Scribd Logo
Unggah

Selamat datang di Scribd!

  • Elektrokardiografi Dasar: Anatomi Jantung & Sistem Konduksi

    Diunggah oleh

    John Poole
    96 tayangan12 halaman
    The document discusses the basics of electrocardiography (EKG/ECG). It describes the placement of the 12 standard leads on the body and their orientation in the frontal and horizontal planes. It then covers the components that make up the EKG wave, including the P wave, QRS complex, T wave, and segments. Common arrhythmias like sinus rhythm, bradycardia, tachycardia, atrial fibrillation, and ventricular fibrillation are also mentioned.

    Deskripsi Asli:

    EKG

    Judul Asli

    Ekg

    Hak Cipta

    © Attribution Non-Commercial (BY-NC)

    Format Tersedia

    DOC, PDF, TXT atau baca online dari Scribd

    Apakah menurut Anda dokumen ini bermanfaat?

    Apakah konten ini tidak pantas?

    Laporkan Dokumen Ini
    The document discusses the basics of electrocardiography (EKG/ECG). It describes the placement of the 12 standard leads on the body and their orientation in the frontal and horizontal planes. It then covers the components that make up the EKG wave, including the P wave, QRS complex, T wave, and segments. Common arrhythmias like sinus rhythm, bradycardia, tachycardia, atrial fibrillation, and ventricular fibrillation are also mentioned.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    96 tayangan12 halaman

    Elektrokardiografi Dasar: Anatomi Jantung & Sistem Konduksi

    Diunggah oleh

    John Poole
    The document discusses the basics of electrocardiography (EKG/ECG). It describes the placement of the 12 standard leads on the body and their orientation in the frontal and horizontal planes. It then covers the components that make up the EKG wave, including the P wave, QRS complex, T wave, and segments. Common arrhythmias like sinus rhythm, bradycardia, tachycardia, atrial fibrillation, and ventricular fibrillation are also mentioned.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 12

    ELEKTROKARDIOGRAFI DASAR

    Anatomi %ant&n' ( Sistem Kond&)si

    Si!te( )ondu*!i

    STANDAR 12 LEAD EKG


    Bipolar limb leads (frontal plane): Lead I: RA (-) to LA (+) (Right Left, or lateral) Lead II: RA (-) to LF (+) (Superior Inferior) Lead III: LA (-) to LF (+) (Superior Inferior) Lead aVR: RA (+) to [LA & LF] (-) (Right ard) Lead aVL: LA (+) to [RA & LF] (-) (Left ard) Lead aVF: LF (+) to [RA & LA] (-) (Inferior) nipolar (!) "#est leads (#ori$ontal plane): Lead! V", V#, V$, V%, V&, V'

    "

    Lead Tamba#an V$R, V%R (Right) V+, V,, V- (.o!terior)

    Bipolar Leads
    Lead I + VII 5 VI + VIII

    Right Ar( -

    Left Ar( 0a1or 2le3tri3al A4i! + +

    Lead III

    Lead II +

    Right Leg (/round)

    Left Leg

    Penempatan Precordial Lead


    7ela*ang<.unggung V7od8 9ro!!-!e3tion at 6eart Le:el 6eart V, V+ V' V& V% )iri

    )anan

    V%R

    V$R V" ;epan

    V#

    V$

    Komponen Gelombang EKG

    *emba"a EKG
    "= Ira(a #= >RS Rate $= A4i! >RS %= . a:e &= .R inter:al '= ;ura!i >RS += Seg(en S? ,= ? a:e -= LV6<RV6 "@= SV2S<V2S +RA*A S+N S Ira(a Sinu! : !etiap gel . dii*uti oleh *o(ple*! >RS, >RS rate '@-"@@4<(nt Sinu! Aradi*ardi : >RS rate B '@ 4<(nt Sinu! ta*i*ardia : >RS rate B '@ 4<(nt Sinu! arit(ia : :aria!i nor(al, RR inter:al AeruAah-uAah

    +RA*A B KAN S+N S Atrial FiArila!i : Cor(o re!pon!e Rapid re!pon!e Slo re!pon!e Atrial Flutter Ira(a Dun3tional V? VF

    Atrial Atrial Flutter Fibrilasi

    Junctional Rhytme

    VF

    0enghitung >RS Rate " *ota* Ae!ar 5 $@@ 4<(nt # *ota* Ae!ar 5 "&@ 4<(nt $ *ota* Ae!ar 5 "@@ 4<(nt % *ota* Ae!ar 5 +& 4<(nt & *ota* Ae!ar 5 '@ 4<(nt ' *ota* Ae!ar 5 &@ 4<(nt R * S ,--.)ota) besar Atau 1/--.)ota) )e"il

    Axis gelom ang !RS

    " Di tentu#an oleh #om$le#s !RS %i I %an AVF " &ormal ' ()*o s+% ,*o

    &

    Gelom ang E - am$litu%e . /01 mm E - mitral ' gel0 - le ar %a E - $ulmonal ' gel0 - tinggi i2asi#

    -R Inter3al
    " 4ulai %ari a5al gel0 - sam$ai a5al #om$le#s !RS0 " &ilai normal ' 6/* ( /** 7)(1 #ota# #ecil8 " 9ila meman:ang ter:a%i AV lo#

    '

    &ormal EKG

    AV 9lo#
    " 6st AV9
    ; -R inter3al' </** m%et

    " /n% AV9


    ; Ti$e I 7=enc#e ach8 ' -R ma#in $an:ang sam$ai ter:a%i $ tan$a %ii#uti #om$le#s !RS0 ; Ti$e II 74o it>8 ' -R inter3al teta$ teta$i ter%a$at gel $ tan$a %ii#uti #om$le#s !RS0

    " Total AV9 " - %an !RS er:alan sen%iri(sen%iri0

    6st AV 9loc#

    /n% AV9

    TAV9

    Durasi !RS
    " &ormal ' . 6/* m%et 7) #ota# #ecil " Le ar sering ter:a%i $a%a R999 %an L9990

    R999

    Segmen ST
    " ST ele3asi ' gam aran a#ut in2ar#0 " ST %e$resi ' is#emia

    Acute Anterior 4?I

    Segmen ST
    " ST ele3asi ' gam aran a#ut in2ar#0 " ST %e$resi ' is#emia

    @u ungan $eru ahan segmen ST %g lo#asi in2ar# is#emia


    " " " " " " " " In2erior RV Se$tal Anterior Lateral Antero(se$tal Extensi3e anterior -osterior ' IIA IIIA AVF ' V)RAVBR ' V6(V/ ' V)(VB ' V1(VC ' V6(VB ' V6(VCA IA AVL ' VD(V,

    Gelom$ang T
    " &ormal ter ali# %i AVR %an V6 " Is#emia ' ila gel0 T ter ali# $a%a lea% yang sesuai lo#asi is#emia0 " T hi$er a#ut ' T yang tinggi %an simetris $a%a lea% sesuai lo#asi is#emia0 " @i$er#alemia ' T yang tinggi $a%a semua 6/ lea% EKG0

    "@

    ESTES Criteria for LVH ("diagnostic", >5 points; "probable", 4 points) " Gel0 S %i V6 %itam ah R %i V1 <D #ota# esar0 GEC Criteria !oints " < !RS am$litu%e 73oltage criteriaE i0e0A tall R( Voltage ?riteria 7any o28' 5a3es in LV S(5a3es in RV lea%s8 ) $oints a0R or S in lim lea%sA lea%s </*%ee$ mm 0S in V6 or V/ < )* mm " ESTES ?riteria c0R in V1 or VC <)* 2or mm LV@ 7F%iagnosticFA <1 $ointsE F$ro a leFA B $oints8
    ST(T A normalities' =ithout %igitalis =ith %igitalis Le2t Atrial Enlargement in V6 Le2t axis %e3iation !RS %uration *0*, sec Delaye% intrinsicoi% %e2lection in V1 or VC 7<*0*1 sec8 ) $oints 6 $oint ) $oints / $oints 6 $oint 6 $oint

    LV@+RV@

    VES Tri$let

    VES

    ""

    "#

    Anda mungkin juga menyukai