ARRHYTHMIA

Arrhythmia

 Tidak memenuhi kriteria irama sinus

normal Aritmia (Disritmia)
 Gangguan pembentukan impuls
 Gangguan penghantaran impuls
Arrhythmia
Sumber impuls listrik
 Nodus SA : SB, ST, Sinus arrhythmia
 Atrium : AES, SVT, MAT, Af, AF
 Junctional : JES, JR, AccJR, JT
 Ventrikel : VES, IVR, AccIVR, VT,
Torsade de Pointes, VF
 AV blok : AV blok derajat I, derajat II
(tipe 1 & 2), derajat III (total)
Sinoatrial Node
(SAN)
Sinus Bradycardia (SB)
Sinus Tachycardia (ST)
Sinus Arrhythmia
Atrium
Supraventricular Tachycardia (SVT)

 Irama teratur, HR > 150 x/m

 Gelombang P kecil, kadang (-)
 Interval PR memendek atau (-),
 Kompleks QRS ≤ 0,12 detik (sempit)
Supraventricular Tachycardia (SVT)
Atrial Fibrillation (AF)
Atrial Flutter (Af)
Atrial Fibrillation – Atrial Flutter

Frekuensi
 < 60 x/m : slow response (SVR)
 60-100 x/m : normo response (NVR)
 >100 x/m : rapid response (RVR)
Atrioventricular Junction
(AV Junction)
Junctional Rhythm (JR)
Junctional Escape Rhythm
Accelerated Junctional Rhythm (Acc JR)
Ventrikel
Idioventricular Rhythm (IVR)
Ventricular Extrasystole (VES)
Premature Ventricular Contraction (PVC)

 Irama tidak teratur, karena ada extrasystole

 HR tergantung irama dasar
 Gelombang P (-), Interval PR (-)
 Kompleks QRS > 0,12 detik (lebar)
 VES unifocal, multifocal
 VES couplet, triplet, consecutive (Salvo)
 VES bigemini, trigemini, quadrigemini
 VES R on T
Ventricular Extrasystole (VES)
Unifocal
Ventricular Extrasystole (VES)
Multifocal
Ventricular Extrasystole (VES)
Coupled
Ventricular Extrasystole (VES)
Triplet
Ventricular Extrasystole (VES)
Bigeminal
Ventricular Extrasystole (VES)
Quadrigeminal
Ventricular Extrasystole (VES)
R on T
Ventricular Fibrillation (VF)
Ventricular Fibrillation (VF)
Ventricular Tachycardia (VT)

 Irama teratur, HR >100 x/m

 Gelombang P (-), Interval PR (-),
 Kompleks QRS > 0,12 detik (lebar)
 Monomorphic, Torsade de Pointes
Ventricular Asystole
Terima Kasih ……