ppgd aritmia
TRANSCRIPT
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ARITMIA JANTUNG
Departemen Kardiologi dan Kedokteran Vaskular
Divisi Kardiovaskular, Departemen Ilmu Penyakit Dalam
FK-UNPAD/RS Hasan Sadikin
Bandung
1
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2
Atrium kanan
Atrium kiri
Ventrikel kanan
Ventrikel kiri
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0+
–
– ––
+ +
++
– ––
+ +
++
+ ++
– ––
– ––
+
–
AR RR
3
AR, absolute refractory period
RR, relative refractory period
1
0
2
3
4
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Sino-atrial node (SA
node)
4
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Sino-atrial node (SA
node)
Left bundle branch
Right bundle branch
Purkinje
His bundle
Atrio-ventricular node (AV node)
5
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SAN
LA
HB
V
(SAN)
(AVN)
(BB)
(BB)
(HB)RA
LA
V
V
RA
AVN BBP
Q S
R
T
6
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R R R
SQ
R
Q S QS
R
S
R’
7
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8
EKG normal (irama sinus)
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ARITMIA
Gangguan
pembentukan impuls
Gangguan hantaran
impuls
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ARITMIA JANTUNG:
GANGGUAN PEMBENTUKAN IMPULS
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Otomatisitas SA node menurun
Frekuensi intrinsik
(bradikardia)
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Otomatisitas SA node
normal sedangkan
otomatisitas fokus di
atrium atau junction
atau ventrikel
meningkat melebihi SA
node
Frekuensi atrial atau junctional
atau ventrikuler melebihi sinus
(takikardia)
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IRAMA ATRIAL
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Atrial tachycardia
Atrial fibrilation
Atrial flutter
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IRAMA JUNCTIONAL
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Ventricular tachycardia
Ventricular fibrilation
IRAMA
VENTRIKULER
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Ventricular premature beat
Ventricular bigemini (monomorphic)
Ventricular bigemini (polymorphic)
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VT dicetuskan oleh VES “R on T”
“R on T”
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23
ARITMIA JANTUNG:
GANGGUAN HANTARAN IMPULS
(GANGGUAN KONDUKSI)
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GANGGUAN HANTARAN
Blok atrio-ventrikular
(AV block)
Blok intraventrikular
(bundle-branch block)
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Blok atrio-ventrikular
(AV block)
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Mobitz type I
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Mobitz type II
Second-degree AV block
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Blok intraventrikular
(bundle-branch block)
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Right
bundle
branch
block
(RBBB)
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Left bundle
branch
block
(LBBB)