ELECTROCARDIOGRAPHY

PERSIAPAN EKG
Persiapan alat Persiapan pasien Persiapan kulit

LIMB LEADS

CHEST LEADS

LANGKAH EKG LANGKAH EKG 2

GELOMBANG P

Delay

This physiologic delay in conduction is essential to allow the atria to finish contracting before the ventricles begin to contract. This clever electrical wiring of the heart permits the atria to empty their volume of blood completely into the ventricles before the ventricles contract.

SISTEM KONDUKSI VENTRIKEL

QRS KOMPLEKS

GELOMBANG T

PR INTERVAL

ST SEGMENT

UKURAN 1 KOTAK KECIL

Horizontal = 0.04 s Vertikal = 0.1 mV

GELOMBANG EKG

GELOMBANG EKG
NO 1
2 3 4

GELOMBANG Gelombang P
QRS kompleks Gelombang T Segmen ST

GAMBARAN Depolarisasi atrium

Waktu depolarisasi ventrikel Repolarisasi ventrikel Akhir depolarisasi ventrikel awal repolarisasi ventrikel Awal depolarisasi atrium awal depolarisasi ventrikel Awal depolarisasi ventrikel akhir repolarisasi ventrikel

NORMAL < 0.12 s dan , 0.3 mV

0.06 0.12 s Gel. Q = < 0.04 s & <1/3R Isoelektris

PR Interval

0.12 0.20 s

QT Interval

0.38 0.42 s

MENILAI EKG
Mengukur HR Irama Axis Jantung Ada tidaknya iskemia/infark Adanya aritmia

Menghitung HR
METODE CARA MENGHITUNG

KOTAK BESAR
KOTAK KECIL IRAMA IREGULER

300 / KOTAK BESAR R R

1500 / KOTAK KECIL R R QRS X 10 selama 6 detik

Menilai Irama Jantung

Regularitas R R Apakah setiap gelombang P diikuti QRS kompleks

Gambaran EKG pada Iskemik/AMI

Gelombang T

(A) T wave peaking in a patient undergoing acute infarction. (B) The same lead in a patient 2 hours later shows T wave inversion.

T Inversi Iskemik

(A) The symmetric T wave inversion in a patient with ischemia. (B) An example of asymmetric T wave inversion in a patient with left ventricular hypertrophy and repolarization abnormalities.

ST Segment

Two examples of ST segment elevation during an acute infarction: (A) Without T wave inversion and (B) with T wave inversion.

Gelombang Q

(A) Lead III in a healthy patient. (B) The same lead in the same patient 2 weeks after undergoing an inferior myocardial infarction. Note the deep Q wave.
INTERPRETASI EKG