EKG fisio
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EKG
Transcript of EKG fisio
7/17/2019 EKG fisio
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EKG
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ANATOMI JANTUNG
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PEMBULUH DARAH KORONER
RCA
LM
LAD LCx
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SISTEM KONDUKSI
SA NODE 60-100SA NODE 60-100
x/mntx/mnt AV NODE 40-60 x/mnt AV NODE 40-60 x/mnt
SRABUT PURKINJESRABUT PURKINJE
20-40 x/mnt 20-40 x/mnt
S A
A V
SP
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GAMBAR EKG
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ELEKTRO KARDIO GRAFI
PENGERTIAN Elektrokardiografi !"!#!$ %#m& '( m)m*)#!+!,% !t%.%t!
#%t,% +!nt&n( Elektrokardigram EKG !"!#!$ &!t& (,!3% '(
m)n((!m!,!n ,)!m!n #%t,% +!nt&n(
FUNGSI EKG
EKG m)m*&n'!% 3&n(% "%!(n5t% "%!nt!,!n'! A,%tm%! +!nt&n( 7%*),t,53% !t,%&m "!n .)nt,%)#
I)m% "!n %n3!, m%5!," E3) 5!t-5!t!n )*),t% "%(%t!#%8 !nt% !,%tm%! "## G!n((&!n ))%m!n(!n )#)t,5#%t $&&n'! !#%&m P)n%#!%!n 3&n(% *!9& +!nt&n(
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MESIN EKG
M)%n EKG "%!(% m)n+!"% : +)n% 8 m)n&,&t!n'!n'! !#&,!n ;$!nn)# *)n9!t!t '!%t&single8 trifle !t!& multiple 9$!nn)#
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KERTAS EKG
K),t! EKG m),&*!!n ),t!(,!3% '!n( m),&*!!n (!,%$5,%<5nt!# "!n .),t%!# ")n(!n
+!,! 1mm 5t! )9%# G!,%
'!n( #)%$ t)!# t),"!*!t *!"!)t%!* =mm "%)&t 5t! )!,
Gari !ori"o#tal M)n&n+&!n >!t&8 "%m!n! 1mm = 0,04 dtk 8 )"!n(!n
5mm = 0,20 dtk. Gari $erti%al M)n((!m!,!n .5#t!()8 "%m!n! 1mm = 0,1 mv 8
)"!n(!n )t%!* 5 mm =0,5 mv
ISMAIL PRODUCTION
0,04 dt
0, 20 dt
0,1 mv 0,5 mv
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SANDAPAN E;G
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SANDAPAN EKG
Terda&at ' (e#i a#da&a# ) lead * &adaEKG+
,+ Sa#da&a# Bi&olar
?!%t& m),)!m *),)"!!n *5t)n%!# "!,%"&! )#)t,5"!8 !n"!*!n %n% "%t!n"!%
")n(!n !n(! ,5m!>% I8 II "!n III
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SANDAPAN EKG
'+ Sa#da&a# U#i&olar
Sa#da&a# U#i&olar Ektremita
M),)!m )!, *5t)n%!# #%t,% *!"! !t& )t,)m%t!8)#)t,5"! )*#5,!% "%#)t!!n *!"! )t,)m%t! '( !!n"%&&, G!&n(!n )#)t,5"!-)#)t,5"! *!"! )t,)m%t!
'( #!%n m)m)nt& )#)t,5"! %n"%3),)n *5t)n%!# 0 !VR8 !VL8 !VF
Sa#da&a#U#i&olar Prekordial
M),)!m )!, *5t)n%!# #%t,% +!nt&n( ")n(!n !nt&!n
)#)t,5"! )*#5,!% '( "%t)m*!t!n "% )),!*!"%n("%n( "!"! E#)t,5"! %n"%3),)n "%*),5#)$ ")n(!nm)n((!&n(!n )t%(! )#)t,5"! )t,)m%t!
V1 /" V@ "!n V:R8 V4R
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LEAD I
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LEAD II
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LEAD III
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A V R
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A V L
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A V F
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SANDAPAN E;G
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SANDAPAN EKG
1 LEAD II8III8AVF
INFERIOR2 LEAD I AVL8V=8V67IG7 LATERAL
: LEAD V1 V2 SEPTAL
4 LEAD V: V4 ANTERIOR= LEAD V= V6 LATERAL
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;ARA MEMBA;A EKG
1 TENTUKAN IRAMAN?A2 TENTUKAN JUMLA7 FREKUENSI 7EART
RATE
: TENTUKAN ADAN?A TANDA INFARK ATAU
ISKEMIA
4 TENTUKAN AKSISN?A
= TENTUKAN ADAN?A TANDA 7IPERTROP?
DAN KELAINAN ELEKTROLIT
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;ARA MENENTUKAN IRAMA JANTUNG
1 TENTUKAN APAKA7 DEN?UT JANTUNGBERIRAMA TERATUR ATAU TIDAK
2 TENTUKAN BERAPA FREKENSI JANTUNG 7R
: TENTUKAN GELOMBANG P NORMAL ATAUTIDAK
4 TENTUKAN INTERVAL PR NORMAL ATAUTIDAK
= TENTUKAN GELOMBANG CRS NORMAL
ATAU TIDAK
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;ARA MENG7ITUNG NADI
Menentukan frekuensi jantung
A :00 +m# 5t! )!, "#m 60 ")t%
Jm# 5t! )!, !nt!,! R R
B 1=00 +m# 5t! )9%# "#m 60 ")t%
Jm# 5t! )9%# !nt!,! R R
; Am%# EKG t,%* )*!n+!n( 6 ")t%8 $%t&n( +&m#!$ CRS"!n !#%!n 10
;AT RUMUS A/B UNTUK EKG ?ANG TERATURRUMUS ; UNTUK ?ANG TIDAK TERATUR
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;ARA MENG7ITUNG 7R
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GAMBARAN E;G
1 GELOMBANG P! LEBAR KURANG DARI 0812 ")t%
TINGGI KURANG DARI 08: ")t%
9 SELALU POSITIF DI LEAD II" SELALU NEGATIF DI LEAD AVR
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2 GELOMBANG CRS! LEBAR 0806 0812 ")t%
GELOMBANG C TINGGI 1/: DARI R
9 GELOMBANG R POSITIF DI LEAD
1828V=8V6 LEAD AVR8V18V2 7AN?A
KE;IL ATAU TIDAK ADA SAMA SEKALI
" GELOMBANG S DEFLEKSI NEGATIF
SESUDA7
GELOMBANG R
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Normal : Isoelektris
Kepentingan : Elevasi Pada injuri/infark akut
Depresi Pada iskemia
Segmen ST Diukur dari akhir QRS s/d aal gel !
NON STMI STMI
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GELOMBANG R DAN S DI LEAD PREKORDIAL
-, -' -. -/ -0 -1
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TERIMAKASI7
