Download - Aritmia
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Arrhytmia
Tachyarrhythmia (rate >100 x/min)
Bradyarrhytmia(rate < 60 X/min)
• QRS sempit (<0.12 ms)• QRS lebar (>0.12 ms)
• AV blok derajat 1, 2 & 3• RBBB & LBBB
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Diagnostic Tachyarrhytmia
• Lebar gel. QRS
• Keteraturan gel. QRS
P wave ??
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QRS complex Teratur / tidak teratur ?
QRS complexSempit / lebar ?
P wave ?
Hubungan antara P and QRS ?
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QRS sempit : Supraventricular origin
QRS sempit
Irama TeraturIrama
Tidak teratur
Atrial Flutter
Sinus TachycardiaSupraventricular
TachycardiaAtrial Fibrillation
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SVT :
-due to re-entry mechanism-narrow QRS complex-regular-retrograde atrial depolarization-P wave ?
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Atrial Fibrillation :
-from multiple area of re-entry within atria-or from multiple ectopic foci-irregular, narrow QRS complex-very rapid atrial electrical activity (400-700 x/min).-no uniform atrial depolarization
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Atrial Flutter :
-The result of a re-entry circuit within the atria-Irregular / regular QRS rate-Narrow QRS complex-Rapid P waves (300x/min), “sawtooth”
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Junctional rhythm:
-AV junction can function as a pace maker (40-60 x/min).-due to the failure of sinus node to initiate time impulse or conduction problem.-normal-looking QRS.-retrograde P wave.-P wave may preceede, coincide with, or follow the QRS
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VES
SR
VENTRIKEL EXTRA SYSTOLE
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SR SR SR SRSR SR
VES VES
Sinus rhythm with Multifocal VES
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Sinus rhythm with VES couplet
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Sinus Rhythm with VES, R on T
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SVT
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AF rapid
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QRS Lebar : Ventricular origin
QRS lebar
Irama TeraturIrama
tidak teratur
Ventricular Tachycardia
Ventricular Fibrillation
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Ventricular Tachycardia
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Torsade de Pointes
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Ventricular Fibrillation
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VT
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VT
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VF
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Torsade de Pointes
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Bradyarrhytmia(rate < 60 x/min)
Failure of impulse formation
• Sinus Bradycardia• Sick Sinus Syndrome
AV conduction abnormalities
• 1st and 2nd AV Block• Total AV Block• BBB (Bundle Branch
Block)
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Prolonged PR interval
1st degree AV block
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Missing QRS Missing QRS
2nd degree AV block, type 1
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2nd degree AV block, type 2
Missing QRS
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P P P P P P P
QRS QRS QRS
Total AV Block / 3rd degree AV block
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2ND AV Block Type 1 : Wenkebach
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Sick Sinus Syndrome
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RBBB
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LBBBLBBB
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