The Electrocardiogram ( ECG )

 P wave : atrial
depolarisation R
amplitudo

 QRS complex :
ventricular T
depolarisation amplitudo
P

 T wave : ventricular durasi

repolarisation Q
S
 Atrial repolarisation
hidden by QRS
 Sequence velue of wave

 P wave
 PR interval

 Q wave

 R wave

 S wave

 QRS interval

 ST segment

 T wave
Intepretasi

 Tentukan Irama
 Tentukan laju QRS

 Tentukan aksis QRS

 Nilai morfologi gelombang p

 Nilai interval PR

 Nilai kompleks QRS

 Nilai segmen ST

 Nilai morfologi gelombang T

RHYTM
 SUMMARIES

Reguler Rhythm
Rhythm : Sinus
Rate : 80 x / m
P wave : Normal in configuration; precede each QRS
PR : Normal ( 0. 12 seconds )
QRS : Normal ( less than 0.08 seconds )

BRADYCARDIA bila rate < 60

SINUS ARRHYTHMIA

TACHYCARDIA bila rate > 100 P-P INT VARIES BY ≥ O.16 S

 SVT
(SUPRAVENTRICULAR TACHYCARDIA)
Atrial Flutter

Atrial Fibrillation (A-Fib)

Wolff Parkinson White Syndrome
(WPW)
Ventricular Tachycardia (VT)

Ventricular Fibrilation (VF)

First-degree AV block

Rhythm : Regular
Rate : Usually normal
P wave : P wave present; one P wave to each QRS
PR : Prolonged ( greater than 0.20 seconds )
QRS : Normal
Second -degree AV block, Mobitz I

Rhythm : Irregular
Rate : Usually slow but can be normal
P wave : Sinus P wave present;
some not followed by QRS complexes
PR : Progressively lengthens
QRS : Normal
Second-degree AV block, Mobitz II
Rhythm : Regular usually;
can be irreguler if conduction ratios vary
Rate : Usually slow
P wave : Two, three, or four P waves before each QRS
PR : PR interval of beat with QRS is constant;
PR interval may be normal or prolonged
QRS : Normal if block over His bundle;
wide if block involves bundle branches
Third-degree AV block

Rhythm : Regular
Rate : 40 – 60 if block in His bundle;
30 – 40 if block involves bundle branches
P wave : Sinus P wave present; bear no relationship to QRS;
can be found hidden in QRS complexes and T waves
PR : Varies greatly
QRS : Normal if block in His bundle;
wide if block involves bundle branches
ACUTE ANTEROSEPTAL MCI