Teuku Heriansyah

ECG CHANGES

ECG CHANGES
ST depresi dan perubahan gelombang T ST depresi dianggap bermakna bila > 1 mm di bawah garis dasar PT di titik J Titik J didefinisikan sebagai akhir kompleks QRS dan permulaan segmen ST Bentuk segmen ST : up-sloping ( tidak spesifik ) horizontal ( lebih spesifik untuk iskemia ) down-sloping ( paling terpercaya untuk iskemia )

Perubahan gelombang T pada iskemia kurang begitu spesifik Gelombang T hiperakut kadang2 merupakan satu-satunya perubahan EKG yang terlihat

PATOPHYSIOLOGY OF ECG CHANGES

PATOPHYSIOLOGY OF ECG CHANGES

PATOPHYSIOLOGY OF ECG CHANGES

PATOPHYSIOLOGY OF ECG CHANGES

Anatomi Koroner dan EKG 12 sandapan

Sandapan V1 dan V2 menghadap septal area ventrikel kiri Sandapan V3 dan V4 menghadap dinding anterior ventrikel kiri Sandapan V5 dan V6 ( ditambah I dan avL ) menghadap dinding lateral ventrikel kiri Sandapan II, III dan avF menghadap dinding inferior ventrikel kiri

Anatomi Koroner dan EKG 12 sandapan

ECG in Acute STEMI

Mid LAD occlusion after the first septal perforator (arrow)

ECG : large anterior MI

ECG in Acute STEMI

Occlusion of diagonal branch ( arrow )

ST elevation in I and aVL

ECG in Acute STEMI Proximal large RCA occlusion

ST elevation in leads II, III, aVF, V5, and V6 with precordial ST depression

ECG in Acute STEMI

Small inferior distal RCA occlusion

ECG changes in leads II, III, and aVF

ECG changes in Unstable angina/acute non STEMI

ECG changes in Unstable angina/acute non STEMI

Acute anteroseptal myocardial infarction. Hyper acute T-wave changes are noted

Acute anterolateral myocardial infarction

High lateral infarction

Lateral myocardial infarction

Inferior myocardial infarction

Inferior myocardial infarction. Inferior Q waves with T-wave inversions

Acute inferoposterior myocardial infarction

Acute STEMI with Right bundle branch block

Left bundle branch block

Thank You