ECG Club

1 bulan SMRS
sesak nafas
saat aktivitas
mudah lelah
(berjalan
100meter), PND
(+), OP(+), kaki
bengkak (+),
nyeri dada
disangkal

3 hari SMRS
sesak nafas
berat,
dirasakan tidak
hilang saat
istirahat

IGD RSDK

Atrial
Atrial rate
rate :: 375bpm
375bpm

Atrial
Atrial Flutter,
Flutter, Normo
Normo ventricular
ventricular respon,
respon, HR:
HR: 90bpm,
90bpm, normo
normo
axis,
axis, ST
ST elevasi
elevasi 1mm
1mm di
di III,0,5mm
III,0,5mm di
di AVF,
AVF, Poor
Poor Progresion
Progresion

Reguller
Reguller QRS
QRS

mon type of CCW Atrial flutter showing surface ecg patern

tive saw tooth wave in inferior lead II,III,AVF at rate 200-300 bpm
r wave shows a slow downslope followed by a sharp upstroke wit
sitive overshoot that leads to next cycle.
V1 usually shows clearly positive,
V6 mostly exhibits negative or almost isoelectric o wave.

ers direction of rotation around the tricuspide ring, clockwise flutter is

cterized by broad and mostly notched p wave in inferior lead
broad negative deflection in V1