Ragil Nur Rosyadi

 Definition
 Normal ECG
 Abnormal ECG (non aritmia)
 Abnormal ECG (aritmia)
Electrical Activity Record in Atrial (P wave) and ventricle
(QRS complex)
 QRS complex = ventricular
depolarization
VENTRICULAR NECROSIS  NO R
T wave = ventricular
WAVE
Repolarization
VENTRICULAR ISCHEMIA 
P wave = atrial depolarization
ABNORMAL T WAVE OR ST
ABNORMAL ATRIAL  ABNORMAL P
SEGMENT
WAVE

Horizontal length describe electrical Amplitude/Height describe how much

conduction electrical produce by myocyte
LONGER  BLOCK HIGHER  MORE CELL PRODUCE
SHORTER  ACCESSORY PATHWAY ELECTRICITY/ENLARGEMENT
SHORTER  LESS CELL PRODUCE
ELECTRICITY
Rhytme
Normal ECG
AXIS
 
Sinus Rhytme 90 x/minutes normal axis Left ventricular Hypertrophy

 
RATE Abnormal ECG
 SINUS OR NOT
P Followed by QRS complex Except sinus. It could be no P
wave, abnormal or etc.

Go to arrhytmia chapter

 
 P?

qrs qrs qrs qrs

 p p p p


qrs qrs qrs

p p p

 P?
 300
R-R interval (Big
box)

8
 RATE (2)

10 x number of R wave in 6 seconds (30 big boxes)

9
60x/mnt


30 big boxes
6 R wave

75x/mnt
300
4 big boxes

80x/mnt
300
3,5 big boxes

150x/mnt
300
2 big boxes
 I

II III
 Asses
- P,QRS,T wave
AB - Interval : PR, QRS, QT
- ST segment

P WAVE = atrial
depolarization
Height 2.5 box
Length 2.5 box

PR interval
3-5 box
P WAVE
QRS COMPLEX
QRS complex =
vent depol
Length < 2.5 box

V1-2 = RV
V3-4 = SEPTAL
V5-6 = LV
QRS COMPLEX
R WAVE PROGRESSION
 T WAVE

T wave = vent repol

ST SEGMENT
Irama sinus 75x/menit, axis frontal normal, axis horizontal lawan
arah jarum jam, normal
Irama sinus 90x/menit, axis frontal normal, axis horizontal lawan
arah jarum jam, normal
Irama sinus bradikardi 55x/menit, axis frontal normal, axis
horizontal lawan arah jarum jam, abnormal
Irama sinus bradikardi 55x/menit, axis frontal normal, axis
horizontal lawan arah jarum jam, abnormal
Irama sinus 80x/menit, axis frontal normal, axis horizontal lawan
arah jarum jam, abnormal