Aritmia for Paramedic

31
Aritmia Ahmad Handayani

description

AFP

Transcript of Aritmia for Paramedic

Page 1: Aritmia for Paramedic

Aritmia

Ahmad Handayani

Page 2: Aritmia for Paramedic

Aritmia.

Merupakan keadaan dimana terdapat irama jantung yang tidak memenuhi kriteria irama yang normal (sinus ritme)

Page 3: Aritmia for Paramedic

Faktor Pencetus

Underlying cardiac disease- Penyakit jantung koroner- Penyakit jantung katup- Penyakit jantung hipertensi- Penyakit jantung bawaan- Pre excitation (short of PR interval)- Long QT (congenital or acquired)

Page 4: Aritmia for Paramedic

Faktor pencetus

Obat-Obatan- anti-aritmia- sympathomimetic.- B2 agonis, cocaine, anti depresants

(tricyclic), Aminophylline, caffeine.

- alcohol.

Page 5: Aritmia for Paramedic

Faktor Pencetus

Metabolic abnormalities.- Electrolyte (low K, Na, Ca, Mg )- Hypoximia, Hypercarbia. - Acidosis

0 Endocrine abnormalities

-Thyrotoxicosis, Phaeochrocytoma.

Page 6: Aritmia for Paramedic

Faktor pencetus

Miscellaneous.- Febrile illness- Emotional stress- Smoking- Fatigue.

Page 7: Aritmia for Paramedic

Arrhytmia

Tachyarrhythmia (rate >100 x/min)

Bradyarrhytmia(rate < 60 X/min)

• QRS sempit (<0.12 ms)

• QRS lebar (>0.12 ms)

• AV blok derajat 1, 2 & 3• RBBB & LBBB

Page 8: Aritmia for Paramedic

Diagnostic Tachyarrhytmia

Lebar gel. QRS

Keteraturan gel. QRS

P wave ??

Page 9: Aritmia for Paramedic

QRS complex Teratur / tidak teratur ?

QRS complexSempit / lebar ?

P wave ?

Hubungan antara P and QRS ?

Page 10: Aritmia for Paramedic

QRS sempit : Supraventricular origin

QRS sempit

Irama Teratur

Atrial Flutter

Irama Tidak teratur

Page 11: Aritmia for Paramedic

QRS Lebar : Ventricular origin

Page 12: Aritmia for Paramedic

VES (Ventricular extrasystole)-

VES couplet

VT-ventricular tachycardia

Page 13: Aritmia for Paramedic

AF-atrial fibrillation, course P wave , RR interval irregular

Page 14: Aritmia for Paramedic
Page 15: Aritmia for Paramedic

ATRIAL FLUTTER

Page 16: Aritmia for Paramedic

SVTRR interval regular, P or T wave not identified

Page 17: Aritmia for Paramedic

Atrial Fibrilasi

Page 18: Aritmia for Paramedic

VT , wide qrs , fixed axis

VF, ventricular fibrillation, changed axis

Page 19: Aritmia for Paramedic

VT

Page 20: Aritmia for Paramedic

VT

Page 21: Aritmia for Paramedic

VF

Page 22: Aritmia for Paramedic
Page 23: Aritmia for Paramedic
Page 24: Aritmia for Paramedic
Page 25: Aritmia for Paramedic

Bradyarrhytmia(rate < 60 x/min)

Failure of impulse formation

Sinus Bradycardia Sick Sinus Syndrome

AV conduction abnormalities

1st and 2nd AV Block Total AV Block BBB (Bundle Branch

Block)

Page 26: Aritmia for Paramedic
Page 27: Aritmia for Paramedic
Page 28: Aritmia for Paramedic
Page 29: Aritmia for Paramedic
Page 30: Aritmia for Paramedic

LBBBLBBB

Page 31: Aritmia for Paramedic

VF