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.1 mv paper
Voltage
.5 mv
By examining the R
different leads, and the
shape, time intervals, PR ST
contour, frequency, and segment segment T
type of the ECG
complexes, we can,
among other things, P
diagnose cardiac U
illnesses, suggest
whether or not the heart
is receiving enough Q
oxygen, determine if the
person has suffered a
S
heart attack, and get an
idea as to the size and .12 - .20 <.10 .35 - .45
sec sec sec
performance of the main
pumping chamber (left
ventricle) PR QRS QT
interval width interval
ECG Electrode Placement
Exercise Configuration
The right & left arm
electrodes are transferred
Standard Configuration to the upper torso while Standard Configuration
Right Arm (white) the leg electrodes are Right Leg (green - ground)
transferred to the lower
Left Arm (black) torso Left Leg (red)
Precordial
Leads
V1 V2
V3
V4 V5 V6
Pola Membaca EKG
Irama
Rate QRS
Aksis QRS
Morfologi Gelombang P
Interval PR
Durasi QRS
Morfologi QRS
Deviasi Segmen ST
Morfologi Gelombang T
Morfologi Gelombang U
Lain-lain (LVH,LV Strain,BBB,
QT interval) Nilai Normal :
Kesimpulan EKG Interval PR 0,12 s/d 0,20
Durasi QRS 0,04 s/d 0,12
Aksis Normal - 300 s/d + 1100
Normal Sinus Rhythm
Rhythm : Regular
Rate : 60 100
P wave : Normal in configuration; precede each QRS
PR : Normal ( 0. 12 0.20 seconds )
QRS : Normal ( less than 0.12 seconds )
2. RHYTHM
Pacemaking &
Conduction System
Macroreentry Microreentry
Rhythm : Regular
Rate : Usually normal
P wave : Sinus P wave present; one P wave to each QRS
PR : Prolonged ( greater than 0.20 seconds )
QRS : Normal
Second -degree AV block, Mobitz I
Rhythm : Irregular
Rate : Usually slow but can be normal
P wave : Sinus P wave present;
some not followed by QRS complexes
PR : Progressively lengthens
QRS : Normal
Second-degree AV block, Mobitz II
Rhythm : Regular
Rate : 40 60 if block in His bundle;
30 40 if block involves bundle branches
P wave : Sinus P wave present; bear no relationship to QRS;
can be found hidden in QRS complexes and T waves
PR : Varies greatly
QRS : Normal if block in His bundle;
wide if block involves bundle branches
DISCUSSION
Sinus arrhythmia
Early repolarization
Subendocardial ischemia.
Anterolateral ST-segment depression
Unstable angina
acute anterolateral myocardial infarction
Lateral myocardial infarction
Right ventricular infarction
Acute inferoposterior myocardial infarction
Mobitz I
Wolff-Parkinson-White syndrome
Wolff-Parkinson-White syndrome
Atrial fibrillation
Atrial flutter
premature ventricular contraction
Wide complex tachycardia
Supraventricular tachycardia
Ventricular flutter
Idioventricular rhythm
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