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Basic
Electrocardiography
FK UNS / RSDM / RS UNS
Dasar Teori
01
CardiacConductionSystem
Goldberger AL, Goldberger E. Clinical Electrocardiography: A Simplified
Approach. 7th ed. St. Louis: Mosby Year Book, 2006
Basic! Must Know!
Goldberger AL, Goldberger E. Clinical Electrocardiography: A Simplified
Approach. 7th ed. St. Louis: Mosby Year Book, 2006
Lead placement
Goldberger AL, Goldberger E. Clinical
Electrocardiography: A Simplified Approach. 7th ed. St.
Louis: Mosby Year Book, 2006
1,V2,V3,V4,V5,V6
•Lead ekstremitas: : I, II, III, aVL, aVR,aVF
•Lead precordial: V1,V2,V3,V4,V5,V6
Chestlead
V1 Merah ISC 4 Right Sternal Border
V2 Kuning ICS 4 Left Sternal Border
V3 Hijau Antara V2 danV4
V4 Ungu ICS 5 Linea Midclavicularis
Sinistra
V5 Coklat ICS 5 Linea Axilaris Anterior
V6 Hitam Linea Axilaris Media
7
Limb Leads
Unipolar
8
Bipolar
The 12-Leads Put Together
9
STEPWISE NORMAL ECG
02
5 STEPS for ECG
Interpretation
1. RHYTHM
2. HEART RATE
3. AXIS
4. MORFOLOGI
5. OTHER FINDINGS
6. CONCLUSION
1. RHYTHM / IRAMA
Sinus?
1. RHYTHM / IRAMA
Sinus?
1. RHYTHM / IRAMA
Sinus?
1. RHYTHM / IRAMA
SUPRAVENTRICULAR VENTRICULAR
SVT
AF
A.
Flut
VT
VF
TdP
Ventricular rhythm
5 STEPS for ECG
Interpretation
1. RHYTHM
2. HEART RATE
3. AXIS
4. MORFOLOGI
5. OTHER FINDINGS
6. CONCLUSION
Rule of
300 & 1500
if regular
Calculating Heart Rate
24
Rule of
6s X 10
if irregular
5 STEPS for ECG
Interpretation
1. RHYTHM
2. HEART RATE
3. AXIS
4. MORFOLOGI
5. OTHER FINDINGS
6. CONCLUSION
Electrical Axis
29
Electrical Axis
30
Electrical Axis
31
5 STEPS for ECG
Interpretation
1. RHYTHM
2. HEART RATE
3. AXIS
4. MORFOLOGI
5. OTHER FINDINGS
6. CONCLUSION
P Wave
Normal : <3 kotak kecil (0.12s)
dalam ukuran dan amplitude
PR Interval
Normal : 0.12-0.2s (3-5 kotak kecil)
PR Interval Prolongation / Bradyaritmia
3rd Degree AV Block / TAVB
2nd Degree AV Block Mobitz 2
2nd Degree AV Block Mobitz 1
1st Degree AV Block
Gel Q : Defleksi negatif pertama setelah P
Gel R : Defleksi positif pertama setelah P
Gel S : Defleksi negatif pertama setelah R
Normal durasi : 0,06s – 0,12s
QRS COMPLEX
Pathological Q Waves
lebarnya melebihi 0,04 detik dan dalamnya melebihi
sepertiga dari tinggi gelombang R pada kompleks
QRS yang sama
Bundle Branch Blocks
ST Segment
ST Elevasi bermakna
Minimum 2contiguousleads
V1-V3
• MAN<40y.o :2,5 smallsquares
• MAN>40y.o :2 smallsquares
• WOMAN :1,5 smallsquares
Other leads :1smallsquares
Right precordial leadsandposterior lead  0,5smallsquares
Reciprocal !
Lokasi Infark
T Wave
T Wave
Morphology
• Time from the beginning of ventricular depolarization until the end of
ventricular repolarization
• From the beginning of QRS complex until the end of the T wave
• Affected by Heart Rate
QTc = QT/ √RR
(Normal QTc =< 0,44 s)
QT Interval
Normal Parameters
5 STEPS for ECG
Interpretation
1. RHYTHM
2. HEART RATE
3. AXIS
4. MORFOLOGI
5. OTHER FINDINGS
6. CONCLUSION
Pembesaran
Ruang
Extrasystole / Beat
PVC/VES
PAC
THANKS!
Thankyou..

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Maju Materi.pptx

Editor's Notes

  1. 1. Table of contents 2. Introduction 3. Identifying information 4. Patient medical history 5. Review of systems 6. Physical examination 7. Big picture 8. Findings 9. Discussion 10. Discussion summary 11. Comparison 12. Diagnosis 13. Treatment 14. Patient monitoring 15. Contraindications and indications 16. Post-prevention 17. Case timeline 18. Conclusions 19. References 20. Our team