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  • Normal Ecg Arrhythmia & ACS

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    Arie Bdoll
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    This document provides information about normal electrocardiogram (ECG) readings, arrhythmias, and acute coronary syndrome (ACS). It defines arrhythmia as an abnormal heart rhythm and lists types of arrhythmias including tachycardia, bradycardia, irregularity of rhythm, and abnormal origin of impulses. Investigations for arrhythmias including 12-lead ECG, blood tests, chest x-ray are outlined. Examples of different types of arrhythmias are shown through ECG readings including sinus tachycardia, atrial flutter, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, and different types of atrioventricular block. Locations of

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    NORMAL ECG ARRHYTHMIA & ACS

    Original Title

    Seminar EKG

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    This document provides information about normal electrocardiogram (ECG) readings, arrhythmias, and acute coronary syndrome (ACS). It defines arrhythmia as an abnormal heart rhythm and lists types of arrhythmias including tachycardia, bradycardia, irregularity of rhythm, and abnormal origin of impulses. Investigations for arrhythmias including 12-lead ECG, blood tests, chest x-ray are outlined. Examples of different types of arrhythmias are shown through ECG readings including sinus tachycardia, atrial flutter, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, and different types of atrioventricular block. Locations of

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    5 views38 pages

    Normal Ecg Arrhythmia & ACS

    Uploaded by

    Arie Bdoll
    This document provides information about normal electrocardiogram (ECG) readings, arrhythmias, and acute coronary syndrome (ACS). It defines arrhythmia as an abnormal heart rhythm and lists types of arrhythmias including tachycardia, bradycardia, irregularity of rhythm, and abnormal origin of impulses. Investigations for arrhythmias including 12-lead ECG, blood tests, chest x-ray are outlined. Examples of different types of arrhythmias are shown through ECG readings including sinus tachycardia, atrial flutter, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, and different types of atrioventricular block. Locations of

    Copyright:

    © All Rights Reserved
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    of 38

    NORMAL ECG

    ARRHYTHMIA
    &
    ACS

    1 kotak kecil
    = 0.04 detik

    5 kotak kecil
    = 1 kotak sedang
    = 0.2 detik

    5 kotak sedang
    = 1 kotak besar
    = 1 detik

    Paper speed : 25 mm/second

    MENGHITUNG LAJU JANTUNG


    A. Jarak R R :
    - 1 kotak sedang
    - 2 kotak sedang
    - 3 kotak sedang
    - 4 kotak sedang
    - 5kotak sedang
    - 6 kotak sedang

    = 300 x / menit
    = 150 x / menit
    = 100 x / menit
    = 75 x / menit
    = 60 x / menit
    = 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

    Sinus Rhythm

    Arrhythmia
    Definition : Lack of rhythm or abnormal
    rhythm.
    - Frequency ( bradycardia or tachycardia)
    (Normal sinus rhythm 60 100 x /min.)
    - Irregularity
    - Source of impuls
    - Sequence of activation

    Investigation for arrhytmias


    1. 12 lead ECG and rhythm strip.
    2. Blood test : routine blood, electrolyte ,
    glucose, cardiac enzyme, thyroid level,
    drug level (digoxin), arterial blood gas.
    3. Chest x ray : heart size , pulmonary edema,
    lung cancer, pericardial effusion.

    Arrhytmia
    Tachyarrhyth
    mia (rate
    >100 x/min)
    QRS sempit
    (<0.12 ms)
    QRS lebar
    (>0.12 ms)

    Bradyarrhytmi
    a
    (rate < 60
    X/min)

    AV blok derajat
    1, 2 & 3
    RBBB & LBBB

    QRS complex
    Teratur / tidak teratur ?

    QRS complex
    Sempit / lebar ?

    P wave ?

    Hubungan antara P and QRS ?

    QRS sempit : Supraventricular origin

    Atrial Flutter

    Supraventricular Tachycardia

    Sinus Takikardia

    Atrial Flutter

    Atrial Fibrillation

    Atrial Flutter

    QRS Lebar : Ventricular origin


    QRS lebar

    Irama Teratur

    Ventricular
    Tachycardia

    Irama
    tidak teratur

    Ventricular
    Fibrillation

    Ventricular tachycardia

    Torsades de pointes

    Ventricular fibrillation

    First-degree AV block

    Second-degree AV block type 1

    Second-degree AV block type 2

    QRS

    QRS

    QRS

    Third-degree AV block / Total AV block

    UAP/Acute NSTEMI

    27

    Acute NSTEMI

    28

    Acute STEMI- Evolution

    29

    LOKASI ISKEMIA
    BERDASARKAN PERUBAHAN DI SANDAPAN EKG
    SANDAPAN
    II ,III, aVF
    V1,V2
    V3-V4
    V1-V6, I, aVL
    I,aVL ,V5,V6
    I, V6
    V7-V9
    V3R, V4R

    LOKASI ISKEMIA / INFARK


    Inferior
    Septal
    Anterior
    Anterior ekstensif
    Lateral
    Apikal
    Posterior
    Ventrikel kanan
    30

    31

    ECG demonstrates large anterior infarction


    32

    33

    34

    Inferior STEMI

    35

    LBBB

    36

    RBBB

    37

    SELESAI

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