NORMAL ECG

&
ARRHYTHMIA

Designations of different QRS patterns

1 kotak kecil
= 0.04 detik

5 kotak kecil
= 1 kotak sedang
= 0.2 detik

5 kotak sedang
= 1 kotak besar
= 1 detik

Paper speed : 25 mm/second

MENGHITUNG LAJU JANTUNG

A. Jarak R R :
- 1 kotak sedang
- 2 kotak sedang
- 3 kotak sedang
- 4 kotak sedang
- 5kotak sedang
- 6 kotak sedang

= 300 x / menit
= 150 x / menit
= 100 x / menit
= 75 x / menit
= 60 x / menit
= 50 x / menit

B. Hitung jumlah R- R dalam 6 kotak besar = 6 detik

Jumlah R x 10 = heart rate / menit
C. 1500 / jarak R-R ( dlm mm ) = heart rate / menit

Causes of Cardiac Arrhythmias

Disturbed automaticity : this may involved a speeding
up or slowing down of areas of automaticity such as
the sinus node, the atrioventricular (AV) node, or the
myocardium. Abnormal beats (depolarizations) may
arise through this mechanism from the atria, the AV
junction, or the ventricles.
Disturbed conduction : conduction may be either too
rapid (as in Wolff- Parkinson-White syndrome) or too
slow (as in AV block)
Combinations of disturbed automaticity and disturbed
conduction

Sinus Rhythm

ENAM LANGKAH
MENENTUKAN ARITMIA
1. Ada kah komplek QRS

Asistol
VF

2 . Bila ada cepat : Takikardia

lambat : Bradikardia
3. QRS lebar
Sempit
4. QRS Reguler apa Tidak
5 . Bagaimana gelombang P ada /tidak , tinggi 2,5,kk
interval awal P --- QRS tida > 5,5 kk
6. P berhubungan kahdengan QRS

Supraventricular Tachycardia

Atrial Fibrillation

Atrial Flutter

Junctional Rhythm

VES

VES

VES

SR

SR

SR

SR

SR

SR

Sinus rhythm with multifocal VES

Sinus rhythm with VES couplet

Sinus rhythm with VES, R on T

Ventricular tachycardia

Torsades de pointes

Ventricular fibrillation

First-degree AV block

Second-degree AV block type 1

Second-degree AV block type 2

QRS

QRS

QRS

Third-degree AV block / Total AV block

SELESAI