Very Fast Tachycardia: What is the mechanism?

  • Yoga Yuniadi Departemen Kardiologi dan Kedokteran Vaskuler Fakultas Kedokteran Universitas Indonesia, dan Pusat Jantung Nasional Harapan Kita, Jakarta
DOI: https://doi.org/10.30701/ijc.v33i2.64

Abstract

Seorang pria umur 59 tahun datang ke UGD Pusat Jantung Nasional Harapan Kita dengan keluhan berdebar sangat cepat disertai rasa sesak dan nyeri dada. Keluhan ini sudah dirasakan sejak 1 jam sebelum masuk rumah sakit. Pemeriksaan fisik terlihat keadaan umum sakit sedang tanpa tanda hipoperfusi.
Tekanan darah 105/87 mmHg dengan denyut nadi sulit dihitung karena terlalu cepat. Pemeriksaan laboratorium dalam batas normal kecuali Rekaman EKG di UGD ditampilkan sebagai Gambar 1. Suatu takikardia QRS sempit regular dengan gambaran gelombang P di belakang kompleks QRS dapat merupakan suatu atrioventricular reciprocating tachycardia (AVRT), atrial takikardia/atrial flutter, atau atipikal atrioventricular node reentrant tachycardia (AVNRT). Bagaimana membedakan antara ketiga ke-mungkinan supraventrikular aritmia tersebut?

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References

Tan JL, Teo WS. Atrial flutter with 1:1 conduction. Heart. 2002; 88: 414.

Turitto G, Akhrass P, Leonardi M, Saponieri C, Sette A, El-Sherif N. Atrial flutter with spontaneous 1:1 atrioventricular conduction in adults: an uncommon but frequently missed cause for syncope/presyncope. Pacing Clin Electrophysiol. 2009; 32: 82-90
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How to Cite
Yuniadi, Y. (1). Very Fast Tachycardia: What is the mechanism?. Indonesian Journal of Cardiology, 33(2), 132-4. https://doi.org/10.30701/ijc.v33i2.64
Issue
Vol. 33, No. 2 April - Juni 2012
Section
Forum Aritmia

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