Arithmia rev.ppt
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Transcript of Arithmia rev.ppt
![Page 1: Arithmia rev.ppt](https://reader035.fdocuments.in/reader035/viewer/2022062517/563db7a9550346aa9a8cd3ee/html5/thumbnails/1.jpg)
ARRHYTHMIA
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ARITMIA
Gangguan denyut jantung yang meliputi frequensi, irama dan konduksi yang
dapat ditimbulkan oleh karena gangguan
pengeluaran atau pembentukan impuls maupun
gangguan sistem hantaran atau konduksi atau
keduanya
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How to identify arrhythmias ?
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QRS Complex RegulerIrreguler
QRS ComplexNormal-Looking QRS Complex
Wide/Narrow
P wave ?
Relationship between P and QRS Complex
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Normal Sinus Rhythm
• IramaIrama :: TeraturTeratur• Frekwensi HRFrekwensi HR :: 60 - 60 - 100 x/menit100 x/menit• Gel. PGel. P :: Normal, setiap gel. Normal, setiap gel. PP selalu selalu diikuti gel QRS dan T diikuti gel QRS dan T• Interval PR Interval PR :: Normal ( 0,12 – 0,20 detik )Normal ( 0,12 – 0,20 detik )• Gel. QRSGel. QRS :: Normal ( 0,06 – 0,12 detik )Normal ( 0,06 – 0,12 detik )• CatatanCatatan :: semua gel. Samasemua gel. Sama
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• IramaIrama :: TeraturTeratur• Frekwensi HRFrekwensi HR :: 100 – 150 x/menit100 – 150 x/menit• Gel. PGel. P :: Normal, setiap gel. Normal, setiap gel. PP selalu selalu
diikuti gel QRS dan Tdiikuti gel QRS dan T• Interval PR Interval PR :: Normal ( 0,12 – 0,20 detik )Normal ( 0,12 – 0,20 detik )• Gel. QRSGel. QRS :: Normal ( 0,06 – 0,12 detik )Normal ( 0,06 – 0,12 detik )• CatatanCatatan :: semua gel. Samasemua gel. Sama
Sinus Tachycardia
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Sinus Bradycardia• IramaIrama :: TeraturTeratur• Frekwensi HRFrekwensi HR :: Kurang dari 60 x/menitKurang dari 60 x/menit• Gel. PGel. P :: Normal, setiap gel. P selalu dikuti gel Normal, setiap gel. P selalu dikuti gel QRSQRS
dan Tdan T• Interval PR Interval PR :: Normal ( 0,12 – 0,20 detik )Normal ( 0,12 – 0,20 detik )• Gel. QRSGel. QRS :: Normal ( 0,06 – 0,12 detik )Normal ( 0,06 – 0,12 detik )• CatatanCatatan :: Semua gel. SamaSemua gel. Sama
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SVT (Supra Ventrikular
Takikardi)
- narrow QRS complex- Reguler- P wave ?
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SVT
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Atrial Fibrillation
- Irreguler, narrow QRS complex- Very rapid atrial electrical activity
(400 – 700x/mnt)- No Uniform atrial depolarization
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Atrial Flutter - Irregular / regular QRS rate
- Narrow QRS complex
- Rapid P waves (300x/min), “sawtooth”
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Ventrikel Extra Sistole (VES)
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VES VES
SINUS RHYTHMWith
Multifocal VES
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Sinus rhythm with VES couplet
ves
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Sinus Rhythm with VES, R on T
ves
ves
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Prolonged PR Interval
1st degree AV block
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2nd degree AV block type 1
Missing QRS Missing QRS
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2nd degree AV block, type 2
missing QRS
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Total AV Block / 3rd degree AV block
QRS
P P P P P P
QRS
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Total AV Block / 3rd degree AV block
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ARITHMIA LETHAL( Arithmia yg mengancam
nyawa )
•Arithmia yang memerlukan resusitasi segera untuk
mencegah kematian
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Arithmia Lethal
• Ventrikel Fibrilasi ( VF )• Ventrikel Tachikardi tanpa nadi ( VT -
)• Asistole• Pulseless Electrical Activity ( PEA )
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Ventricular Fibrillation
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Ventricular Tachycardia
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ASISTOLE
Pada monitor EKG tidak tampak aktifitas listrik jantung dan tidak terabanya denyut nadi pasien
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Pulseless Electrical Activity( PEA )
• Pada monitor EKG tampak adanya aktifitas listrik jantung, tapi denyut nadi pasien tidak teraba
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Chain Of Survival( Lima rantai keselamatan
)
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Chain Of Survival
1. Immediate recognition and activation Cepat penilaian (assessment) dan mengaktifkan emergensi respon sistem (minta tolong)
2. Early CPR Kecepatan melakukan CPR/RJP
3. Rapid defibrilasi/DC Syok RJP dengan defibrilasi dalam 3-5 menit awal dapat meningkatkan angka keberhasilan antara 49% - 75 %
4. Effective ALS Kecepatan dalam pemberian tindakan lanjut
5. Integrated post-cardiac arrest care Perawatan terintegrasi pasca henti jantung
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•Treat the patient, not the monitor . . . . .!!!