Ventricular :
VT
VF
Klasifikasi Takikardia
Dengan QRS sempit
Reguler
Ireguler
Dengan QRS lebar
Reguler
Ireguler
KETAHUI KLASIFIKASI
Kompleks QRS
QRS SEMPIT
QRS LEBAR
+ ABBERANCY
Takikardia dengan QRS sempit
VT
Supraventrikular Takikardi (SVT) dengan
bundle branch block (BBB)
Aberrancy
Pre-existing BBB
SVT dengan pre-eksitasi
Treat the patient,
not the ECG. . . . . . . . . .!!!
Etiologi aritmia
The mnemonic, HIS DEBS, help to remember those arrhythmogenic factors
whenever you encounter a patient with an arrhythmia.
Hypoxia:
A myocardium deprived of oxygen is an irritable myocardium. Pulmonary disorders, whether
severe chronic lung disease or an acute pulmonary embolus, are major precipitants of
cardiac arrhythmias.
Ischemia and Irritability:
Myocardial infarctions are a common setting for arrhythmias. Angina, even without the actual
death of myocardial cells associated with infarction, is also a major precipitant. Occasionally,
myocarditis, an inflammation of the heart muscle often caused by routine viral infections, can
induce an arrhythmia.
Sympathetic Stimulation:
Enhanced sympathetic tone from any cause (hyperthyroidism, congestive heart failure,
nervousness, exercise, etc.) can elicit arrhythmias.
Drugs:
Many drugs can cause arrhythmias. Ironically, the antiarrhythmic drugs themselves, such as
quinidine, are among the leading culprits.
Electrolyte Disturbances:
Hypokalemia is notorious for its ability to induce arrhythmias, but imbalances of calcium and
magnesium can also be responsible.
Bradycardia:
A very slow heart rate seems to predispose to arrhythmias. One could include the brady-
tachy syndrome (also called the sick sinus syndrome) in this category.
Stretch:
Enlargement and hypertrophy of the atria and ventricles can produce arrhythmias. This is
one way in which congestive heart failure and valvular disease can cause arrhythmias.
Thank You