Slide kuliah ekg

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Slide kuliah ekg

  1. 1. Kuliah EKG<br />Cokorda A Wahyu P<br />
  2. 2. <ul><li>P - R int: 0,12 - 0,20”
  3. 3. QRS Compl: 0,10”
  4. 4. QT int : 0,40 - 0,42”
  5. 5. Gel P : < 0,11”</li></ul> POT : <8,2 mm<br /> 1500<br />Menghitung HR: <br /> Jarak R-R<br />E K G<br /><ul><li>Definisi :Grafik AksiPotensial  Kontraksiotot</li></ul> Cyclus (1 Sistole+ 1 Diastole)<br /><ul><li>Sistem Konduksi:
  6. 6. SA : Pace Maker 70 - 80 x/m
  7. 7. AV : 50 - 60 x/m
  8. 8. HIST : 30 - 40 x/m
  9. 9. Depolarisasi
  10. 10. Repolarisasi
  11. 11. Polarisasi</li></ul>SA<br />AV - AN<br /> - N<br /> - NH<br />HIST<br />LAHB<br />RBB<br />LPHB<br />R<br />T<br />P<br />U<br />C S<br />
  12. 12. I<br />Eindhoven<br />AVL<br />AVR<br />III<br />II<br />AVF<br />Golberger<br />AVR<br />AVL<br />I<br />AVF<br /><ul><li> Sesak nafas
  13. 13. Syncope / stroke
  14. 14. Pre operasi
  15. 15. Umur > 40 th
  16. 16. Kapan perencanaan EKG :
  17. 17. Kel nyeri dada
  18. 18. Kel berdebar-debar
  19. 19. DM
  20. 20. Bagaimana merekam EKG :
  21. 21. Pemasanganelektroda- Ekstrimitas - Prekordial
  22. 22. Kalibrasi :  1 MV
  23. 23. Kecepatan : 25 mm/det
  24. 24. 12 Sandapan / Lead- 3 Sandapanstandart : I, II, III - 3 Sandapanekstrimitas : AVR, AVL, AVF
  25. 25. Irama : Sinus / Aritmia, HR /m
  26. 26. Axis / Sumbulistrik
  27. 27. Pembesaran ruang2 atrium/Ventric
  28. 28. KelainanDepol / Repol</li></ul>V6<br />V5<br />V1<br />V4<br />V4<br />V2<br />V3<br />_<br />5<br />I<br />_<br />+<br />3<br />AVF<br />A x LS<br />Normal : - 30o— 110o<br />LAD : -30o — 90o<br />RAD : 110o— 270o<br />+ <br />
  29. 29. V1<br />V4<br />V2<br />V3<br />V5<br />V6<br />Normal prekordial :<br />Transisional zone V3<br />Clockwise rotation :<br />Trans zone V4 -V5<br />Counter clockwise rotation :<br />Trans zone V2 -V3<br />Atrial hiperthrophy :<br />RAH :<br /> III <br /> V1<br />LAH :<br /> II <br /> V1<br />P = - Notch<br /> - > 2,5 mm<br /> - > 0,11”<br />P = - Spike<br /> - > 2,5 mm<br />P = - Biphasik<br /> - down >><br />P = - Biphasik<br /> - up >><br />
  30. 30. Ventricel hipertrophy :<br />LVH :- Voltage kriteria<br />SV1 RV6 35<br />RV6 >25 mm<br />V1<br />V6<br />- V5 - V6 : Strain<br />- ST dep<br />- LAD<br />V1 R pattern<br />V1= R/S  1<br />RVH :<br />V1<br />V1<br />- ST dep<br />- RAD<br /> V1 - V2<br />R.B.B.B.B :<br />V1<br />: RSR<br />V1<br />: rsR<br />L.B.B.B.B :<br />V6<br />: - QRS > 0,12”<br /> - Notch<br />
  31. 31. P<br />P<br />- P  QRS<br />- R - R Konstan<br />- P + di I, II<br /> di AVR<br />Sinus Takhicardi : <br /> HR> 100/m<br />Sinus Bradikardi :<br /> HR < 50/m<br />Irama Sinus :<br />Sinus Aritmia :<br />OK : Nafas dalam<br />Sinus Arrest :<br />Gel P  :<br />PAC : SVES :<br />Gel P Premature, QRS Sempit, <br />Fase Kompensatoir tdk komplit<br />2a b<br />a<br />b<br />Atrial Bigemini<br />Trigemini<br />P.A.T :<br />Atrial rate : 150 - 200 /m<br />p<br />p<br />p<br />p<br />p<br />p<br />p<br />p<br />Atrial Flutter :<br />Atrial rate : 200 - 300 /m<br />p<br />p<br />Atrial rate : > 350 /m<br />Atrial Fibrilasi :<br />p<br />p<br />p<br />Nodal (Junctional) RITME :<br />p<br />p<br />p<br />P : Didepan/dibelakang QRS<br />
  32. 32. P.V.C : VES :<br />a<br />b<br /><ul><li> QRS Lebar
  33. 33. QRS Tidak didahului P
  34. 34. Pase Compensatior : Lengkap </li></ul>2a = b<br />Ves Bigeminal<br />Trigeminal<br />PVC Multifocal :<br />p<br />p<br />Ventricular Takhicardi :<br />> 100 /m<br />p<br />p<br />p<br />p<br />Ventricular Flutter :<br />R - R : 150 – 200 /m<br />Ventricular Fibrilasi :<br />200 – 300 /m<br />
  35. 35. Blok : SA Blok :<br />P -<br />A-V Blok : I PR INT >><br />P - R > 20”<br />P <br />P <br />: II Mobitz I.<br />P <br />P <br />PR >>  P tanpa QRS<br />Mobitz II.<br />2 : 1 Block<br />P <br />: III<br />P <br />P <br />P <br />P <br />P <br />P tidak ada hubungan dengan QRS<br />Irama Pace Maker : 1 sense  1 QRS<br />sense<br />
  36. 36. E K G Pada Penyakit Jantung Koroner<br />Pada kerusakan Miokard : - Iskemik : Reversibel<br />- Injure : Reversibel<br />- Nekrosis : Irreversibel<br />Nekrosis<br />Injuri<br />Iskemik<br /><ul><li> Iskenik : - T Inversi</li></ul> - ST Depres<br /><ul><li> Injure : ST Elevasi : Konvex
  37. 37. Nekrosis : infark Miocard : - Gel Q</li></ul> - ST Elevasi<br /> - T Inverted <br />Acute <br />Letak : Inferior : II, IV, AVF<br /> Anterior : V1 — V6<br /> Posterior : V7 — V9<br />Old : - Gel Q<br />
  38. 38. terima kasih<br />

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