Professional Documents
Culture Documents
Av Blok
Av Blok
SuryaDharma,MD,FIHA
Aritmia
Gangguaniramajantungberupasegalajenis iramajantungselainIRAMASINUS
Supraventrikular
QRSlebar>0,12dt
Ventrikular
Conduction System
Normal Sinus Rhythm Rhythm : Regular Rate : 60 100 P wave : Normal in configuration; precede each QRS PR : Normal ( 0. 12 0.20 seconds ) QRS : Normal ( less than 0.12 seconds )
SINUSBRADYCARDIA
SINUSARRYTMIA
SINUSTACHYCARDIA
Sinusritme
AritmiaSupraventrikular
Prematurebeat /ekstrasistolik
Takikardiaritmia
AtrialFlutter Atrialfibrilasi
TACHYCARDIA DiagramaticofthemechanismsofSVTandVT
Atrialfibrillation SNRT AT Atrialflutter AVRT AVNRT JT
VTach VFibrillation
SVT
AtrialFibrilasi
ATRIALFLUTTER
I II III V1 V2
V6
ApproachestoTreatment Anyorallmayapply
WolffParkinsonWhitesyndrome
AritmiaVentrikular
Prematurebeat /ekstrasistolik
Takikardiaritmia
VentrikelTakikardi
100250x/mnt
VentrikelFibrilasi
>350x/mnt
Torsadedepointes
ManagementofMalignant Ventriculararrhythmia
Pharmacological
ClassI ClassIII ClassII,Betablocker
Nonpharmacological
Surgicalarrhythmias Catheterablation Device:AICD
Bradycardia
GangguanAVnode
Derajatsatu Derajatdua Derajattiga
GangguanSAnode
SAblock SAarrest
Interventrikelblok:Bundlebranchblock Fasicularblock
GangguanSAnode
First-degree AV block Rhythm : Regular Rate : Usually normal P wave : 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 over 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
ThirddegreeAVblock
RBBB,1stdegreeAVBLOCK,LPHB
RBBB,1stdegreeAVB,LPHB,MCI
ACUTMCI
Kesimpulan
EKGpemeriksaanyangsangat sederhana,sangatmobile,segera didapatkanhasildansangatbermanfaatdi bidangkardiologi EKGhanyasebagaialatbantudiagnosis Sebagianbesararitmiadapatdidiagnosis berdasarkanEKG Semuadokterumumseyogyanya menguasaiEKG
T H
Y O
VES
VESRonT
VT
VF
Torsadedepointes
Ventricularfibrillation
GangguanSAnode
BlokAVderajat1
BlokAVderajat2
BlokAVderajat3