KOMPLIKASI ARITMIA

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Transcript of KOMPLIKASI ARITMIA

  • 5/20/2018 KOMPLIKASI ARITMIA

    1/19

    A. Contoh Aritmia EKG dengan Kriterianya

    D. Ventrikel Region

    (Idioventrikular Rhytm)

    Ciri-cirinya :

    Irama regular

    Frekwensi 20 - 40 x/menit

    Tidak ada gelombang P

    Komplek QRS lebar or lebih dari normal

    (Accelerated Idioventrikular)

    Ciri-cirinya :

    Irama regular

    Frekwensi antara 40 - 100 x/menit

    Tidak ada gel PKomplek QRS lebar atau lebih dari normal, RR interval regular

    (Ventrikel Takikardia/ VT)

    Ciri-cirinya :

    Irama regular

    Frekwensi 100-250x/menit

    http://3.bp.blogspot.com/_uYR4n5yH3-g/SaBaNRbDasI/AAAAAAAAAtQ/Nce8v3qT3dc/s1600-h/VT+5.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaBYPBEMkRI/AAAAAAAAAtI/XaT8P0WndRQ/s1600-h/Accelerated+Idioventricular+Rhytm.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBXGPiXxdI/AAAAAAAAAtA/Xr3NPusUkKg/s1600-h/Idioventrikular+Rhytm.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaBaNRbDasI/AAAAAAAAAtQ/Nce8v3qT3dc/s1600-h/VT+5.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaBYPBEMkRI/AAAAAAAAAtI/XaT8P0WndRQ/s1600-h/Accelerated+Idioventricular+Rhytm.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBXGPiXxdI/AAAAAAAAAtA/Xr3NPusUkKg/s1600-h/Idioventrikular+Rhytm.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaBaNRbDasI/AAAAAAAAAtQ/Nce8v3qT3dc/s1600-h/VT+5.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaBYPBEMkRI/AAAAAAAAAtI/XaT8P0WndRQ/s1600-h/Accelerated+Idioventricular+Rhytm.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBXGPiXxdI/AAAAAAAAAtA/Xr3NPusUkKg/s1600-h/Idioventrikular+Rhytm.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaBaNRbDasI/AAAAAAAAAtQ/Nce8v3qT3dc/s1600-h/VT+5.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaBYPBEMkRI/AAAAAAAAAtI/XaT8P0WndRQ/s1600-h/Accelerated+Idioventricular+Rhytm.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBXGPiXxdI/AAAAAAAAAtA/Xr3NPusUkKg/s1600-h/Idioventrikular+Rhytm.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaBaNRbDasI/AAAAAAAAAtQ/Nce8v3qT3dc/s1600-h/VT+5.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaBYPBEMkRI/AAAAAAAAAtI/XaT8P0WndRQ/s1600-h/Accelerated+Idioventricular+Rhytm.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBXGPiXxdI/AAAAAAAAAtA/Xr3NPusUkKg/s1600-h/Idioventrikular+Rhytm.png
  • 5/20/2018 KOMPLIKASI ARITMIA

    2/19

    Tidak ada gelombang P

    Komplek QRS lebar atau lebih dari normal

    (VT Polymorphic)

    Ciri-cirinya :

    Irama regular irregular

    Lainya sama dengan VT.

    (ventrikel Fibrilasi/VF)

    Ciri-cirinya :

    Irama chaotic atau kacau balauNo denyut jantung.

    SA Node

    ( Sinus Bradikardia)

    Ciri-cirinya :

    Irama teratur

    RR interval jaraknya sama dalam 1 lead panjang

    PP interval jaraknya sama dalam 1 lead panjang

    http://1.bp.blogspot.com/_uYR4n5yH3-g/SZ_wneX25jI/AAAAAAAAAoI/Fqg5o9VVDHk/s1600-h/SB+3.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SaBdYdtl6UI/AAAAAAAAAtg/TyDdqIAFJb4/s1600-h/VF+4.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SZ_wneX25jI/AAAAAAAAAoI/Fqg5o9VVDHk/s1600-h/SB+3.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SaBdYdtl6UI/AAAAAAAAAtg/TyDdqIAFJb4/s1600-h/VF+4.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SZ_wneX25jI/AAAAAAAAAoI/Fqg5o9VVDHk/s1600-h/SB+3.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SaBdYdtl6UI/AAAAAAAAAtg/TyDdqIAFJb4/s1600-h/VF+4.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SZ_wneX25jI/AAAAAAAAAoI/Fqg5o9VVDHk/s1600-h/SB+3.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SaBdYdtl6UI/AAAAAAAAAtg/TyDdqIAFJb4/s1600-h/VF+4.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SZ_wneX25jI/AAAAAAAAAoI/Fqg5o9VVDHk/s1600-h/SB+3.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SaBdYdtl6UI/AAAAAAAAAtg/TyDdqIAFJb4/s1600-h/VF+4.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SZ_wneX25jI/AAAAAAAAAoI/Fqg5o9VVDHk/s1600-h/SB+3.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SaBdYdtl6UI/AAAAAAAAAtg/TyDdqIAFJb4/s1600-h/VF+4.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SZ_wneX25jI/AAAAAAAAAoI/Fqg5o9VVDHk/s1600-h/SB+3.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.pnghttp://1.bp.blogspot.com/_uYR4n5yH3-g/SaBdYdtl6UI/AAAAAAAAAtg/TyDdqIAFJb4/s1600-h/VF+4.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaBejlM5JdI/AAAAAAAAAto/IvCHiliMd0Y/s1600-h/Torsade+de+pointes.png
  • 5/20/2018 KOMPLIKASI ARITMIA

    3/19

    Komplek QRS harus sama dalam 1 lead panjang

    Impuls dari SA node yang ditandai dengan adanya gel P yang mempunyai bentuk

    sama dalam 1 lead panjang.

    Frekwensi (HR) dibawah 60x/menit

    Adanya gel P yang selalu diikuti komplek QRSGel P dan komplek QRS normal dan sama bentuknya dalam satu lead.

    (Sinus Takikardia)

    Ciri-cirinya):

    Sama dengan sinus bradikardia, yang membedakanya adalah frekwensi jantung (HR)

    lebih dari 100x/menit.

    (Sinus Aritmia)

    Ciri-cirinya :

    Sama dengan kriteria sinus rhytme, yang membedakannya adalah pada sinus aritmia

    iramanya tidak teratur karena efek inspirasi & ekspirasi.

    (Sinus Arrest)Ciri-cirinya:

    Gel P dan komplek QRS normal

    Adanya gap yang panjang tanpa adanya gelombang yang muncul.

    Gap ini jaraknya melebihi 2 kali RR interval.

    http://3.bp.blogspot.com/_uYR4n5yH3-g/SZ_yQ0la3BI/AAAAAAAAAog/oB0i6k3SnFk/s1600-h/Sinus+arrest.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SZ_xuBZYGkI/AAAAAAAAAoY/rsxffBvoLC0/s1600-h/sinus+arrhytmia.1.pnghttp://4.bp.blogspot.com/_uYR4n5yH3-g/SZ_xPaZxIdI/AAAAAAAAAoQ/ogv4Y6Jx70I/s1600-h/ST.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SZ_y1iNuDSI/AAAAAAAAAoo/qS3hLm1B9Xs/s1600-h/Sinus+blok.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SZ_yQ0la3BI/AAAAAAAAAog/oB0i6k3SnFk/s1600-h/Sinus+arrest.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SZ_xuBZYGkI/AAAAAAAAAoY/rsxffBvoLC0/s1600-h/sinus+arrhytmia.1.pnghttp://4.bp.blogspot.com/_uYR4n5yH3-g/SZ_xPaZxIdI/AAAAAAAAAoQ/ogv4Y6Jx70I/s1600-h/ST.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SZ_y1iNuDSI/AAAAAAAAAoo/qS3hLm1B9Xs/s1600-h/Sinus+blok.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SZ_yQ0la3BI/AAAAAAAAAog/oB0i6k3SnFk/s1600-h/Sinus+arrest.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SZ_xuBZYGkI/AAAAAAAAAoY/rsxffBvoLC0/s1600-h/sinus+arrhytmia.1.pnghttp://4.bp.blogspot.com/_uYR4n5yH3-g/SZ_xPaZxIdI/AAAAAAAAAoQ/ogv4Y6Jx70I/s1600-h/ST.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SZ_y1iNuDSI/AAAAAAAAAoo/qS3hLm1B9Xs/s1600-h/Sinus+blok.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SZ_yQ0la3BI/AAAAAAAAAog/oB0i6k3SnFk/s1600-h/Sinus+arrest.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SZ_xuBZYGkI/AAAAAAAAAoY/rsxffBvoLC0/s1600-h/sinus+arrhytmia.1.pnghttp://4.bp.blogspot.com/_uYR4n5yH3-g/SZ_xPaZxIdI/AAAAAAAAAoQ/ogv4Y6Jx70I/s1600-h/ST.gifhttp://2.bp.blogspot.com/_uYR4n5yH3-g/SZ_y1iNuDSI/AAAAAAAAAoo/qS3hLm1B9Xs/s1600-h/Sinus+blok.png
  • 5/20/2018 KOMPLIKASI ARITMIA

    4/19

    (Sinus Blok)

    Ciri-cirinya :

    Sama dengan sinus arrest yaitu adanya gap tanpa adanya gelombang yang muncul,

    dimana jarak gapnya 2 kali dari RR interval.

    Junctional Region

    (Junctional Rhytm)

    Ciri-cirinya :

    Irama teratur

    Frekwensinya 40-60 x/menit

    Gelombang P bisa tidak ada, bisa terbalik (tidak bakal positip)

    Kompleks QRS normal

    Kalau frekwensinya lebih dari 40x/menit dinamakan slow junctional rhytm.

    (Junctional Takikardia)

    Ciri-cirinya:

    Sama dengan junctinal rhytm, bedanya frekfensi atau HR pada junctional takikardia lebih

    dari 100 x/menit

    .

    http://4.bp.blogspot.com/_uYR4n5yH3-g/SaA0afkUqbI/AAAAAAAAArg/5cHBOmWuAPY/s1600-h/Accelerated+Junctional.1.pnghttp://4.bp.blogspot.com/_uYR4n5yH3-g/SaA0afkUqbI/AAAAAAAAArg/5cHBOmWuAPY/s1600-h/Accelerated+Junctional.1.pnghttp://4.bp.blogspot.com/_uYR4n5yH3-g/SaA0afkUqbI/AAAAAAAAArg/5cHBOmWuAPY/s1600-h/Accelerated+Junctional.1.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaAyfkPp6EI/AAAAAAAAArQ/fJkXMid7BF4/s1600-h/Junctional+Takikardia.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaAxsVX7-gI/AAAAAAAAArI/NAzocEaUQLc/s1600-h/Junctional+Rhytme.pnghttp://4.bp.blogspot.com/_uYR4n5yH3-g/SaA0afkUqbI/AAAAAAAAArg/5cHBOmWuAPY/s1600-h/Accelerated+Junctional.1.pnghttp://4.bp.blogspot.com/_uYR4n5yH3-g/SaA0afkUqbI/AAAAAAAAArg/5cHBOmWuAPY/s1600-h/Accelerated+Junctional.1.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaAyfkPp6EI/AAAAAAAAArQ/fJkXMid7BF4/s1600-h/Junctional+Takikardia.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaAxsVX7-gI/AAAAAAAAArI/NAzocEaUQLc/s1600-h/Junctional+Rhytme.pnghttp://4.bp.blogspot.com/_uYR4n5yH3-g/SaA0afkUqbI/AAAAAAAAArg/5cHBOmWuAPY/s1600-h/Accelerated+Junctional.1.pnghttp://4.bp.blogspot.com/_uYR4n5yH3-g/SaA0afkUqbI/AAAAAAAAArg/5cHBOmWuAPY/s1600-h/Accelerated+Junctional.1.pnghttp://2.bp.blogspot.com/_uYR4n5yH3-g/SaAyfkPp6EI/AAAAAAAAArQ/fJkXMid7BF4/s1600-h/Junctional+Takikardia.pnghttp://3.bp.blogspot.com/_uYR4n5yH3-g/SaAxsVX7-gI/AAAAAAAAArI/NAzocEaUQLc/s1600-h/Junctional+Rhytme.png