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    ARITMIA Jantung

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    Satria Pinandita
    This document discusses normal heart anatomy and the electrical conduction system of the heart. It describes different types of arrhythmias including tachycardias defined as a heart rate over 100 beats per minute and bradycardias defined as under 60 beats per minute. Examples of different tachycardias and bradycardias are provided along with diagrams of electrical conduction patterns. Mechanisms of arrhythmias such as macroreentry and microreentry are summarized.

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    ARITMIA Jantung

    Uploaded by

    Satria Pinandita
    342 views77 pages
    This document discusses normal heart anatomy and the electrical conduction system of the heart. It describes different types of arrhythmias including tachycardias defined as a heart rate over 100 beats per minute and bradycardias defined as under 60 beats per minute. Examples of different tachycardias and bradycardias are provided along with diagrams of electrical conduction patterns. Mechanisms of arrhythmias such as macroreentry and microreentry are summarized.

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    buat medical pelajaran aritmia

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    ARITMIA jantung

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    This document discusses normal heart anatomy and the electrical conduction system of the heart. It describes different types of arrhythmias including tachycardias defined as a heart rate over 100 beats per minute and bradycardias defined as under 60 beats per minute. Examples of different tachycardias and bradycardias are provided along with diagrams of electrical conduction patterns. Mechanisms of arrhythmias such as macroreentry and microreentry are summarized.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    342 views77 pages

    ARITMIA Jantung

    Uploaded by

    Satria Pinandita
    This document discusses normal heart anatomy and the electrical conduction system of the heart. It describes different types of arrhythmias including tachycardias defined as a heart rate over 100 beats per minute and bradycardias defined as under 60 beats per minute. Examples of different tachycardias and bradycardias are provided along with diagrams of electrical conduction patterns. Mechanisms of arrhythmias such as macroreentry and microreentry are summarized.

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    Download as PPT, PDF, TXT or read online from Scribd
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    At a glance
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    The document discusses different types of cardiac arrhythmias, anatomy of the heart, electrocardiography reading and different types of conduction abnormalities.

    Tachyarrhythmias like sinus tachycardia, atrial fibrillation, ventricular tachycardia. Bradyarrhythmias like different degrees of AV blocks.

    First, second and third degree AV blocks including Mobitz types I and II.

    ARITMIA

    Dr. Isman Firdaus

    Anatomi Jantung Normal

    Sel Autoritmik Fase Depolarisasi Fase Repolarisasi Fase Istirahat

    Sel Kontraktil Fase Depolarisasi

    Fase Plateu
    Fase Repolarisasi Fase Istirahat

    Gelombang P

    : depolarisasi kedua atrium

    Gelombang QRS : Depolarisasi kedua Ventrikel Gelombang T : Repolarisasi Kedua Ventrikel

    ARITMIA
    TAKIARITMIA
    HR > 100 x/MNT

    BRADIARITMIA

    HR < 60 x/MNT

    MEMBACA EKG
    Bagaimana irama yang mengatur atrium( nodus sinus, fibrilasi,fluter, dll) Bagaimana konduksi AV (bila tidak dilaporkan berarti normal) Bila pacu jantung subsidier yang bekerja maka sebutkan subsidier mana (junctional, idioventrikular dll) Contoh : Irama sinus dengan laju atrium 80 X/mnt, blok total AV dan irama idioventrikular dengan laju ventrikel 40 X/mnt

    Takiaritmia
    Sinus Tachycardia Accelerated Atrial Tachycardia/Paroxysmal Atrial Tachycardia Atrial Flutter Atrial Fibrillation Reentrant Junctional Tachycardia (Nodal & Bypass) Multifocal Atrial Tachycardia Ventricular Tachycardia

    Physiologic Basis of Pacemaker Cells

    Pacemaking & Conduction System

    Perbedaan lokal pola potensial aksi

    mVolt

    PACE MAKER ACTIVITY


    Ca2+ influx

    0
    -20 -40 -60

    K+ efflux

    If influx

    TP
    MDP
    Phase 4 depolarization

    Time
    Leonardo S Lilly,Pathophysiology of heart disease, 1998

    PACE MAKER ACTIVITY

    mVolt

    0
    -20 -40 -60 -90
    Phase 4 depolarization

    TP
    MDP
    More negatuveMDP

    Time

    Leonardo S Lilly,Pathophysiology of heart disease, 1998

    Macroreentry

    Microreentry

    Atrial Flutter

    Atrial Fibrillation

    Macroreentrant and Microreentrant Tachycardias

    A Fib/Flutter spectrum

    Types of RJT

    Junctional Tachycardia (RJT)


    Reentry within the atrioventriocular (AV) junction can result in a single junctional premature beat (JPB) or in sustained junctional tachycardia Produces narrow-complex regular tachycardia without preceding atrial depolarization waves RJTs often produce retrograde atrial depolarization but these waves are usually buried within the QRS complex

    RJT Schematic diagram

    Delta Waves

    WPW Syndrome types

    BRADIARITMIA
    Blok Nodus AV, meliputi : Blok derajat I Blok derajat II Mobitz type I ( Wenkebach) Mobitz type II Blok derajat III (total AV Block) Gangguan fungsi nodus SA

    First-degree AV block Rhythm : Regular Rate : Usually normal P wave : Sinus P wave present; one P wave to each QRS PR : Prolonged ( greater than 0.20 seconds ) QRS : Normal

    Second -degree AV block, Mobitz I Rhythm : Irregular Rate : Usually slow but can be normal P wave : Sinus P wave present; some not followed by QRS complexes PR : Progressively lengthens QRS : Normal

    Second-degree AV block, Mobitz II Rhythm : Regular usually; can be irreguler if conduction ratios vary Rate : Usually slow P wave : Two, three, or four P waves before each QRS PR : PR interval of beat with QRS is constant; PR interval may be normal or prolonged QRS : Normal if block in His bundle; wide if block involves bundle branches

    Third-degree AV block

    Rhythm : Regular Rate : 40 60 if block in His bundle; 30 40 if block involves bundle branches P wave : Sinus P wave present; bear no relationship to QRS; can be found hidden in QRS complexes and T waves PR : Varies greatly QRS : Normal if block in His bundle; wide if block involves bundle branches

    Mobitz I

    Mobitz II atrioventricular block

    Atrioventricular dissociation secondary to complete heart block

    High-grade atrioventricular block

    Incomplete right bundle branch block

    Right bundle branch block

    Left bundle branch block

    Wolff-Parkinson-White syndrome

    Wolff-Parkinson-White syndrome

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