Elek Trok Ard Iog Rafi
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ELEKTROKARDIOGRAFI (EKG) NAMA PASIEN : PRAKTEK: UMUR : TAHUN Dr. UDUT TARIHORAN, Sp. PD FINASIM KELAMIN : PRIA / WANITA JLN. IMAM BONJOL NO. 26 ALAMAT : LUBUK PAKAM Rythme : SR / ST / SB / AF ST Segment : Normal P wave : N / P-mitral / Peaked-P / Undetermined : Flat di PR Interval : detik / Undetermined : Depresi di QRS axis : N / LAD / RAD / Superior : Elevasi di QRS rate : x/menit T wave : N / Inverted / Tall di QRS duration : detik Q wave : (-) / (+) di QT interval : detik KESIMPULAN : 1. EKG dalam batas normal 2. 1 o / 2 o / 3 o AV Block 3. Suspect LVH / RVH / LAH / RAH 4. SVT / WPW syndrome 5. Incomplete / Complete RBBB / LBBB 6. Frequent VES ec 7. Suspect intraventricular conduction disturbances 8. Frequent SVES ec 9. Ischemic di inferior / anterior / lateral / posterior wall 10. ST ec DD 11. Acute extensive anterior / lateral 12. SB ec DD 13. Old extensive anterior / inferior / lateral 14. AF ec DD 15. LV – aneurysma ec DD 16. Suspect congenital heart disease 17. ________________________________ USUL :
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Transcript of Elek Trok Ard Iog Rafi
ELEKTROKARDIOGRAFI(EKG)
NAMA PASIEN : PRAKTEK:UMUR : TAHUN Dr. UDUT TARIHORAN, Sp. PD FINASIMKELAMIN : PRIA / WANITA JLN. IMAM BONJOL NO. 26ALAMAT : LUBUK PAKAM
Rythme : SR / ST / SB / AF ST Segment : NormalP wave : N / P-mitral / Peaked-P / Undetermined : Flat di PR Interval : detik / Undetermined : Depresi di QRS axis : N / LAD / RAD / Superior : Elevasi di QRS rate : x/menit T wave : N / Inverted / Tall di QRS duration : detik Q wave : (-) / (+) di QT interval : detik
KESIMPULAN :
1. EKG dalam batas normal 2. 1o / 2o / 3o AV Block3. Suspect LVH / RVH / LAH / RAH 4. SVT / WPW syndrome5. Incomplete / Complete RBBB / LBBB 6. Frequent VES ec 7. Suspect intraventricular conduction disturbances 8. Frequent SVES ec9. Ischemic di inferior / anterior / lateral / posterior wall 10. ST ec DD11. Acute extensive anterior / lateral 12. SB ec DD13. Old extensive anterior / inferior / lateral 14. AF ec DD15. LV – aneurysma ec DD 16. Suspect congenital heart disease17. ________________________________
USUL :
1. Stratifikasi faktor resiko PJK 7. Check electrolyte / Fungsi thyroid2. Olahraga teratur 8. Check cardiac enzyme3. Kontrol faktor resiko PJK yang ada 9. Awasi tanda-tanda gagal jantung / Emboli4. Hindari stress / cemas 10. Treadmill Test / Echocardiography5. Thorax foto / CT scan 11. Coronary angiography6. Perhatikan pemeriksaan fisik paru dan jantung 12. Holter monitor / EPSL study
abrr : SR=sinus rhythm; ST=sinus tachycardia; SB=sinus bradycardia; AF=atrial fibrilasi/flutter; N=normal; LAD=left axis deviation; DD=differential diagnosa; LVH=left ventricle hypertrophy; RVH=right ventricle hypertrophy; LAH=left atrial hypertrophy; RAH=right atrial hypertrophy; LBBB=left bundle branch block; RBBB=right bundle branch block; WPW= wolf-parkinson-white syndrome; MCI=myocardial infaction; AV=atrio ventricular; SVT=supraventricular tachycardia; VES=ventricle extrasystole; SVES=supraventricular extrasystole; EPSL study=electrophysiol study; LV=left ventricle; ec=et causa
LUBUK PAKAM,…………………20….
Dr. UDUT TARIHORAN, Sp. PD FINASIM
