Takikardia QRS lebar dengan hemodinamik tidak stabil
Abstract
Kasus
Seorang laki-laki, 56 tahun datang ke UGD RS daerah di Jawa Tengah dengan keluhan lemas yang sudah dirasakan sejak seminggu sebelum masuk RS. Pasien juga mengeluh berdebar dan muntah-muntah. PPemeriksaan fisik didapatkan TD 90/60, RR 24 kpm dengan laju nadi sulit dihitung karena terlalu cepat. Tanda fisik lain tidak menonjol kecuali terdapat edema di kedua tungkai. Rekaman EKG diperlihatkan pada gambar 1. Bagaimana bersikap terhadap keadaan klinis pasien ini?
Gambar 1. Rekaman EKG 12 sadapan. Takikardia QRS lebar dengan gelombang P bebas (anak panah)
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References
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Calkins H, Camm AJ, Campbell WB, Haines DE, Kuck KH, Lerman BB, Miller DD, Shaeffer CW, Stevenson WG, Tomaselli GF, Antman EM, Smith SC Jr, Alpert JS, Faxon DP, Fuster V, Gibbons RJ, Gregoratos G, Hiratzka LF, Hunt SA, Jacobs AK, Russell RO Jr, Priori SG, Blanc JJ, Budaj A, Burgos EF, Cowie M, Deckers JW, Garcia MA, Klein WW, Lekakis J, Lindahl B, Mazzotta G, Morais JC, Oto A, Smiseth O, and Trappe HJ. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias----executive summary. a report of the American college of cardiology/American heart association task force on practice guidelines and the European society of cardiology committee for practice guidelines (writing committee to develop guidelines for the management of patients with supraventricular arrhythmias) developed in collaboration with NASPE-Heart Rhythm Society. J Am Coll Cardiol 2003 Oct 15; 42(8) 1493-531.
Brugada P, Brugada J, Mont L, Smeets J, and Andries EW. A
new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation 1991 May; 83(5) 1649-59.
Published
2014-03-04
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How to Cite
Yuniadi, Y. (2014). Takikardia QRS lebar dengan hemodinamik tidak stabil. Indonesian Journal of Cardiology, 34(2), 142-4. https://doi.org/10.30701/ijc.v34i2.333
Section
Forum Aritmia
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