TO START:……………………………..
RINGKASAN TOPIK
INTERPRETASI EKG
EKG: rekaman aktivitas listrik
jantung pada permukaan tubuh
Interpretasi_EKG.pdf
Langkah Interpretasi:
• R hythm
• R ate
• A xis
• A xis
• H ypertrophy
• I schemia
• I nfacrt
+ + + + + + + + + + + +
+ + + + + + + +
Resting
Depolarization
Transmembrane Potential
+ + + + + + + + + + + +
+ + + + + + + + + + + +
Depolarization
Repolarization
+ + + + + + + + + +
_ _ _ _ _ _ _ _ _ _ _ _
+
ELECTRICAL IMPLUSE ELECTRODE ECG
+
++++++++
_ _ _ _ __ _ _ _ _ _ _
Normal Conduction System
Interpretasi_EKG.pdf
DEPOLARIZATION AND REPOLARIZATION OF ATRIUM AND
VENTRICLE
Interpretasi_EKG.pdf
Standard limb leads (Sandapan
Ekstremitas)
Augmented Leads
Precordial Leads (Sandapan Dada)
Sandapan Dada Kanan
EKG: MEMOTRET JANTUNG DARI SISI FRONTAL DAN
HORIZONTAL
AVR +
I
+ IRAMA SINUS
AVF
III II
+
+
+
Sistem Konduksi Jantung
ECTOPIC
FOCUS
Premature Atrial Contraction
(Atrial Ekstrasistole)
Premature Atrial Contraction
Premature Junctional Contraction
(Atrial Ekstrasistole)
Premature Junctional Contraction
Premature Junctional Contraction
(Atrial Ekstrasistole)
Premature Ventricular Contraction
(Ventricular Extrasystole)
Interpretasi_EKG.pdf
ARRHYTHMIAS
ARRHYTHMIAS
BRADYARRHYTHMIAS
BRADYARRHYTHMIAS TACHYARRHYTHMIAS
TACHYARRHYTHMIAS
FAILURE OF
IMPULSE
FORMATION (SINUS
ARREST)
FAILURE OF
PROPAGATION
(SA EXIT BLOCK,
AV BLOCK, RBBB,
LBBB)
AUTOMATICITY
TRIGGERED
ACTIVITY
REENTRY
(AVNRT,
AVRT, AT,
AFlut)
GANGGUAN PEMBENTUKAN IMPULS DAN
HANTARAN (BLOCK)
SINUS ARREST AND
EXIT BLOCK
AV BLOK DERAJAT 1
AV BLOK DERAJAT TIPE I
(Wenckebach)
AV BLOK DERAJAT TIPE II
Interpretasi_EKG.pdf
AV DISSOSIASI
AV BLOK DERAJAT 3 (Complete Heart Block)
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
RIGHT BUNDLE BRANCH BLOCK
LEFT BUNDLE BRANCH
BLOCK
Approach to Tachyarrhythmia
Narrow Complex Tachy
Narrow Complex Tachy
(NCT)
(NCT)
Broad Complex Tachy
Broad Complex Tachy
(BCT)
(BCT)
AV Nodal Reentrant Tachy SVT with Aberrant
SVT with Aberrant
Conduction (BBB)
Conduction (BBB)
( AVNRT)
Atrio-Ventricular
ReciprocatingTachy
(AVRT)
Atrial Tachycardia
Atrial Flutter
Atrial Fibrillation
Conduction (BBB)
Conduction (BBB)
Pre
Pre-
-excited Tachycardia
excited Tachycardia
Ventricular Tachycardia
Ventricular Tachycardia
SVT
Re-entry in AVNRT
AV Nodal Reentrant Tachycardia (AVNRT):
Narrow QRS Complex Tachycardia
Regular Irregular
Irregular
Atrial
Fibrillation
Multifocal
Atrial
Tachycardia
Response to
AV Block
Tachycardia
Termination
Tachycardia
Continues Despite
Approach to Narrow QRS Complex Tachycardia
Approach to Narrow QRS Complex Tachycardia
Termination
with AV Block
Continues Despite
AV Block
Delta
Wave
No Delta
Wave
A Flutter AT S. Tachy
• CAP
• AVNRT
• PJRT
• WPW
Re-entry
REENTRY IN VARIOUS SITES
AVNRT AVRT Atrial
Tachycardia
Broad Complex Tachycardia
REGULAR
REGULAR IRREGULAR
IRREGULAR
SVT WITH BBB
SVT WITH BBB AF WITH BBB
AF WITH BBB
SVT WITH BBB
SVT WITH BBB
SVT OVER AP
SVT OVER AP
VT
VT
AF WITH BBB
AF WITH BBB
AF WITH AP
AF WITH AP
(PREEXCITED AF)
(PREEXCITED AF)
TORSADES DE
TORSADES DE
POINTES
POINTES
VF
VF
SVT
SVT
Typical (Counterclockwise) A Flutter
Atrial Fibrillasi (AF)
Ventricular Tachycardia
Interpretasi_EKG.pdf
Torsades de Pointes
AXIS
0 Lead I
180
-90
2
1
3
4
5
6
Lead I Lead AVF
1
2
3
+90
Lead
AVF
4
5
6
HIPERTROFI
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
L V H
L V H
Interpretasi_EKG.pdf
R V H
R V H
ISKEMIA DAN INFARK
Interpretasi_EKG.pdf
STEMI
UNSTABLE
ANGINA/NSTEMI
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Interpretasi_EKG.pdf
Langkah Interpretasi:
• R hythm
• R ate
• A xis
• A xis
• H ypertrophy
• I schemia
• I nfacrt
Interpretasi_EKG.pdf

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Interpretasi_EKG.pdf