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Agus Harsoyo, MD
Clinical Cardiac Electrophysiologist and Device Implantable
Cardiology Intervensionist
02/23/15
02/23/15
02/23/15
Depolarization and
Repolarization
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Depolarization and
Repolarization
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02/23/15
Depolarization
Repolarization
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and
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Electromechanical coupling
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10
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Plane view
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Einthovens Triangel
Unipolar Lead I, II, III
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Einthovens Triangel
Unipolar Lead I, II, III
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16
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: RIGHT HAND
: LEFT HAND
: LEFT FOOT
: RIGHT FOOT
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Lead perspective
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Lead perspective
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Normal standarization
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Calibration signal
LB = 5 MB
MB
= 5 SB
SB
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Interval
and
Amplitude
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Transitional zone
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Transitional zone
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Configuration QRS
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Configuration QRS
qRS
rS
RS
qRs
Rs
QS
QRr
rs
rSR
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Configuration QRS
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Intrinsicoid deflection
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HR Determination
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HR Determination
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Determination QT Interval
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Direction of Depolarization
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Direction of Vector
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Two Quadrant
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Vector Determination
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Vector Direction
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Normal Axis
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INTERPRETASI EKG
1. Monitor :
Sinus :
( >< Aritmia )
1 gel P + 1 QRS kompl
PR Interval N (<5 kotak kecil, <20 det)
angka / rate : > 100 ST
60 100 SR
60 SB
interaksi keseluruhan n
2. Rekaman 12 lead EKG, contigous lead II-III-avF ; IAvI-V5-V6; V1V2V3V4; V7V8V9;V1RV2RV3RV4R;
3. Irama dasar, HR, Aksis, Pwave, PRint, QRS dur, QT
int, ST segmen, T wave, irama tambahan -->
Kesimpulan
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57
read EKG
Kalibrasi, Irama, Hr, gel p, pr int, aksis, qrs kompl,
Contoh :
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The end
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Arrhythmia
Agus Harsoyo, MD
Clinical Cardiac Electrophysiologist and Device Implantable
Cardiology Intervensionist
2013
62
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Pacemaker sites
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65
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SB, SR, ST
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Sinus arrhytmia
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Atrial Flutter
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Atrial Fibrilation
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Ves multifocal
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Ventricular Parasystole
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Ves R on T
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Ventricle Tachycardi
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Ventricle fibrilation
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VT Torsade de pointes
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The end
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Heart block
Agus Harsoyo, MD
Clinical Cardiac Electrophysiologist and Device Implantable
Cardiology Intervensionist
2013
90
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91
1st AV Block
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Pr int constans
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3rd AV Block
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Intraventricular Block
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The end
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Agus Harsoyo, MD
Clinical Cardiac Electrophysiologist and Device Implantable
Cardiology Intervensionist
2013
104
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Q infarction
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Location of AMI
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Evolution AMI
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Non Q Q AMI
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Atrial ami
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The end
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113
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114
Agus Harsoyo, MD
Clinical Cardiac Electrophysiology and Device Implantable
Cardiology Intervensionist
2013
115
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116
LAE
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RAE
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LVH
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RVH
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The end
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123
Agus Harsoyo, MD
Clinical Cardiac Electrophysiology and Device Implantable
Cardiology Intervensionist
2013
124
Digoxin effect
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125
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126
Electrolyte imbalance
hyperkalemia
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127
Electrolyte imbalance
hypokalemia
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hypotermia
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pericarditis
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Early repolarization
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Lv aneurisms
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Pulmonary embolism
136
copd
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Reentry mechanism
antegrade, retrograde
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Preexcitation
WPW syndrome
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Preexcitation
LGL syndrome
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Pacemaker pattern
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The end
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