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    Aritmia refers to irregular heartbeats that do not meet the criteria for a normal sinus rhythm. Some common causes of arrythmias include underlying heart disease, medications, electrolyte imbalances, endocrine abnormalities, and other factors. Arrhythmias are classified as either tachyarrhythmias (heart rate over 100 bpm) or bradyarrhythmias (heart rate under 60 bpm). Diagnosis involves analyzing the QRS complex width and regularity, and relationship to the P wave to determine the origin as supraventricular or ventricular. Dangerous rhythms include ventricular tachycardia, ventricular fibrillation, pulseless electrical activity, and asystole.

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    AFP

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    Aritmia for Paramedic

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    Aritmia refers to irregular heartbeats that do not meet the criteria for a normal sinus rhythm. Some common causes of arrythmias include underlying heart disease, medications, electrolyte imbalances, endocrine abnormalities, and other factors. Arrhythmias are classified as either tachyarrhythmias (heart rate over 100 bpm) or bradyarrhythmias (heart rate under 60 bpm). Diagnosis involves analyzing the QRS complex width and regularity, and relationship to the P wave to determine the origin as supraventricular or ventricular. Dangerous rhythms include ventricular tachycardia, ventricular fibrillation, pulseless electrical activity, and asystole.

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    9 views31 pages

    Aritmia For Paramedic

    Uploaded by

    lazirfaisyem
    Aritmia refers to irregular heartbeats that do not meet the criteria for a normal sinus rhythm. Some common causes of arrythmias include underlying heart disease, medications, electrolyte imbalances, endocrine abnormalities, and other factors. Arrhythmias are classified as either tachyarrhythmias (heart rate over 100 bpm) or bradyarrhythmias (heart rate under 60 bpm). Diagnosis involves analyzing the QRS complex width and regularity, and relationship to the P wave to determine the origin as supraventricular or ventricular. Dangerous rhythms include ventricular tachycardia, ventricular fibrillation, pulseless electrical activity, and asystole.

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    © All Rights Reserved
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    of 31

    Aritmia

    Ahmad Handayani

    Aritmia.

    Merupakan keadaan dimana terdapat


    irama jantung yang tidak memenuhi
    kriteria irama yang normal (sinus ritme)

    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)

    Faktor pencetus
    Obat-Obatan
    anti-aritmia
    sympathomimetic.
    B2 agonis, cocaine, anti depresants
    (tricyclic), Aminophylline, caffeine.
    - alcohol.

    Faktor Pencetus
    Metabolic abnormalities.
    Electrolyte (low K, Na, Ca, Mg )
    Hypoximia, Hypercarbia.
    Acidosis
    0 Endocrine abnormalities
    -Thyrotoxicosis, Phaeochrocytoma.

    Faktor pencetus

    Miscellaneous.
    Febrile illness
    Emotional stress
    Smoking
    Fatigue.

    Arrhytmia
    Tachyarrhyth
    mia (rate
    >100 x/min)
    QRS sempit
    (<0.12 ms)
    QRS lebar
    (>0.12 ms)

    Bradyarrhytmi
    a
    (rate < 60
    X/min)

    AV blok derajat
    1, 2 & 3
    RBBB & LBBB

    Diagnostic
    Tachyarrhytmia

    Lebar gel. QRS

    Keteraturan gel. QRS

    P wave ??

    QRS complex
    Teratur / tidak teratur ?

    QRS complex
    Sempit / lebar ?

    P wave ?

    Hubungan antara P and QRS ?

    QRS sempit : Supraventricular


    origin
    Irama

    QRS

    QRS Lebar : Ventricular origin


    QRS lebar

    Irama
    tidak teratur

    Irama Teratur

    Ventricular
    Tachycardia

    Ventricular
    Fibrillation

    VES (Ventricular extrasystole)-

    VES couplet

    VT-ventricular tachycardia

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

    ATRIAL FLUTTER

    SVT

    RR interval regular, P or T wave not identified

    Atrial Fibrilasi

    VT , wide qrs , fixed axis

    VF, ventricular fibrillation, changed axis

    VT

    VT

    VF

    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)

    LBBB
    LBBB

    The
    Deadly
    Rhythms

    VT

    VF
    VF

    PEA
    (Pulse less
    Electrical
    Activity)

    A systole

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