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    0 Arrhythmia Arwin PDF

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    Evans Hansen
    The document discusses various types of arrhythmias including supraventricular arrhythmias like premature beats, tachycardia, atrial flutter, atrial fibrillation, and paroxysmal atrial tachycardia. It also discusses ventricular arrhythmias like premature beats, ventricular tachycardia, and ventricular fibrillation. Treatment strategies discussed include pharmacological treatments like adenosine, verapamil, beta blockers, and digoxin. Non-pharmacological treatments like radiofrequency catheter ablation are also mentioned. Various EKG patterns of arrhythmias such as sinus bradycardia, sinus tachycardia, atrial fibrillation, atrial flutter, Wolff-Parkinson

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    0 Arrhythmia Arwin PDF

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    Evans Hansen
    107 views53 pages
    The document discusses various types of arrhythmias including supraventricular arrhythmias like premature beats, tachycardia, atrial flutter, atrial fibrillation, and paroxysmal atrial tachycardia. It also discusses ventricular arrhythmias like premature beats, ventricular tachycardia, and ventricular fibrillation. Treatment strategies discussed include pharmacological treatments like adenosine, verapamil, beta blockers, and digoxin. Non-pharmacological treatments like radiofrequency catheter ablation are also mentioned. Various EKG patterns of arrhythmias such as sinus bradycardia, sinus tachycardia, atrial fibrillation, atrial flutter, Wolff-Parkinson

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    The document discusses various types of arrhythmias including supraventricular arrhythmias like premature beats, tachycardia, atrial flutter, atrial fibrillation, and paroxysmal atrial tachycardia. It also discusses ventricular arrhythmias like premature beats, ventricular tachycardia, and ventricular fibrillation. Treatment strategies discussed include pharmacological treatments like adenosine, verapamil, beta blockers, and digoxin. Non-pharmacological treatments like radiofrequency catheter ablation are also mentioned. Various EKG patterns of arrhythmias such as sinus bradycardia, sinus tachycardia, atrial fibrillation, atrial flutter, Wolff-Parkinson

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    107 views53 pages

    0 Arrhythmia Arwin PDF

    Uploaded by

    Evans Hansen
    The document discusses various types of arrhythmias including supraventricular arrhythmias like premature beats, tachycardia, atrial flutter, atrial fibrillation, and paroxysmal atrial tachycardia. It also discusses ventricular arrhythmias like premature beats, ventricular tachycardia, and ventricular fibrillation. Treatment strategies discussed include pharmacological treatments like adenosine, verapamil, beta blockers, and digoxin. Non-pharmacological treatments like radiofrequency catheter ablation are also mentioned. Various EKG patterns of arrhythmias such as sinus bradycardia, sinus tachycardia, atrial fibrillation, atrial flutter, Wolff-Parkinson

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    of 53

    ARRHYTHMIA

    dr. Arwin Saleh Mangkuanom


    Dr. dr. Bambang Budi, SpJP (K)

    Division of Cardiac Emergency


    Department of Cardiology and Vascular Medicine
    Faculty of Medicine, University of Indonesia
    National Cardiovascular Center “Harapan Kita”
    Jakarta, Indonesia
    Aritmia
    Gangguan irama jantung berupa segala jenis
    irama jantung selain IRAMA SINUS

    Supraventrikular Ventrikular
    QRS sempit seperti normal QRS lebar > 0,12 dt
    (kecuali beberapa hal:
    BBB, WPW,aberans)
    Conduction System

    SA Node
     Internodal branch
     AV Node
     Hiss Bundle
     Purkinje Fiber
     Contraction
    Normal Sinus Rhythm

    Rhythm : Regular, Sinus Rhythm


    Rate : 60 – 100
    P wave : Normal in configuration; precede each QRS
    PR : Normal ( 0. 12 – 0.20 seconds )
    QRS : Normal ( less than 0.12 seconds )

    SINUS BRADYCARDIA
    SINUS ARRYTMIA

    SINUS TACHYCARDIA
    Sinus ritme
    •Sinus Ritme
    •Sinus Aritmia
    •Sinus Takikardi
    •Sinus bradikardi
    Aritmia Supraventrikular

    Premature beat Takikardi aritmia


    / ekstra sistolik

    Atrial Flutter Supra Ventrikel Takikardi/


    Atrial fibrilasi Paroksismal Atrial Takikardi
    150 - 250 x/mnt
    TACHYCARDIA

    Diagramatic of the mechanisms of SVT and VT

    Atrial fibrillation
    SNRT
    Atrial flutter

    AT AVRT
    AVNRT

    JT

    V Tach

    V Fibrillation
    SVT
    Treatment strategies of SVT

    Pharmacological
    Acute Tx (Adenosine iv (6mg-12mg-12mg),
    Verapamil iv)
    Chronic Tx (Verapamil, Betablocker, Digoxin)
    Non-pharmacology
    Radiofrequency catheter ablation
    Atrial Fibrilasi
    ATRIAL FLUTTER

    II

    III

    V1

    V2

    V6
    Approaches to Treatment
    Any or all may apply

    • Anticoagulation (acute and chronic)


    • Ventricular rate control (Digoxin)
    • Maintenance of sinus rhythm/ Convert
    Rhythm (Amiodarone)
    Wolff-Parkinson-White syndrome
    Aritmia Ventrikular

    Premature beat Takikardi aritmia


    / ekstra sistolik

    Ventrikel Takikardi Ventrikel Fibrilasi


    N N
    100-250 x/mnt > 350 x/mnt
    Torsade de pointes
    Tatalaksana Bradikardia (ACLS)
    Tatalaksana Takikardia (ACLS)
    Tatalaksana Henti Jantung
    Bradycardia
    • Gangguan AV node
    – Derajat satu
    – Derajat dua
    – Derajat tiga
    • Gangguan SA node
    – SA block
    – SA arrest
    • Interventrikel blok: Bundle branch block
    Fasicular block
    Gangguan SA node
    First-degree AV block

    Rhythm : Regular
    Rate : Usually normal
    P wave : P wave present; one P wave to each QRS
    PR : Prolonged ( greater than 0.20 seconds )
    QRS : Normal
    Second -degree AV block, Mobitz I

    Rhythm : Irregular
    Rate : Usually slow but can be normal
    P wave : Sinus P wave present;
    some not followed by QRS complexes
    PR : Progressively lengthens
    QRS : Normal
    Second-degree AV block, Mobitz II

    Rhythm : Regular usually;


    can be irreguler if conduction ratios vary
    Rate : Usually slow
    P wave : Two, three, or four P waves before each QRS
    PR : PR interval of beat with QRS is constant;
    PR interval may be normal or prolonged
    QRS : Normal if block over His bundle;
    wide if block involves bundle branches
    Third-degree AV block

    Rhythm : Regular
    Rate : 40 – 60 if block in His bundle;
    30 – 40 if block involves bundle branches
    P wave : Sinus P wave present; bear no relationship to QRS;
    can be found hidden in QRS complexes and T waves
    PR : Varies greatly
    QRS : Normal if block in His bundle;
    wide if block involves bundle branches
    Third-degree AV block
    st
    RBBB,1 degree AVBLOCK ,LPHB

    st
    RBBB, 1 degree AVB,LPHB,MCI
    ACUT MCI
    Kesimpulan
    • EKG pemeriksaan yang sangat
    sederhana, sangat mobile, segera
    didapatkan hasil dan sangat bermanfaat di
    bidang kardiologi
    • EKG hanya sebagai alat bantu diagnosis
    • Sebagian besar aritmia dapat didiagnosis
    berdasarkan EKG
    • Semua dokter umum seyogyanya
    menguasai EKG
    TH A N K YO U
    back
    back
    back
    back
    VES
    VES R on T

    VT

    VF
    Torsade de pointes
    Ventricular fibrillation
    Gangguan SA node
    Blok AV derajat 1
    Blok AV derajat 2
    Blok AV derajat 3

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