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    Introduction Lecture On Arrhythmias: Putra Antara

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    Desak Pratiwi
    This document provides an overview of arrhythmias including: 1. Arrhythmias are defined as any heart rhythm other than normal sinus rhythm, and they can be classified based on speed (bradyarrhythmia or tachyarrhythmia), origin (supraventricular or ventricular), and clinical consequences (clinically significant vs life-threatening). 2. Common arrhythmias discussed include atrial flutter, atrial fibrillation, atrial tachycardia, supraventricular tachycardia, Wolff-Parkinson-White syndrome, ventricular tachycardia, and ventricular fibrillation. 3. Diagnosing arrhythmias requires understanding their clinical consequences, underlying

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    Introduction Lecture On Arrhythmias: Putra Antara

    Uploaded by

    Desak Pratiwi
    22 views34 pages
    This document provides an overview of arrhythmias including: 1. Arrhythmias are defined as any heart rhythm other than normal sinus rhythm, and they can be classified based on speed (bradyarrhythmia or tachyarrhythmia), origin (supraventricular or ventricular), and clinical consequences (clinically significant vs life-threatening). 2. Common arrhythmias discussed include atrial flutter, atrial fibrillation, atrial tachycardia, supraventricular tachycardia, Wolff-Parkinson-White syndrome, ventricular tachycardia, and ventricular fibrillation. 3. Diagnosing arrhythmias requires understanding their clinical consequences, underlying

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    14. Arrhythmia

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    This document provides an overview of arrhythmias including: 1. Arrhythmias are defined as any heart rhythm other than normal sinus rhythm, and they can be classified based on speed (bradyarrhythmia or tachyarrhythmia), origin (supraventricular or ventricular), and clinical consequences (clinically significant vs life-threatening). 2. Common arrhythmias discussed include atrial flutter, atrial fibrillation, atrial tachycardia, supraventricular tachycardia, Wolff-Parkinson-White syndrome, ventricular tachycardia, and ventricular fibrillation. 3. Diagnosing arrhythmias requires understanding their clinical consequences, underlying

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    Download as pptx, pdf, or txt
    22 views34 pages

    Introduction Lecture On Arrhythmias: Putra Antara

    Uploaded by

    Desak Pratiwi
    This document provides an overview of arrhythmias including: 1. Arrhythmias are defined as any heart rhythm other than normal sinus rhythm, and they can be classified based on speed (bradyarrhythmia or tachyarrhythmia), origin (supraventricular or ventricular), and clinical consequences (clinically significant vs life-threatening). 2. Common arrhythmias discussed include atrial flutter, atrial fibrillation, atrial tachycardia, supraventricular tachycardia, Wolff-Parkinson-White syndrome, ventricular tachycardia, and ventricular fibrillation. 3. Diagnosing arrhythmias requires understanding their clinical consequences, underlying

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    You are on page 1of 34

    Introduction Lecture on

    Arrhythmias
    Putra Antara
    EKG itu…
    GAMPANG !
    Introduction
    • Arrhythmia : a collective term to define rhythms
    other than the normal sinus rhythm

    • There’s more than 300 thousand deaths/year


    caused by Sudden Cardiac Death in the US

    • 86% is due to VT/VF


    Classification of dysrhythmias
    • Another term of Arrhythmia

    • Based on the speed:


    • Brady Arrhythmia (too slow)
    • Tachy Arrhythmia (too fast)
    Based on Origin
    • Supraventricular arrhythmias
    • Impulses formed above the his bundle bifurcation
    • ie : atrial flutter , atrial fibrillation

    • Ventricular arrhythmias
    • Impulses formed below the his bundle bifurcation
    • ie : ventricular tachycardia and ventricular
    fibrillation
    Based on Clinical Consequences
    1. Clinically significance but not life threatening
    a. Bradyarrhythmia
    • Second degree AV block
    • AF with slow ventricular response

    a. Tachyarrhythmia
    • Atrial flutter
    • Atrial fibrillation
    • Atrial Tachycardia
    • Supra Ventricular Tachycardia
    • Life threatening arrhythmias
    • Bradyarrhythmia
    • Sick sinus syndrome
    • Total AV block
    • Idioventricular rhythm

    • Tachyarrhthmia
    • VT
    • VF
    • WPW syndrome
    • Long QT syndrome
    • Brugada Syndrome
    In diagnosing arrhythmias

    • Know the clinical consequences


    • Know the underlying disease
    • Read the ECG quickly and accurately
    Atrial flutter
    • Uniform,cepat, saw tooth appearance, tidak ada interval
    isoelektrik antara gelombang F
    • Gelombang F paling jelas di II,III,aVF dan V1
    • Flutter rate biasanya 300 kali/’
    • Ventricular rate biasanya 150 x/’ dengan konduksi 2:1
    • Biasanya kompleks QRS normal
    Atrial fibrilasi
    • Atrial rate 400-700 x/’
    • Ireguler ventricular response
    Atrial Takikardi
    • Atrial rate 140-250 kali/’
    • Biasanya regular p-p
    Supra Ventrikular Takikardia (SVT)
    •Takikardi QRS sempit 170-250 permenit
    •Didahului oleh gelombang prematur atrium
    •Retrograde P mengikuti QRS (RP’) < P’R
    WPW syndrome
    • Short PR interval
    • Delta wave
    • Wide QRS complex
    • Perubahan arah ST segmen kebalikan dari delta wave
    Wolff Parkinson White Syndrome
    Ventricular Tachycardia (VT)
    Kriteria
    • Rate: tiga atau lebih irama ventrikel dengan nadi lebih dari
    100 kali/menit
    • Kompleks QRS memenuhi kriteria satu atau lebih:
    a. Durasi QRS ≥ 0,16 detik
    b. Gelombang R tinggi atau Rr’ di V1 (rabbit ear pattern)
    c. QS atau rS dengan S yang lebar dan dalam
    d. Concordance positif atau negatif V1-6
    e. Aksis ke kiri

    • Aktifitas atrium : disosiasi AV


    • Ventricular Fibrillation (VF)
    • Defleksi yang sangat cepat dan iregular. Defleksi
    dapat lebar dan kasar, atau sempit dan halus atau
    kombinasi keduanya.
    Long QT Syndrome (pria QTC n <0,44det,wanita<0,46det)
    QTc=QT+0,000175 (vent rate-60)

    a.Acquired long QT syndrome


    Akibat obat antiaritmia, obat psikotropik, hipokalemia,
    perdarahan subarachnoid
    b. Congenital Long QT syndrome
    Jervel-longe-nielsen dan Romano-Ward Syndrome

    Risiko terjadi torsade de pointes


    Test
    Latihan
    Latihan
    Latihan
    Latihan
    Latihan
    Latihan
    Latihan
    Latihan
    Latihan
    Latihan
    Latihan
    Latihan terakhir
    Thank you

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