Conduction Disorder

Conduction disorder Conduction disorders: Obstruction or slowing the electrical conduction pathways normal .

Blok Atrioventikular (blok av) Blok AV Blok AV Blok AV degree 1 degree 2 degree 3 (blok total / komplit) Blok Mobitz Blok Mobitz tipe 1 tipe 2 (Wenckebac h) .

only slowing conduction. • Can still be found in the normal heart.2 seconds (keywords!) • Atrial impulse is still able to pass through the AV node to activate the ventricles. does not need to be treated. . AV BLOCK DEGREE 1 • Characterized by prolonged slowing conduction in the AV node or bundle of His • PR interval extends> 0. AV block degree one is not really a block.

AV BLOCK DEGREE 1 .

• This disorder usually causes no symptoms. • The commonest cause is coronary heart disease. aortic valve disease.AV BLOCK DEGREE 2 type 1 • lock occurs in the AV node • PR interval becomes progressively longer until a P wave is not followed by a QRS complex. a series of regularly repeated continuously. inferior myocardial infarction. (QRS missing) • After missing pulse (QRS). . if the ratio is very low koduksi can cause bradycardia and decreased cardiac output.

AV BLOCK DEGREE 2 type 1 (mobitz 1 / wenckebach) .

• Their pulse disappeared without a progressive lengthening of the PR interval • The cycle then repeats itself. Two or more normal pulse having a normal PR interval. with a ratio of 3: 2. then the P wave is not followed by QRS (QRS missing). 4: 3 and so on • Irregular ventricular rhythm • Occurs in acute anterior myocardial infarction . Second-degree av block type 2 (mobits type 2) • Conduction phenomena in the form of all-or- none.

Second-degree av block type 2 (Mobitz tipe II) .

AV BLOCK TOTAL • There is no atrial impulse that got through to activate the ventricles. Atria and ventricles remain contracted yet with its own intrinsic frequency. regular rhythm. • P wave is normal. • Ventricular responded to this situation by giving rhythm passes (entricular escape rhythm) inadequate (atrial and ventricular depolarization separately from one another. 60-100 x / min for the atrium and 30-45 x / min ntuk ventricles. unrelated). • Slower frequency than the frequency of ventricular or atrial sinus. .

AV block Total ( degree 3) .

Bundle branch block Blok hantaran Right bundle Left bundle fasikulus branch block branch (RBBB) block(LBBB) Left anterior Left psoterior fasicular block fasicular block (LAFB/LAHB) (LPFB/LPHB) .

and does not begin until the left ventricle is almost completely depolarized.12 seconds • RSR 'in V1 and V2 (such as rabbit ears) that accompanied the ST segment depression and T-wave inversion • S wave width> = 0. • Widened QRS complex exceeds 0. V6. atrial septal defect.04 sec and blunt (slurred) in V5. RBBB • Conduction pass right bundle diobstruksi. IMA. I and aVL. late right ventricular depolarization occurs. . As a result. • RBBB pattern is common in patients with mitral stenosis.

RBBB .

leads I and aVL. LBBB • Widened QRS complex exceeds 0. • There were no Q waves in V5. V6. and lead I Can be found to the left axis . V6. accompanied by ST segment depression and T wave inversion.12 seconds • Notched R wave width or slightly sloping • initially in V5.

LBBB .

CASE STEMI WITH AV BLOCK .