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    Konsep Dasar EKG

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    Boby Gea

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    © All Rights Reserved
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    Konsep Dasar EKG

    Uploaded by

    Boby Gea
    80 views58 pages

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    Copyright:

    © All Rights Reserved
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    80 views58 pages

    Konsep Dasar EKG

    Uploaded by

    Boby Gea

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 58

    Konsep Dasar Elektrokardiografi

    Conduction System

    SA Node
     Internodal branch
     AV Node
     Hiss Bundle
     Purkinje Fiber
     Contraction
    Sternomanubrial joint - Angle of Louis

    V1 V2 V3 V4 V5 V6
    3/29/2019 © Dr Paul Bradley, Clinical Skills Resource Centre, University of Liverpool, UK 4
    R

    P T

    Q
    S
    AXIS
    Right Axis Deviation Left Axis Deviation

    LAD

    RAD
    GELOMBANG P
    Gambaran yang ditimbulkan oleh depolarisasi atrium

    Normal
    Tinggi : < 0,3 mvolt
    Lebar : < 0,12 detik
    Selalu positif di L II
    Selalu negatif di aVR

    Kepentingan
    Mengetahui kelainan di Atrium
    “Gelombang P Mitral”

    “ Gelombang P Pulmonal “
    P Pulmonale
    P Mitrale
    PR Interval
    Interval PR
    Diukur dari permulaan P s/d permulaan QRS

    Normal : 0,12 - 0,20 detik


    QRS Complex
    GELOMBANG QRS

    Gambaran yang ditimbulkan oleh depolarisasi ventrikel

    Normal :
    Lebar : 0,06 - 0,12 detik
    Tinggi : Tergantung lead

    Normal gelombang Q
    Lebar : < 0,04 detik
    Dalam : < 1/3 tinggi R
    ST Segment
    T Wave
    24
    2. RHYTHM

    Normal cardiac rhythm : SINUS rhythm

    Sinus rhythm characteristics :


    • Rate 60-100 bpm
    • Constant R – R interval
    • Negative P wave in aVR and positive di II
    • P wave is always followed by QRS complex
    © Dr Paul Bradley, Clinical Skills Resource Centre, University of Liverpool, UK 3/29/2019 33
    ECG paper timings
    Paper speed = 25
    mm/second

    RR interval

    Rate = 300/RR interval (in large squares) or


    = 1500/RR interval (in small squares)

    Each small square Five small squares =


    = 0.04 seconds 0.2 seconds Five large squares
    (= 1/25 sec) (= 1/5 sec) = 1 sec

    3/29/2019
    36
    37
    3. AXIS
    LVH
    LVH
    LVH
    RVH
    RVH
    RVH
    RVH
    ARTI KLINIS HIPERTROFI JANTUNG :
    1. Pembesaran atrium kanan : ASD, PAPVR, Ebstein anomali
    2. Pembesaran atrium kiri : Mitral stenosis, Mitral regurgitasi
    3. Hipertrofi ventrikel kiri : Hipertensi, Aortic stenosis, Aortic regurgitasi,
    Mitral regurgitasi, VSD, PDA
    4. Hipertrofi ventrikel kanan : PPOK, ASD, Pulmonal stenosis

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