kp 1.3.1.8 interpretasi ekg 2014
TRANSCRIPT
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
1/27
INTERPRETASIINTERPRETASI
EKG NORMALEKG NORMAL
YASWIR YASRINYASWIR YASRIN
BAGIAN FISIOLOGI FK UNANDBAGIAN FISIOLOGI FK UNAND
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
2/27
EKG ADALAH :EKG ADALAH :
ALAT YANG DAPAT MENDETEKSI PEROBAHANALAT YANG DAPAT MENDETEKSI PEROBAHANPOTENSIAL PADA TEMPAT TERTENTU DIPOTENSIAL PADA TEMPAT TERTENTU DIJANTUNG DGN MEMASANG BBRP ELEKTRODAJANTUNG DGN MEMASANG BBRP ELEKTRODAPADA PERMUKAAN LUAR TUBUHPADA PERMUKAAN LUAR TUBUH
KEGUNAAN:KEGUNAAN: 1. IRAMA JANTUNG1. IRAMA JANTUNG
2. FREKWENSI JANTUNG2. FREKWENSI JANTUNG
3. GANGGUAN KONDUKSI3. GANGGUAN KONDUKSI
4. PEMBESARAN RUANG-RUANG JANTUNG4. PEMBESARAN RUANG-RUANG JANTUNG 5. INTOKSIKASI OBAT5. INTOKSIKASI OBAT
6. GANGGUAN PEMBULUH DARAH JANTUNG6. GANGGUAN PEMBULUH DARAH JANTUNG
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
3/27
I.I. - EKG ?- EKG ?
- Pemasangan- Pemasangan
- Sistim !n"#si- Sistim !n"#si- Pe$eaman EKG- Pe$eaman EKG
- Kesa%a&an tenis- Kesa%a&an tenis
PENDAHULUAN
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
4/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
5/27
SA NodeSA Node
InternodalInternodalbranchbranch
AV NodeAV Node
Hiss BundleHiss Bundle
Purkinje FiberPurkinje Fiber
ContractionContraction
Conduction System
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
6/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
7/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
8/27
II. ReamanII. Reaman
EKG 'EKG '
si%#ssi%#s
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
9/27
III. Reaman Eg N!$ma%III. Reaman Eg N!$ma%
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
10/27
I(. Inte$)$etasi EKGI(. Inte$)$etasi EKG
'.'. CalibrationCalibration
*&e+ '., m( e$ti+a% !/ ins+$i)ti!n 0n!$ma%*&e+ '., m( e$ti+a% !/ ins+$i)ti!n 0n!$ma%stan"a$" 1 ', mm2 Ke+e)atan )e$eamanstan"a$" 1 ', mm2 Ke+e)atan )e$eaman34mm5"t ata# 4,mm5"t34mm5"t ata# 4,mm5"t
3.3. RhythmRhythm Sin#s $&6t&m is )$esent i7Sin#s $&6t&m is )$esent i7 Ea+& P 8ae is 7!%%!8e" 6 a 9RS +!m)%e/Ea+& P 8ae is 7!%%!8e" 6 a 9RS +!m)%e/ Ea+& 9RS is )$e+e"e" 6 a P 8aeEa+& 9RS is )$e+e"e" 6 a P 8ae P 8ae is #)$ig&t in %ea"s I: II: an" IIIP 8ae is #)$ig&t in %ea"s I: II: an" III PR inte$a% is ;,.'3 se+ 0< sma%% !/es2PR inte$a% is ;,.'3 se+ 0< sma%% !/es2 I7 t&ese +$ite$ia a$e n!t met: "ete$mine t6)e !7I7 t&ese +$ite$ia a$e n!t met: "ete$mine t6)e !7
a$$&6t&mia 0see *&a)te$ '32a$$&6t&mia 0see *&a)te$ '32
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
11/27
4>@,
>4,>4,
N#me$ !7 eats in @ se+!n"s / ',N#me$ !7 eats in @ se+!n"s / ', N!$ma% $ate 1 @,-',, )m 0$a"6+a$"ia @,:N!$ma% $ate 1 @,-',, )m 0$a"6+a$"ia @,:
ta+&6+a$"ia ;',,2ta+&6+a$"ia ;',,2
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
12/27
4. Intervals4. Intervals N!$ma% PR 1 ,.'3-,.3, se+ 0
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
13/27
4.4. Mean QRS axisMean QRS axis N!$ma% i7 9RS is )$ima$i%6 #)$ig&t in %ea"s IN!$ma% i7 9RS is )$ima$i%6 #)$ig&t in %ea"s I
an" II 0C, t! -
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
14/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
15/27
@.@. P wave abnormalitiesP wave abnormalities
Ins)e+t P in %ea"s II an"Ins)e+t P in %ea"s II an" VtVt 7!$ %e7t an" $ig&t7!$ %e7t an" $ig&t
at$ia% en%a$gementat$ia% en%a$gement
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
16/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
17/27
.. QRS wave abnormalitiesQRS wave abnormalities Ins)e+t 7!$ %e7t an" $ig&t ent$i+#%a$Ins)e+t 7!$ %e7t an" $ig&t ent$i+#%a$
&6)e$t$!)&6&6)e$t$!)&6 Ins)e+t 7!$ #n"%e $an+& %!+sIns)e+t 7!$ #n"%e $an+& %!+s
Ins)e+t 7!$ )at&!%!gi+ 9 8aes= W&at anat!mi+Ins)e+t 7!$ )at&!%!gi+ 9 8aes= W&at anat!mi+
"ist$i#ti!n?"ist$i#ti!n?
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
18/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
19/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
20/27
.. ST segment or T wave abnormalitiesST segment or T wave abnormalities Ins)e+t 7!$ ST e%eati!ns=Ins)e+t 7!$ ST e%eati!ns=
T$ansm#$a% in7a$+t )atte$nT$ansm#$a% in7a$+t )atte$n Pe$i+a$"itis 0see *&a)te$ '2Pe$i+a$"itis 0see *&a)te$ '2 Ins)e+t 7!$ ST "e)$essi!ns !$ T 8aeIns)e+t 7!$ ST "e)$essi!ns !$ T 8ae
ine$si!ns=ine$si!ns= S#en"!+a$"ia% is+&emia !$ in7a$+tS#en"!+a$"ia% is+&emia !$ in7a$+t *!mm!n%6 a++!m)an6 ent$i+#%a$ &6)e$t$!)&6*!mm!n%6 a++!m)an6 ent$i+#%a$ &6)e$t$!)&6
!$ #n"%e $an+& %!+s!$ #n"%e $an+& %!+s
Meta!%i+ !$ +&emi+a% an!$ma%ities 0see Fig.Meta!%i+ !$ +&emi+a% an!$ma%ities 0see Fig..32.32
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
21/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
22/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
23/27
DifferentialDifferential
DiagnosisDiagnosis
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
24/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
25/27
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
26/27
RESUME=Reaman EKG "a%am atas n!$ma%RESUME=Reaman EKG "a%am atas n!$ma%
Bi%a =Bi%a =
'.I$ama sin#s'.I$ama sin#s
3.HR "a%am atas n!$ma%3.HR "a%am atas n!$ma%
-
7/24/2019 Kp 1.3.1.8 Interpretasi Ekg 2014
27/27