7 STEP
41
Dr. Mohammad Yusuf Suseno, SpJP, FIHA MD from Diponegoro University in 1999 Cardiologist from Airlangga University in 2010 Basic Cardiac Intervention, Denpasar, Bali 2011 Cardiac Intervention Fellowship at Tam Duc Heart Hospital, Ho Chi Minh, Vietnam, 2012 Cardiac Intervention Fellowship at Soetomo Hospital Surabaya, 2012-2013 Worked as Cardiologist at Adi Husada Hospital Surabaya, 2010 Worked as Cardiologist at Margono Soekarjo Hospital Purwokerto, 2010-2011 Working as Cardiologist at Elisabeth Hospital Purwokerto. Working as Cardiologist at RS Wijayakusuma PWKT and RS Harapan Ibu Purbalingga Working as Cardiologist-Intervensionist at Telogorejo Hospital Semarang Contact : 087832484898 (WA/Line), [email protected] , dokterpenulis.com
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Transcript of 7 STEP
Dr. Mohammad Yusuf Suseno, SpJP, FIHA
MD from Diponegoro University in 1999Cardiologist from Airlangga University in 2010Basic Cardiac Intervention, Denpasar, Bali 2011Cardiac Intervention Fellowship at Tam Duc Heart Hospital, Ho Chi Minh,
Vietnam, 2012Cardiac Intervention Fellowship at Soetomo Hospital Surabaya, 2012-2013
Worked as Cardiologist at Adi Husada Hospital Surabaya, 2010Worked as Cardiologist at Margono Soekarjo Hospital Purwokerto, 2010-
2011Working as Cardiologist at Elisabeth Hospital Purwokerto.Working as Cardiologist at RS Wijayakusuma PWKT and RS Harapan Ibu
PurbalinggaWorking as Cardiologist-Intervensionist at Telogorejo Hospital Semarang
Contact :087832484898 (WA/Line), [email protected], dokterpenulis.com
7 Easy Step to Read ECG in Daily
PracticeM. Yusuf Suseno, SpJP, FIHA
Telogorejo Heart Centre, SMC Hospital, Semarang
7 Step :
•FIRST . What is the rhythm?
Normal Sinus 70 x/min
PVC
•PVC
PAC
PVC
SINUS, Tapi...
Atrial Fibrillasi
Atrial Flutter
SVT
Bukan SINUS...
VT
VFVT
Female 40 y.o dyspneu taking digoxin
Sinus Bradi 55x/min, PVC Bigemini
Woman 34 y.o palpitation, dyspneu.
AF Rapid Response 110-170 x/min
Male 60 yo, palpitation, BP 80/60
SVT 180x/min
Man 50 years old 80/50
VT
Junctional Escape Rhythm 55x/min
Man 70 years old, weakness
Man 60 years old, post trombolitik
Accelerated Ventricular Rhythm
7 Step :
•2. The RATE ?
7 Step : •3. How is The AXIS ?
• NORMAL : I positif , AVF positif
• LAD (deviasi axis ke kiri) : I positif, II dan aVF negatif.
• RAD (deviasi axis ke kanan) : I negatif, aVF positif.
• Superior : I negatif, aVF negatif
7 Step :
•4. PR Interval?
PR interval normal 3-5 kotak
Shortened : Pikirkan Preeksitasi Syndrome (WPW atau
LGL)
Prolonged PR Interval: Think about AV Block !
TextText
AV Block gr I
AV Block gr 2 Weckenbach
AV Block gr 2 Mobitz 2
TOTAL AV Block
45 y.o man, just check up.
Sinus, 80x/ min, WPW
16. Female, 60, post PCI 2 month ago, dizziness
Sinus 66 x/min, AV Block Grade 2 Mobitz type 1, artefak
7 Step :
•5. Any LBBB or RBBB?
Female 30 years old with congenital heart diseases
Sinus 80 x/min, PAC Trigemini, Complete RBBB
Female 70 y.o, post syncope.
Total AV Block, VER 50 x/min/Complete LBBB
7 Step : •6. Any Chamber
Enlargement?
Male 60 years old, dyspneu.
Total AV Block with Junctional Rhthm 50x/min, RAE, LAE
Woman, 34 years old, drug abuse.
Sinus Bradikardi with LVH and Anterior Ischemic
7 Step : •7. Any Coronary Heart
Disease?
Male 78 yo, abdominal discomfort, nausea
Sinus 70x/min, STEMI Inferior
Thank you for your attention.
I hope it helps.
