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    EKG Taki-Bradi Aritmia

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    mithaa octoviagnes
    This document provides information on EKG rhythms and arrhythmias. It defines different types of arrhythmias including tachycardias, bradycardias, and conduction abnormalities. Examples are given of normal sinus rhythm, premature beats, supraventricular and ventricular tachycardias, atrial fibrillation, atrial flutter, heart block, and more. Causes of arrhythmias are noted as disturbances in automaticity, conduction, or combinations of both. Characteristics and patterns are described to help identify different arrhythmias.

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    EKG Taki-Bradi Aritmia

    Uploaded by

    mithaa octoviagnes
    70 views47 pages
    This document provides information on EKG rhythms and arrhythmias. It defines different types of arrhythmias including tachycardias, bradycardias, and conduction abnormalities. Examples are given of normal sinus rhythm, premature beats, supraventricular and ventricular tachycardias, atrial fibrillation, atrial flutter, heart block, and more. Causes of arrhythmias are noted as disturbances in automaticity, conduction, or combinations of both. Characteristics and patterns are described to help identify different arrhythmias.

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    Original Title

    EKG Taki-bradi Aritmia

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    This document provides information on EKG rhythms and arrhythmias. It defines different types of arrhythmias including tachycardias, bradycardias, and conduction abnormalities. Examples are given of normal sinus rhythm, premature beats, supraventricular and ventricular tachycardias, atrial fibrillation, atrial flutter, heart block, and more. Causes of arrhythmias are noted as disturbances in automaticity, conduction, or combinations of both. Characteristics and patterns are described to help identify different arrhythmias.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    70 views47 pages

    EKG Taki-Bradi Aritmia

    Uploaded by

    mithaa octoviagnes
    This document provides information on EKG rhythms and arrhythmias. It defines different types of arrhythmias including tachycardias, bradycardias, and conduction abnormalities. Examples are given of normal sinus rhythm, premature beats, supraventricular and ventricular tachycardias, atrial fibrillation, atrial flutter, heart block, and more. Causes of arrhythmias are noted as disturbances in automaticity, conduction, or combinations of both. Characteristics and patterns are described to help identify different arrhythmias.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 47

    EKG ARITMIA

    TAKI-BRADI ARITMIA
    5 kotak kecil
    = 1 kotak sedang
    1 kotak kecil = 0.2 detik Paper speed : 25 mm/second
    = 0.04 detik

    5 kotak sedang
    = 1 kotak besar
    = 1 detik
    MENGHITUNG LAJU JANTUNG :

    A. Jarak R – R :

    -1 kotak sedang = 300 x / menit


    -2 kotak sedang = 150 x / menit
    -3 kotak sedang = 100 x / menit
    -4 kotak sedang = 75 x / menit
    -5kotak sedang = 60 x / menit
    -6 kotak sedang = 50 x / menit

    B. Hitung jumlah R- R dalam 6 kotak besar = 6 detik


    Jumlah R x 10 = heart rate / menit

    C. 1500 / jarak R-R ( dlm mm ) = heart rate / menit


    CAUSE OF CARDIAC ARRHYTHMIAS :

    • Disturbances in automaticity : bertambah cepat


    atau bertambah lambatnya suatu daerah otomatisitas.
    Misal di sinus node, AV node, abnormal beats/
    depolarisasi atrium, AV junction, ventrikel, VT, dll.

    • Disturbances in conduction : konduksi terlalu cepat


    (WPW) atau terlalu lambat (blok AV).

    • Combinations of altered automaticity and conduction.


    Perbedaan lokal pola potensial aksi
    Physiologic Basis of Pacemaker Cells

    Pacemaking &
    Conduction System
    Macroreentry Microreentry

    Atrial Flutter Atrial Fibrillation


    Macroreentrant and Microreentrant
    Tachycardias
    How to identify arrhythmias ?
    NO AF
    QRS complex AFL
    Regular ? VF
    AV Blocko2
    YES
    QRS complex
    NARROW
    Normal-looking QRS complex? WIDE

    SUPRAVENTRIKULAR P wave (+)? VENTRIKULAR

    Relationship between P and QRS constant?


    YES NO
    VT
    SR AV Block
    NORMAL SINUS RHYTHM
    Ekstrasistole / premature beat

    Supra ventrikuler ekstrasistol


    - QRS sempit

    atrium

    ventrikel

    Ventrikuler ekstrasistol
    - QRS lebar
    Supra ventrikuler ekstrasistol (SVES)

    Atrial ekstrasistol

    Atrial ekstrasistol

    Junctional ekstrasistol
    Ventrikuler ekstrasistol (VES)
    VES berturutan
    VES couplet

    VES triplet

    VES salvos

    VT
    VES berselang teratur
    VES Bigemini
    -1VES diantara 2 QRS

    VES trigemini
    -1VES diantara 3 QRS

    VES quadrigemini
    - 1VES diantara 4 QRS
    PSVT :
    -due to re-entry mechanism
    -narrow QRS complex
    -regular
    -retrograde atrial depolarization
    -P wave ?
    PSVT
    Atrial Fibrillation :

    -from multiple area of re-entry within atria


    -or from multiple ectopic foci
    -irregular, narrow QRS complex
    -very rapid atrial electrical activity
    (400-700 x/min).
    -no uniform atrial depolarization
    Atrial Flutter :
    -The result of a re-entry circuit within
    the atria
    -Irregular / regular QRS rate
    -Narrow QRS complex
    -Rapid P waves (300x/min), “sawtooth”
    Junctional rhythm:
    -AV junction can function as a pace maker
    (40-60 x/min).
    -due to the failure of sinus node to initiate
    time impulse or conduction problem.
    -normal-looking QRS.
    -retrograde P wave.
    -P wave may preceede, coincide with, or
    follow the QRS
    SR

    VES
    Sinus rhythm
    with
    Multifocal VES

    VES VES

    SR SR
    SR SR SR SR
    Sinus rhythm with VES couplet
    Sinus Rhythm with VES, R on T
    Ventricular Tachycardia
    Torsade de Pointes
    Ventricular Fibrillation
    1st degree AV block

    Prolonged PR interval
    2nd degree AV block, type 1

    Missing QRS Missing QRS


    2nd degree AV block, type 2

    Missing QRS
    Total AV Block /
    3rd degree AV block

    QRS QRS QRS

    P P P P P P P
    Mobitz 2
    Atrial Fluter
    AF
    Treat the patient,
    not the monitor . . . . . . . . . .!!!

    SELESAI

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