NORMAL ECG

&
ARRHYTHMIA
Designations of different QRS patterns
 5 kotak kecil
= 1 kotak sedang
= 0.2 detik Paper speed : 25 mm/second
1 kotak kecil
= 0.04 detik

5 kotak sedang
= 1 kotak besar
= 1 detik
MENGHITUNG LAJU JANTUNG

A. Jarak R – R :
- 1 kotak sedang = 300 x / menit
- 2 kotak sedang = 150 x / menit
- 3 kotak sedang = 100 x / menit
- 4 kotak sedang = 75 x / menit
- 5kotak sedang = 60 x / menit
- 6 kotak sedang = 50 x / menit

B. Hitung jumlah R- R dalam 6 kotak besar = 6 detik

Jumlah R x 10 = heart rate / menit

C. 1500 / jarak R-R ( dlm mm ) = heart rate / menit

 Causes of Cardiac Arrhythmias

Disturbed automaticity : this may involved a speeding up or

slowing down of areas of automaticity such as the sinus
node, the atrioventricular (AV) node, or the myocardium.
Abnormal beats (depolarizations) may arise through this
mechanism from the atria, the AV junction, or the ventricles.
Disturbed conduction : conduction may be either too rapid (as
in Wolff- Parkinson-White syndrome) or too slow (as in AV
block)
Combinations of disturbed automaticity and disturbed
conduction
 HOW TO READ ECG RHYTHM IN ACLS

QRS Complex ? -Asystole

-V F
(-)
(+)

Fast / Slow ? -Takikardia/

-Bradicardia

-Wide ? (Ventricular ? )
Wide / Narrow complex
(Consult the expert is advice )

-Narrow ? (Supra ventricular)

(Consult the expert is considered)
 Irregular : A fib, A flutter, MAT,
QRS regular /irregular ?
AF + WPW, multifocal VT,

P wave ? Normal / abnormal P wave ?

P wave and QRS complex -1 “P” followed by 1 “QRS” ? /

Connection ? more “P” than ”QRS”
-Appropriate distance between
P wave and QRS complex
Sinus Rhythm
Supraventricular Tachycardia
Atrial Fibrillation
Ventricular tachycardia
Ventricular fibrillation
 Thank You
See You in Skill Station
Atrial Flutter
Junctional Rhythm
VES
 VES VES

SR SR
SR SR SR SR

Sinus rhythm with multifocal VES

Sinus rhythm with VES couplet
Sinus rhythm with VES, R on T
Torsades de pointes
First-degree AV block
Second-degree AV block type 1
Second-degree AV block type 2
 QRS QRS QRS

P P P P P P P

Third-degree AV block / Total AV block

SELESAI