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  • Elektrokardiopgraf: Marulam M. Pangabean, SPPD, KKV, SPJP

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    Suci Rahayu Evasha
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    The document discusses the systematic approach to electrocardiography (EKG). It outlines the key components to analyze in an EKG including rate and rhythm, intervals such as AV and QT, axes, chamber enlargements, and QRST changes. It provides details on normal QT intervals and how to calculate QTc intervals. The document also reviews abnormalities seen in ischemia and necrosis, such as T wave inversions, ST depressions, ST elevations, and poor R wave progression, along with potential causes of each. In closing, it thanks the reader.

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    EKG Workshop

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    The document discusses the systematic approach to electrocardiography (EKG). It outlines the key components to analyze in an EKG including rate and rhythm, intervals such as AV and QT, axes, chamber enlargements, and QRST changes. It provides details on normal QT intervals and how to calculate QTc intervals. The document also reviews abnormalities seen in ischemia and necrosis, such as T wave inversions, ST depressions, ST elevations, and poor R wave progression, along with potential causes of each. In closing, it thanks the reader.

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    34 views59 pages

    Elektrokardiopgraf: Marulam M. Pangabean, SPPD, KKV, SPJP

    Uploaded by

    Suci Rahayu Evasha
    The document discusses the systematic approach to electrocardiography (EKG). It outlines the key components to analyze in an EKG including rate and rhythm, intervals such as AV and QT, axes, chamber enlargements, and QRST changes. It provides details on normal QT intervals and how to calculate QTc intervals. The document also reviews abnormalities seen in ischemia and necrosis, such as T wave inversions, ST depressions, ST elevations, and poor R wave progression, along with potential causes of each. In closing, it thanks the reader.

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    of 59

    ELEKTROKARDIOPGRAF

    Marulam M. Pangabean, SpPD, KKV, SpJP

    Divisi Kardiologi, Bagian Penyakit Dalam RSUPN Dr. Cipto Mangunkusumo Jakarta

    Sistematika EKG
    Rate and Rhythm Interval(A-V,BBB,QT) and Axis Chamber enlargment(?LAE/RAE;?LVH/RVH) QRST change(Q,PRWP,ST T changes)

    Sistematika EKG
    Rate and Rhythm Interval(A-V,BBB,QT) and Axis Chamber enlargment(?LAE/RAE;?LVH/RVH) QRST change(Q,PRWP,ST T changes)

    Sistematika EKG
    Rate and Rhythm Interval(A-V,BBB,QT) and Axis Chamber enlargment(?LAE/RAE;?LVH/RVH) QRST change(Q,PRWP,ST T changes)

    QT interval
    Normal 0.38 0.46 detik Predispose to Torsade de pointes QTc = QT int dlm detik)/V(R-R int det)

    Sistematika EKG
    Rate and Rhythm Interval(A-V,BBB,QT) and Axis Chamber enlargment(?LAE/RAE;?LVH/RVH) QRST change(Q,PRWP,ST T changes)

    Sistematika EKG
    Rate and Rhythm Interval(A-V,BBB,QT) and Axis Chamber enlargment(?LAE/RAE;?LVH/RVH) QRST change(Q,PRWP,ST T changes)

    Sistematika EKG
    Rate and Rhythm Interval(A-V,BBB,QT) and Axis Chamber enlargment(?LAE/RAE;?LVH/RVH) QRST change(Q,PRWP,ST T changes)

    ISKEMIA & NEKROSIS


    Ischemia Injury Necrosis

    T wave inversion
    Myocardial ischemia Perikarditis Cardiomyopathy LBBB atau LVH Post takikardia Elektrolit,pO2,pCO2,pH dan Temperatur Inntracranial Bleeding

    ST Depression
    Myocardial Ischemia Digtalis Efect Hypokalemia(u wave) LBBB atau LVH

    ST Elevasi
    Acute MCI Prinzmetal Angina(Coronary Spasm) Perikarditis Normal Early Repolarization

    Poor R Wave Progression(PRWP)


    R di V3 < 3mm Old AS MCI Cardiomyopathy LVH RVH/COPD LBBB Clockwise rotation;Misplacement lead

    Angio koroner kiri

    Thank You

    TERIMA KASIH

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