CONTOH KASUS EKG.pptx
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Transcript of CONTOH KASUS EKG.pptx
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Apa itu irama sinus ?
• Irama Reguler • HR 60 to 100 x / min• Gelombang P mendahului setiap kompleks QRS • Gelombang PQRST timbul berulang• P di lead II positif, P di lead aVR negatif• Bentuk & ukuran gelombang PQRST sesuai dgn
standart
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Atrial Tachycardia
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SUPRAVENTRICULAR TACHYCARDIA
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ATRIAL FLUTTER
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ATRIAL FIBRILATION
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SR
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SR SR SR SRSR SR
VES VES
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Prolonged PR interval
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Missing QRS Missing QRS
2nd degree AV block, type 1
Interval P-R normal – makin memanjang gelombang P tidak diikuti QRS (dropped beat) normal lagi
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2nd degree AV block, type 2
Missing QRS
-Interval PR normal-Tiba-tiba ada gelombang P tidak diikuti gelombang QRS dengan perbandinagan dengan rasio 3:1 4 :1 dst
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P P P P P P P
QRS QRS QRS
Total AV Block / 3rd degree AV block
>Tidak ada hubungan antara gelombang P dan QRS> Gelombang QRS bentuknya runcing bila pacemaker di AV Node atau melebar bila di ventrikel.Rate QRS biasanya 30 – 60 kali /menit tergantung pacemaker,dan teratur.
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ARITMIA YANG MENGANCAM
1. VENTRIKEL FIBRILASI2. VENTRIKEL TRACIKARDI TANPA NADI3. PULSLES ELEKTRIC ACTIVITE ( PEA )4. ASISTOL
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Fibrilasi Ventrikel (VF)• Irama : Tidak teratur• Frekwensi HR : < 350 x/menit shg tdk dpt dihitung• Gel. P : Tidak ada • Interval PR : Tidak ada • Gel. QRS : Lebar dan tidak teratur• @ VF kasar (Coarse VF)• @ VF halus (Fine VF)
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Takikardi Ventrikel (VT)
• Irama : Teratur• Frekwensi HR : 100 – 250 x/menit• Gel. P : Tidak ada • Interval PR : Tidak ada • Gel. QRS : Lebar lebih dari 0,12 detik
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PEA
PADA GAMBARAN DI MONITOR TERLIHAT ADANYA GAMBARAN AKTIVITAS LISTRIK JANTUNG TETAPI PADA SAAT DI PALPASI DENYUT NADI TIDAK TERABA
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ASISTOL
PADA GAMBARAN MONITOR TIDAK TEREKAM GAMBARAN AKTIFITAS LISTRIK JANTUNG DAN NADI TIDAK TERABA
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STEMI- ST ELEVASI > 1 mVOLT DARI 2 SADAPAN LEAD II,III, aVF dan I aVL,atau >2 mV di lead V1-V6- RBBB DENGAN ST ELEVASI - LBBB BARU EVOLUSI GELOMBANG Q
NON STEMI -Depresi ST > 1mV - Inversi gelombang T Simetris > 2mv 2 lead yg bersebelahan -EKG normalTRANSIENT ATAU EVOLUSI GELOMBANG Q
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GAMBARAN EKG PADA IMA
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• T terbalik iskemia
EKG pada Angina
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• Q lebar > 0,04 detik, & dalam > 2 mm
• ST elevasi (STEMI)– Elevasi ST >1 mm di
inferior/ posterior & > 2 mm di anterior indikasi fibrinolisis
EKG pada STEMI
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MIRROR IMAGE (POSTERIOR)
V7-V9
V1-V2
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• ST elevasi/ depresi iskemia
EKG pada UA/NSTEMI
Prinzmetal/ Variant
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• Deep symetrical T wave inversion infark tanpa gelombang Q (infark subendokardial) NSTEMI
EKG pada NSTEMI
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LOKASI ISKEMIA/ INFARK
• INFERIOR II, III, aVF• ANTERIOR I, aVL, V1-V5/ V6• ANTEROSEPTAL V1-V3• ANTEROLATERAL V4-V6 &/ I, aVL • POSTERIOR V7-V9/ ‘mirror image’
V1-V2• UNDETERMINAN
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CORRELATION BETWEEN LOCATION OF ISCHAEMIC, ECG AND CORONARY ARTERY ANATOMY
LOCATION OF INFARCT/ ECG CORONARY ARTERY INVOLVEDISCHAEMIC
ANTERIOR EKSTENSIVE I, Avl, V1-V6 LAD, LCX
ANTEROSEPTAL V1- V3 LAD
ANTEROLATERAL I, aVL, V4- V6 LCX
INFERIOR II, III, aVF RCA, PDA
POSTERIOR V7- V9 PL (POSTEROLATERAL)
RV V3R – V5R RCA/ RV BRANCH
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IMA Anterior
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IMA Inferior
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IMA Inferior with presence of LBBB
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Matur nuwun dumateng Kawigatosipun