INTERPRETATION  - BASIC ECG
ANATOMI JANTUNG
 
WHAT...APA ITU ECG? ELECTROCARDIOGRAM Merakam tenaga elektrik yang dihasilkan oleh jantung
2 TYPE MYOCARDIAL CELL   1. Electrical cells :- * Pacemaker cells : specialize  electrical  cells, had ability to generate impulse * Conduction system 2. Myocardial ( Working ) Cells   * Mechanical pump cells
Conductive   system of the heart
 
WAVE FORM
NORMAL WAVE
PR INTERVAL QRS COMPLEX T   WAVE ST SEGMENT
STEP BY STEP ELECTRICAL ACTIVATION OF THE HEART AND ECG
ELECTRICAL ACTIVATION OF THE HEART AND ECG A. SINUS IMPULSE ACTIVATES RT ATRIUM AND REACH THE NODES
ELECTRICAL ACTIVATION OF THE HEART AND ECG B. LT ATRIUM AND AV NODE HAVE BEEN ACTIVATED  AND P WAVE COMPLETED.
ELECTRICAL ACTIVATION OF THE HEART AND ECG C. PURKINJE SYSTEM IS ACTIVATED  (A SILENT ECG EVENT )
ELECTRICAL ACTIVATION OF THE HEART AND ECG D. WHEN THE SEPTUM ACTIVATE
ELECTRICAL ACTIVATION OF THE HEART AND ECG E. MYOCARDIUM IS ACTIVATED FROM THE ENDOCARDIUM TO THE  EPICARDIUM
ELECTRICAL ACTIVATION OF THE HEART AND ECG F. ST SEGMENT AND THE T WAVE  - MEANS VENTRICULAR REPOLARIZATION
Depolarization  : Electrical  impulse  begin spread Repolarization :  Recovery phase  will produce electric  changes ( action potential  of  cells ) Terminology
ECG PAPER
Y X MASA PERGERAKAN JANTUNG DARI ANTRIUM KE APEKS DLM SAAT ( SEC ) MEWAKILI KEKUATAN TENAGA ELEKTRIK DLM mV
 
 
INTERPRETATION ECG
How to start reading an ECG: 1) Don’t panic!! 2) check Name, Age and Date 3)Voltage (10mm/mV) and Speed Calibration(25 mm/sec)  4) aVR are all inverted…!!!
basic ECG: 5) Rhythm 6) Rate= for regular  300    Number of big Squares     =   for irregular  R PEAK TIMES 10.
FORMULA FOR CALCULATE HEART RATE FOR REGULAR RHYTHM LARGE SQUARE RATE  1 300 2 150 3 100 4 75 5 60 6 50
FORMULA FOR CALCULATE HEART RATE FOR IRREGULAR RHYTHM 1. COUNT THE NUMBER OF QRS COMPLEXES WITHIN 6 SEC. MULTIPLY THE NUMBER BY 10.
waves: 7) P wave  ( not more than 2 small squares high and 2    small squares wide) 8) PR interval  (not more than 5 small squares)
9)  QRS complex: ( R wave progression from V1 to V6)   (width less than 3 small squares)
Sekian terima  kasih……..
 
Atrial contraction Vent. contraction Vent. relaxation

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BASIC ECG