ARITMIA JANTUNG   Departemen Kardiologi dan Kedokteran VaskularDivisi Kardiovaskular, Departemen Ilmu Penyakit Dalam      ...
Atrium           kiriAtriumkanan                     Ventrikel                       kiri         Ventrikel          kanan...
+       +           –    –   –                +         +    –   –   –           + + +                     –    –     –   ...
Sino-atrialnode (SA   node)              4
Atrio-ventricular node             (AV node)Sino-atrialnode (SA                         His bundle   node)                ...
LA                                                     (HB)                         RA           (SAN)                    ...
R               R   R            Q           S    R               R                        R’Q       S   QS          S    7
EKG normal (irama sinus)                           8
Gangguan          pembentukan impulsARITMIA          Gangguan hantaran               impuls
ARITMIA JANTUNG:GANGGUAN PEMBENTUKAN IMPULS                              10
Otomatisitas SA node         menurun Frekuensi   intrinsik(bradikardia)
Otomatisitas SA node                                    normal sedangkan                                    otomatisitas f...
IRAMA ATRIAL
Atrial tachycardiaAtrial fibrilation  Atrial flutter
IRAMA JUNCTIONAL
IRAMAVentricular tachycardia    VENTRIKULER Ventricular fibrilation
Ventricular premature beatVentricular bigemini (monomorphic)Ventricular bigemini (polymorphic)
“R on T”VT dicetuskan oleh VES “R on T”
ARITMIA JANTUNG:GANGGUAN HANTARAN IMPULS  (GANGGUAN KONDUKSI)                           23
Blok atrio-ventrikular                (AV block)GANGGUANHANTARAN           Blok intraventrikular           (bundle-branch ...
Blok atrio-ventrikular     ( AV block )                         25
Mobitz type I
Second-degree AV block Mobitz type II                         28
Blok intraventrikular( bundle-branch block )                          30
Right bundlebranchblock(RBBB)               31
Left bundlebranch block(LBBB)               32
Ppgd aritmia
Ppgd aritmia
Ppgd aritmia
Ppgd aritmia
Ppgd aritmia
Ppgd aritmia
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Ppgd aritmia

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  • The cardiac transmembrane potential consists of five phases: phase 0, upstroke or rapid depolarization; phase 1, early rapid repolarization; phase 2, plateau; phase 3, final rapid repolarization; and phase 4, resting membrane potential and diastolic depolarization
  • Ppgd aritmia

    1. 1. ARITMIA JANTUNG Departemen Kardiologi dan Kedokteran VaskularDivisi Kardiovaskular, Departemen Ilmu Penyakit Dalam FK-UNPAD/RS Hasan Sadikin Bandung 1
    2. 2. Atrium kiriAtriumkanan Ventrikel kiri Ventrikel kanan 2
    3. 3. + + – – – + + – – – + + + – – – + + – – – + + 1 2 +0 – 3 0 4 AR RR AR, absolute refractory period RR, relative refractory period + – 3
    4. 4. Sino-atrialnode (SA node) 4
    5. 5. Atrio-ventricular node (AV node)Sino-atrialnode (SA His bundle node) Left bundle branch Right bundle branch Purkinje 5
    6. 6. LA (HB) RA (SAN) V V (BB) (AVN) (BB) R HBSAN AVN BB P T RA Q S LA 6 V
    7. 7. R R R Q S R R R’Q S QS S 7
    8. 8. EKG normal (irama sinus) 8
    9. 9. Gangguan pembentukan impulsARITMIA Gangguan hantaran impuls
    10. 10. ARITMIA JANTUNG:GANGGUAN PEMBENTUKAN IMPULS 10
    11. 11. Otomatisitas SA node menurun Frekuensi intrinsik(bradikardia)
    12. 12. Otomatisitas SA node normal sedangkan otomatisitas fokus di atrium atau junction atau ventrikel meningkat melebihi SA node Frekuensi atrial atau junctional atauventrikuler melebihi sinus (takikardia)
    13. 13. IRAMA ATRIAL
    14. 14. Atrial tachycardiaAtrial fibrilation Atrial flutter
    15. 15. IRAMA JUNCTIONAL
    16. 16. IRAMAVentricular tachycardia VENTRIKULER Ventricular fibrilation
    17. 17. Ventricular premature beatVentricular bigemini (monomorphic)Ventricular bigemini (polymorphic)
    18. 18. “R on T”VT dicetuskan oleh VES “R on T”
    19. 19. ARITMIA JANTUNG:GANGGUAN HANTARAN IMPULS (GANGGUAN KONDUKSI) 23
    20. 20. Blok atrio-ventrikular (AV block)GANGGUANHANTARAN Blok intraventrikular (bundle-branch block)
    21. 21. Blok atrio-ventrikular ( AV block ) 25
    22. 22. Mobitz type I
    23. 23. Second-degree AV block Mobitz type II 28
    24. 24. Blok intraventrikular( bundle-branch block ) 30
    25. 25. Right bundlebranchblock(RBBB) 31
    26. 26. Left bundlebranch block(LBBB) 32
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