ekg normal bcls anca.pptx
DESCRIPTION
ekgTRANSCRIPT
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SYAHRANI SAID
INTERPRETASI EKG NORMAL
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Apakah EKG itu….??
ELEKTROKARDIOGRAPHY
ELEKTROKARDIOGRAPH
ELEKTROKARDIOGRAM
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Elektroda Ekstremitas
Merah/RA (right arm) : lengan kanan
Kuning/LA (left arm) : lengan kiri
Hijau/LF (left foot) : tungkai kiri
Hitam/RF (right foot) : tungkai kanan
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Precordial Leads (Sandapan Dada)
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Elektroda Precordial Merah/V1 : ruang interkostal (ICS) IV, garis sternal
kanan Kuning/V2 : ruang interkostal (ICS) IV, garis sternal
kiri Hijau/V3 : pertengahan antara V2 dan V4 Coklat/V4 : ruang interkostal (ICS) V, garis
midklavikula kiri Hitam/V5 : sejajar dengan V4, garis aksilaris
anterior kiri Ungu/V6 : sejajar dengan V5, garis midaksilaris
kiri
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EKG: MEMOTRET JANTUNG
DARI SISI FRONTAL DAN HORIZONTAL
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View by lead
LEADS VIEW OF HEARTI, aVL High LateralII, III, aVF InferiorV1, V2 SeptalV3, V4 AnteriorV5, V6 Low LateralV7, V8 and V9 Posterior
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Proses terbentuknya gelombang
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ECG Forms
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1. RHYTHM
2. RATE/FREKUENSI
3. GELOMBANG P
4. INTERVAL PR
5. QRS KOMPLEKS
6. SEGMEN ST
7. GELOMBANG T
ECG INTERPRETATION
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Reguler
Irreguler
1. RHYTHM
Jarak R ke R di
lead yang sama
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Reguler
Sinus rhythm characteristics :
Rate 60-100 bpm Constant R – R interval Negative P wave in aVR and positive in II P wave is always followed by QRS complex
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2. FREKUENSI/HR
Reguler:
1.500
Jumlah kotak kecil dari R ke R
300
Jumlah kotak besar dari R ke R
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Catatan: HR pasien dapat terlihat pada layar monitor mesin EKG
Irreguler:
(Jumlah QRS dalam 6 detik) x 10
Normal heart rate : 60 – 100 x/minutes• > 100 x/minutes : Sinus Tachycardia• < 60 x/minutes : Sinus Bradicardia
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3. Gelombang P
No more than 3 mm in
heightNo more than 0.12 sec in
durationPositive : I,II,aVF,V2-6
Negatif: aVR
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4. PR Interval
PR intervalMulai awal gelombang P
sampai dengan awal gelombang Q
Normal: 0.12 – 0.20 detikLebih dari 0.20 terjadi AV
blok
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Merupakan depolarisasi ventrikel
5. QRS Kompleks
QRS ComplexQ : 1st negative
deflection after PR : 1st positive deflection
after QS : negative deflection
after RN: 0.06 – 0.10 secKedalaman Q < 1/3 R
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N: -30 s/d 105 derajat-30 s/d 110 derajat
Axis Jantung
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Gel R dari V1 s/d V6 semakin membesarGel S dari V1 s/d V6 semakin mengecil
Konfigurasi
Positif
(+)
I, II, aVF, V5 dan
V6
Negatif
(-)
aVR, V1 dan V2
Bifasik
(±)
III, aVL, V3 dan V4
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6. Segmen ST
Isoelectric (flat)
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Merupakan repolarisasi ventrikel
7. Gelombang T
Limb lead : no more than 5 mm (height)
Precordial lead : no more than 10 mm (height)
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EKG Normal
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TERIMAKASIH
SEMOGA BERMANFAAT