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ARITHMIA
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ARITHMIA
Gangguan denyut jantung yang meliputifrequensi, irama dan konduksi yang dapat
ditimbulkan oleh karena gangguanpengeluaran atau pembentukan impuls maupungangguan sistem hantaran atau konduksi ataukeduanya
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How to identify arrhythmias ?
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QRS Complex RegulerIrreguler
QRS ComplexNormal!ooking CRS Complex
"ide#Narro$
% $aoe &
Relation ship bet$een % and QRS Complex
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• IramaIrama :: Teratur Teratur
• Frekwensi HRFrekwensi HR :: 100 – 150 x/menit100 – 150 x/menit• Gel. PGel. P :: Normal setia! "el.Normal setia! "el. PP selaluselalu
#iikuti "el $R% #an T#iikuti "el $R% #an T• Inter&al PRInter&al PR :: Normal ' 01( – 0(0 #etik )Normal ' 01( – 0(0 #etik )• Gel. $R%Gel. $R% :: Normal ' 00* – 01( #etik )Normal ' 00* – 01( #etik )
• +atatan+atatan :: semua "el. %amasemua "el. %ama
Sinus Tachycardia
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%inus ,ra#-ar#ia
• IramaIrama :: Teratur Teratur
• Frekwensi HRFrekwensi HR :: Kurang dari 60 x/menitKurang dari 60 x/menit• Gel. PGel. P :: Normal setia! gel. P selalu dikuti gelNormal setia! gel. P selalu dikuti gel "R#"R#
dan Tdan T• Inter$al PRInter$al PR :: Normal % 0&' ( 0'0 detik )Normal % 0&' ( 0'0 detik )• Gel. "R#Gel. "R# :: Normal % 006 ( 0&' detik )Normal % 006 ( 0&' detik )• *atatan*atatan :: #emua gel. #ama#emua gel. #ama
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Sinus Arrhythmia
• IramaIrama :: Tidak teratur Tidak teratur
• Frekwensi HRFrekwensi HR :: Biasanya antara 60 – 100 xmenitBiasanya antara 60 – 100 xmenit• !e"# $!e"# $ :: %&rma"' setia( )e"# $ se"a"u%&rma"' setia( )e"# $ se"a"u diikuti )e" *RSdiikuti )e" *RS )e" T )e" T
• Inter+a" $RInter+a" $R :: %&rma" , 0'1- – 0'-0 detik .%&rma" , 0'1- – 0'-0 detik .
• !e"# *RS!e"# *RS :: %&rma" , 0'06 – 0'1- detik .%&rma" , 0'06 – 0'1- detik .
• /atatan/atatan :: Semua )e"# SamaSemua )e"# Sama
• %&te%&te : %&rma" (ada &ran) muda' akiat (en)aruh (&"a: %&rma" (ada &ran) muda' akiat (en)aruh (&"a
(ernaasan' menin)kat se"ama ins(irasi dan menurun (ada(ernaasan' menin)kat se"ama ins(irasi dan menurun (adaase eks(irasi#ase eks(irasi#
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%S'( due to reentry me)hanisme
narro$ QRS )omplex
Reguler Retrograde atrial
depolari*ation % $ape &
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PSVT
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Atrial Fibrillation
- From miltile area of re-entry withinatrial
- !r from multile ectoic oci- Irre"uler# narrow $RS comle%- Very raid atrial electrical Acti&ity
'()) * +))%,mnt- .o /niform atrial deolari0ation
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Atrial Flutter
- The result of a re-entry circuit
within the atrial - Irre"ular , re"ular $RS rate
- .arrow $RS comle%
- Raid P wa&es '1))%,min#2sawtooth3
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4unctional Rhythm
- AV 5unction can function as a
ace ma6er '()-7) %,min8- due to the failure of sinus nodeto initiate time imulse orconduction roblem8
- normal-loo6in" $RS8- retro"rade P wa&e8- P wa&e may receede# coincide
with# or follow the $RS
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entrikel xtra%istole
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SR SR SR SR SR SR
V9S V9S
SI./S RH:THM;ith
Multifocal V9S
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#inus r+,t+m wit+
-# ou!let
&es
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#inus R+,t+m wit+
-# R on T
&es &es
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17/30%rolon ed %R Inter+al
st degree -' blo)k
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&st degree - 1lok
Missin" $RS Missin" $RS
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Total - 2lok /
3rd degree - 1lok
$RS
% % % % % %
$RS
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Arithmia
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-entriularFi1rillation
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-entriularTa+,ardia
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$u"s"ess 2"e3tri3a" Akti+ity
, $2A .
• $ada m&nit&r 24! tam(ak adanya
aktiitas "istrik 5antun)' ta(i
denyut nadi (asien tidak teraa
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@hain !f Sur&i&al' 9mat rantai 6eselamatan
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+ain 23 %ur&i&al
1. arl- 4ess ee!atan menemukan !en#erita mintatolon" ' %PG6T )
(. arl- +PR ee!atan melakukan +PR/R7P
8. arl- #e3i9rilasi/6+ %-ok R7P #en"an #e3i9rilasi #alam85 menit awal #a!at menin"katkan an"kake9erasilan antara ;5 =
;. arl- 4?% ee!atan #alam !em9erian tin#akanlan@ut
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•
reat the (atient' n&t
the m&nit&r # # # # #666