3.Pendrik Tandean-Interpretasi EKG

7/24/2019 3.Pendrik Tandean-Interpretasi EKG

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INTERPRETASIINTERPRETASIELEKTROKARDIOGRAFIELEKTROKARDIOGRAFI

PENDRIK TANDEANPENDRIK TANDEAN

CARDIAC CENTRECARDIAC CENTRE

RS. WAHIDIN SUDIROHUSODO MAKASSARRS. WAHIDIN SUDIROHUSODO MAKASSAR


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Chest LeadsChest Leads6 Unipolar leads6 Uni

polar leads

Also known as pe!od"al leadsAlso known as pe!od"al leadsV1, V2, V, V!, V" and V6V1, V2, V, V!, V" and V6 # all pos"t"$e# all pos"t"$e


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At"al depola"%at"on& P#wa$eAt"al depola"%at"on& P#wa$e


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'ent"!(la depola"%at"on& )'ent"!(la depola"%at"on& )


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'ent"!(la depola"%at"on& R'ent"!(la depola"%at"on& R


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'ent"!(la depola"%at"on& S'ent"!(la depola"%at"on& S


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'ent"!(la epola"%at"on& T'ent"!(la epola"%at"on& T


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EC* + d"pole ,o$e,entEC* + d"pole ,o$e,ent


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R"-ht s"ded !hest leads ae ,(!h ,oe sens"t"$e to the pesen!e o "-htR"-ht s"ded !hest leads ae ,(!h ,oe sens"t"$e to the pesen!e o "-ht

$ent"!(la "na!t"on. The ,ost (se(l lead "s lead '/R 0an ele!tode "s pla!e$ent"!(la "na!t"on. The ,ost (se(l lead "s lead '/R 0an ele!tode "s pla!e

o$e the "-ht "th "nte!ostal spa!e "n the ,"d#!la$"!(la l"ne1.o$e the "-ht "th "nte!ostal spa!e "n the ,"d#!la$"!(la l"ne1.
http://www.bmj.com/content/vol324/issue7341/images/large/ecg08.f8b.jpeghttp://www.bmj.com/content/vol324/issue7341/images/large/ecg08.f8b.jpeghttp://www.bmj.com/content/vol324/issue7341/images/large/ecg08.f8b.jpeghttp://www.bmj.com/content/vol324/issue7341/images/large/ecg08.f8b.jpeg


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E#G dia$nosisE#G dia$nosis


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A",sA",s

1% E#G r&les1% E#G r&les

E#G si$ns o' ()I)E#G si$ns o' ()I)

E*ol&+ion o' -an$es in ()I)E*ol&+ion o' -an$es in ()I)

#lassial Appearenes#lassial Appearenes


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)RS wa$eo, no,en!lat(e)RS wa$eo, no,en!lat(e

R r .R .Rs /rs /S

/r Rs rS .s rSr0 rSR0


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The 23 (les o a no,al EC*The 23 (les o a no,al EC*

I II III aVR aVL aVF V1 V2 V V! V" V6

.4


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R(le 2R(le 2

PRin+er*al

(illi*ol+s

(illiseonds

% 2%% !%% 6%%

%)"

%

%)"

1)%

P

R

T

/

S

PR in+er*al s-o&ld

e 12% +o 2%%3illiseonds or +o

" li++le s.&ares


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R(le 4R(le 4

(illi*ol+s

(illiseonds

% 2%% !%% 6%%

%)"

%

%)"

1)%

/RS

P

R

T

/

S

T-e 4id+- o' +-e

/RS o3ple5s-o&ld no+ e5eed

11% 3s, less +-an

li++le s.&ares


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R(le 5R(le 5

I II III aVR aVL aVF

T-e /RS

o3ple5 s-o&ld

e do3inan+l&pri$-+ in leads I

and II


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R(le /R(le /

I II III aVR aVL aVF

/RS and T 4a*es

+end +o -a*e +-esa3e $eneral

dire+ion in +-e li3

leads


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R(le 6R(le 6

P

/

T

S

All 4a*es are

ne$a+i*e in lead aVR


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R(le 7R(le 7

V1V

2

VV!

V"V6

T-e R 4a*e in +-e preordial leads 3&s+ $ro4 'ro3 V1 +o a+

leas+ V!


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R(le 8R(le 8

T-e ST se$3en+ s-o&ld s+ar+ isoele+ri e5ep+ in V1

and V2 4-ere i+ 3a e ele*a+ed


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R(le 9R(le 9


T-e P 4a*es s-o&ld e &pri$-+ in I, II, and V2 +o V6


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R(le :R(le :


T-ere s-o&ld e no / 4a*e or onl a s3all . less

+-an %)%! seonds in 4id+- in I, II, V2 +o V6


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R(le 23R(le 23


T-e T 4a*e 3&s+ e &pri$-+ in I, II, V2 +o V6


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3.Pendrik Tandean-Interpretasi EKG

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