Aritmia - DoCuRi

Aritmia
Ahmad Handayani
Aritmia.

Merupakan keadaan dimana terdapat
irama jantung yang tidak memenuhi
kriteria irama yang normal (sinus ritme)
Faktor Pencetus
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

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Underlying cardiac disease
Penyakit jantung koroner
Penyakit jantung katup
Penyakit jantung hipertensi
Penyakit jantung bawaan
Pre excitation (short of PR interval)
Long QT (congenital or acquired)
Faktor pencetus
Obat-Obatan
 anti-aritmia
 sympathomimetic.
 B2 agonis, cocaine, anti depresants
(tricyclic), Aminophylline, caffeine.
- alcohol.

Faktor Pencetus
Metabolic abnormalities.
 Electrolyte (low  K, Na, Ca, Mg )
 Hypoximia, Hypercarbia.
 Acidosis
0 Endocrine abnormalities
-Thyrotoxicosis, Phaeochrocytoma.

Faktor pencetus
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Miscellaneous.
Febrile illness
Emotional stress
Smoking
Fatigue.
Arrhytmia
Tachyarrhyth
mia (rate
>100 x/min)
• QRS sempit
(<0.12 ms)
• QRS lebar
(>0.12 ms)
Bradyarrhytmi
a
(rate < 60
X/min)
• AV blok derajat
1, 2 & 3
• RBBB & LBBB
Diagnostic
Tachyarrhytmia

Lebar gel. QRS

Keteraturan gel. QRS
P wave ??
QRS complex
Teratur / tidak teratur ?
QRS complex
Sempit / lebar ?
P wave ?
Hubungan antara P and QRS ?
QRS sempit : Supraventricular
origin
Irama
QRS
QRS Lebar : Ventricular origin
QRS lebar
Irama
tidak teratur
Irama Teratur
Ventricular
Tachycardia
Ventricular
Fibrillation
VES (Ventricular extrasystole)-
VES couplet
VT-ventricular tachycardia
AF-atrial fibrillation, course P wave , RR interval irregular
ATRIAL FLUTTER
SVT
RR interval regular, P or T wave not identified
Atrial Fibrilasi
VT , wide qrs , fixed axis
VF, ventricular fibrillation, changed axis
VT
VT
VF
Bradyarrhytmia
(rate < 60 x/min)
Failure of impulse
formation
 Sinus Bradycardia
 Sick Sinus Syndrome
AV conduction
abnormalities
 1st and 2nd AV Block
 Total AV Block
 BBB (Bundle Branch
Block)
LBBB
LBBB
The
Deadly
Rhythms
VT
VF
VF
PEA
(Pulse less
Electrical
Activity)
A systole