Nama : Faizal Rachmadi

NIM : 1111103000020 (PSPD 2011)

Tugas : Interpretasi EKG

1. Laki-laki 61 tahun dengan nyeri epigastrium 3 jam yang lalu.

Irama : Sinus

QRS Rate : 100 X/menit

Axis : Left Axis Deviation

Segmen ST : ST elevasi Lead II, Lead III, dan AVF

LVH : Left Ventricular Hypertrophy

Kesan : Inferior ST-segment elevation myocardial infarction on ECG

2. A 67 year-old man presented to the emergency department with chest pain, reporting
that he had felt well until 10 days before presentation, when nausea, bloating and
epigastric pain developed.
Irama : Sinus tachycardia

Kesan : sinus tachycardia, low limb-lead voltage, left atrial enlargement, septal Q waves,
poor R-wave flattening

3. A 25 year-old man presents with pleuritic pain in the left side of the chest of 3 hours’
duration, radiating to the left trapezius ridge and relieved by sitting forward. (Acute
Pricarditis)

Irama : Sinus

Kesan : ST Segment Elevation in all lead. PR Segment depression in lead II.

 4. Paroxysmal Supraventricular Tachycardia (PSVT): tanda klinispalpitations,
dizziness, lightheadedness or anxiety

Irama : Sinus Tachycardia

QRS Rate :150- 250 X/menit

Axis : NormoAxis

P Wave : Frequently buried in preceding T waves and difficult to see

PR Interval : Usually not possible to measure

QRS Wave : Normal

Kesan : Paroxysmal Supraventricular Tachycardia (PSVT)

 5. Atrioventricular (AV) Block
Irama : Sinus Reguler

QRS Rate : 75 X/menit (Normal)

P Wave : Normal (upright and uniform)

PR Interval : Prolonged (>0.20 sec)

Kesan : Atrioventricular (AV) Block

 6. Left Bundle Branch Block

Kesan : QRS complex greater than 0.10 sec. QRS predominantly negative in leads V1 and
V2. QRS predominantly positive in V5 and V6 and often notched. Absence of small, normal
Q waves in I, aVL, V5, and V6. Wide monophasic R waves in I, aVL, V1, V5, and V6.

Klinis Patients may have underlying heart disease, including coronary artery disease,
hypertension, cardiomyopathy, and ischemia.
 7. Right Bundle Branch Block

Kesan : QRS complex greater than 0.10 sec. QRS axis normal or deviated to the right. Broad
S wave in leads I, aVL, V5, and V6. RSR' pattern in lead V1with R' taller than R. qRS pattern
in V5and V6. ST segment to T wave distorted and in opposite direction to terminal portion of
QRS (this is not ST elevation or ST depression).

Tanda Klinis: Patients may have underlying right ventricular hypertrophy, pulmonary edema,
cardiomyopathy, congenital heart disease, or rheumatic heart disease.
 8. Atrial Fibrilation

Rate: Atrial >350 bpm,

Ventricular 88–115 bpm

Rhythm: Irregular

P Waves: None

PR Interval: None

QRS: 0.12 sec

 9. Sinus Bradycardia With A Bundle Branch Block

Rate: 41 bpm

Rhythm: Reguler

P Waves: Normal

PR interval: 0.20 sec

QRS: 0.24 sec

10. Sinus Rhythm with ST Segment Elevation

Rate : 88 bpm

Rhythm : Reguler
P Waves: Normal

PR interval: 0.12 sec

QRS: 0.12 sec

Interpretasi: Sinues rhythm with ST Segment elevation

DAFTAR PUSTAKA

1. M.Liao J, Stewart GC, Padera RF, Miller AL, Loscalzo J. A curious case of chest
pain. The New England Journal of Medicine. NEJM.ORG: November 7, 2013.
2. Jones SA. ECG Notes Interpretation and management guide 2 edition. Philadelphia:
2010.
3. Lilly LS. Pathophysiology of heart disease fifth edition. Philadelphia:2011
4. (www.nejm.org/doi/full/10.1056/NEJMc1506103)
5. LeWinter MM. Acute Pericarditis. The New England Journal of Medicine.
NEJM.ORG: Desember 18, 2014.
6. Sudoyo AW. Buku ajar Ilmu penyakit dalam. Jakarta: 2009