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The Prime TM ECG electrocardiac mapping system (Source: Meridien Medical Technologies, Inc)
Penempatan Leads
Lead = Kamera
lead berfungsi seperti kamera yang melakukan monitor aktivitas listrik jantung dari berbagai sudut.
Segitiga Einthovent
Sandapan ekstrimitas Bipolar dan Unipolar
aVR
I
aVL
II
III
aVF
Aliran listrik
Menentukan Irama
Lihat gelombang P di lead II, dan aVR. Irama Sinus, jika : Lead II : defleksi positif. Lead aVR : defleksi negatif.
II
Lead II
Atrial Flutter
Left Axis
180 I
Right Axis
Normal Axis
Normal : -30 - + 120 LAD : < -30 RAD : > 120 Superior Axis : >180
90
aVF
V1
V2
V3
V4
V5
V6
Counter Clockwise
P mitral
RBBB
RSR pattern at V6
RSR pattern at V1
Ventrikular Takikardia
Non-Sustained VT
Karakteristik : Rate QRS > 120 x/ menit QRS kompleks lebar VES > 3 berturutan
Karakteristik : Gelombang QRS lebar > 190 x/mnt Diikuti Gelombang kacau (chaotic rhythm)
Ventrikular Bigemini
Torsade de Pointes
Karakteristik : Takikardia dengan QRS lebar Rate : >270 x/ menit Variasi aksis QRS
AV blok derajat 2
Mobitz Type 1 Mobitz Type 2
MOBITZ TYPE I
-Almost always occurs at the level of the AV node (rarely at His bundle or bundle branch level), & is often due to increased parasympathetic tone or to drug effect (Dig, Prop, Verap.) -Specific treatment is rarely needed unless severe signs & symptoms are present. Find the underlying causes.
MOBITZ TYPE II
PR interval does not lengthen b4 a drop beat - Occurs below the level of the AV Node either at the bundle of His (uncommon), or the bundle branches (common) - Usually associated with an organic lesion in the conduction pathway, - Rarely the result of increased parasympathetic tone or drug effect
Sinus arrest