNEJ=PPDA%UIJ=OEQI*KDN=I+=EJ ODA =PPAJ@A@5]NV>QNC3JERANOEPUPKOPQ@UIA@E?EJA
(102) "QNEJCDANIA@E?=HOPQ@EAO ODA S=OEJPNK@Q?A@PKPDAmAH@KB?HEJE?=HNAOA=N?D=J@S=OEJRKHRA@EJPDA%ANI=J "E=>APAO=J@"E=HUOEO1PQ@U=PPDA,ALDNKHKCU3JEPKBPDA3JERANOEPU&KOLEP=H EJ 5]NV>QNC
(103) AEJC =PPN=?PA@ >U ?HEJE?=H NAOA=N?D ODA LANBKNIA@ DAN IA@E?=H PDAOEOQJ@ANOQLANREOEKJKB.NKB
(104) !
(105) 5=JJAN SKNGEJCKJB=IEHUNA?NQEPIAJP=J@ LDAJKPULEJCPKOPQ@UPDADANA@EPUKB@E=>APAOIAHHEPQO=J@@E=>APE?JALDNKL=PDU
(106) BPAN DAN EJPANJODELO =P PDA 3JERANOEPEAO KB -TBKN@ *=QO=JJA =J@ ANJ ODA CN=@Q=PA@SEPDDANmJ=HIA@E?=HAT=IEJ=PEKJEJ,KRAI>AN
(107) OKB"A?AI>AN ODASKNGA@=OIA@E?=H@K?PKN=J@NAOA=N?DAN=PPDA"EREOEKJ KB ,ALDNKHKCU =P PDA 3JERANOEPU &KOLEP=H EJ 5]NV>QNC
(108) 5EPDEJ PDA IQHPE?AJPAN i1PQ@U KB &A=NP =J@ 0AJ=H .NKPA?PEKJ 1&0.j ODA SKNGA@ =O ?KKN@EJ=PKN EJRAOPEC=PKN =J@ ?HEJE?=H IKJEPKN NA?NQEPEJC OPQ@U OEPAO =J@ L=PEAJPO A@Q?=PEJC OPQ@UJQNOAO=J@OQLLKNPEJCEJRAOPEC=PKNO
(109) 1DAAJPANA@DANNAOE@AJ?UEJEJPANJ=H IA@E?EJA P=GEJC ?=NA KB L=PEAJPO KB PDA 3JERANOEPU &KOLEP=H
(110) !KJPEJQEJC DAN A@Q?=PEKJ EJ ?HEJE?=H NAOA=N?D ODA FKEJA@ PDA +=OPAN KB 1?EAJ?A .NKCN=IIA EJ !HEJ?=H#LE@AIEKHKCU=PPDA,APDANH=J@O'JOPEPQPAKB&A=HPD1?EAJ?AO,'=P PDA3JERANOEPEAOKB0KPPAN@=I=J@*AE@AJ CN=@Q=PEJCEJ
(111) &AN+=OPANPDAOEO AJPEPHA@ i->AOEPU EO = NEOG B=?PKN BKN @A?HEJA KB NAJ=H BQJ?PEKJ =BPAN PDA OP=NP KB @E=HUOEOjSKJPDA,'=S=N@BKNPDA>AOPNAOA=N?DL=LANKBPDA=?=@AIE?UA=N
(112) NAOA=N?DBAHHKSODELBNKIPDA#QNKLA=J0AJ=HOOK?E=PEKJ #QNKLA=J"E=HUOEO=J@ 2N=JOLH=JPOOK?E=PEKJAJ=>HA@DANPK?KJPEJQAO?EAJPEm?SKNG=PPDA"AL=NPIAJP KB !HEJE?=H #LE@AIEKHKCU KB PDA *AE@AJ 3JERANOEPU +A@E?=H !AJPAN QJ@AN PDA OQLANREOEKJ KB .NKB
(113) $NEA@K 5
(114) "AGGAN .NKB
(115) !DNEOPKLD 5=JJAN .NKB
(116) $NEPO 0KOAJ@==H=J@"N
(117) "E=J=%NKKPAJ@KNOP
(118) 2DAmJ@EJCOKBPDEONAOA=N?D=NA@AO?NE>A@ EJPDEOPDAOEO
(119) "QNEJCDAN.D"SKNGODA?KHH=>KN=PA@SEPDNAOA=N?DCNKQLOEJPDA ,APDANH=J@O %ANI=JU=J@QOPNE= =J@BKHHKSA@?KQNOAOEJALE@AIEKHKCU=J@ >EKOP=PEOPE?O
(120) 'J ODAS=O=@IEPPA@PKFKEJPDAUKQJCEJRAOPEC=PKNO=?=@AIU>U PDA"AQPO?DA$KNO?DQJCOCAIAEJO?D=BP"$% %ANI=J0AOA=N?D$KQJ@=PEKJ=J@ =S=N@A@=NAOA=N?DCN=JPPKSKNGKJ=?HEJE?=HLNA@E?PEKJOPQ@UEJ@E=HUOEOL=PEAJPO
(121) 2DANAOA=N?DKBDAN.D"PDAOEOS=OLNAOAJPA@=PEJPANJ=PEKJ=H?KJCNAOOAO SDANA EPNA?AERA@R=NEKQO=S=N@O
(122) PLNAOAJP !DNEOPE=JAEOSKNGEJC=PPDA,ALDNKHKCU 3JEP KB PDA 3JERANOEPU &KOLEP=H EJ 5]NV>QNC ?KJPEJQEJC DAN NAOE@AJ?U =J@ O?EAJPEm?SKNG
(123). .
(124) >;;3->6>7)3=+/. .
(125)
(126)
(127)
GERELATEERDE DOCUMENTEN
%ERAJ PDA EJPANNAH=PEKJO KB S=OPEJC SEPD L=N=PDUNKE@ DKNIKJA IAP=>KHEOI SA DULKPDAOEVA@PD=PS=OPEJCIK@EmAOPDA=OOK?E=PEKJKB.2&SEPD=@RANOAKQP?KIAO EJ HKJC PANI @E=HUOEO L=PEAJPO
1ANQI=H>QIEJHARAHO =J =@@EPEKJ=H B=?PKN EILHE?=PA@ EJ DULANL=N=PDUNKE@EOI KQP?KIA EJ LANEPKJA=H @E=HUOEO = LNKOLA?PERA OPQ@U SEPD L=ENA@ >KJA >EKLOEAO... 'JPANHAQGEJ
GE@JAU @EOA=OA !" HEIEPA@ OQJHECDP ATLKOQNA =J@ NA@Q?A@ ?=L=?EPU KB PDA OGEJ PK OUJPDAOEVA REP=IEJ " =O SAHH =O HKOO KB
2DEO DECD LNAR=HAJ?A KB REP=IEJ " @Am?EAJ?U EO EJ?NA=OEJCHUNA?KCJEOA@=O=JEILKNP=JPDA=HPDEOOQA>A?=QOAEPD=O>AAJODKSJ PD=P E =LLNKTEI=PAHU KB PDA DQI=J CAJKIA EO NACQH=PA@ >U PDA
2DEN@ PDA LNAOAJP SKNG KQPHEJA@ EJ PDEO PDAOEO LNKRE@AO = OPNKJC N=PEKJ=HA BKN JKRAH EJPANRAJPEKJO EJ @E=HUOEO L=PEAJPO... !KJOE@ANEJC PDA AT?AOO IKNP=HEPU =J@ L=Q?EPU KB @=P=
5A=J=HUOAAN@AJ@AEIL=?PR=JREP=IEJA"OP=PQOKLKJCQJOPECA QEPGKIOPAJ S==NKJ@AN =HH ?=QOA ?=N@EKR=O?QH=ENA AJ JEAP ?=N@EKR=O?QH=ENA
5) While myocardial infarction represents the most frequent cause of death in the general population, dialysis patients mainly die of sudden cardiac death, which as a single
periode lesweek week toetssoort weging afname leertoets korte stofomschrijving 1 1.5 39 PW h1 deel A zie deel B schriftelijk ja vocab en vaardigheid.. 1 1.7 41 PW h1 deel B 2x