Diagnosis Fibrilasi Ventrikel

Oleh :

dr. Michael Sintong Halomoan

Diagnosis fibrilasi ventrikel atau ventricular fibrillation utamanya dikonfirmasi menggunakan elektrokardiogram (EKG). Pada EKG, fibrilasi ventrikel terlihat sebagai aktivitas listrik yang sangat kacau dan tidak teratur di ventrikel. Pemeriksaan penunjang lain seperti analisis elektrolit dan tes enzim jantung juga dapat diperlukan untuk menilai kemungkinan penyebab dan komplikasi terkait.[1-4]

Anamnesis

Pasien dengan fibrilasi ventrikel akan datang dengan penurunan kesadaran, oleh karena itu, anamnesis kepada pendamping pasien hanya dilakukan setelah pasien dalam keadaan stabil.[1-5,16,17]

Gejala

Referensi

1. Zeppenfeld K, Tfelt-Hansen J, De Riva M, et al. 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: Developed by the task force for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death of the European Society of Cardiology (ESC) Endorsed by the Association for European Paediatric and Congenital Cardiology (AEPC). European heart journal. 2022 Oct 21;43(40):3997-4126.
2. Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Journal of the American College of Cardiology. 2018 Oct 2;72(14):e91-220.
3. Ludhwani D, Goyal A, Jagtap M. Ventricular Fibrillation. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. https://www.ncbi.nlm.nih.gov/books/NBK537120/
4. Goyal SK. Ventricular Fibrillation. Medscape. 2018. https://emedicine.medscape.com/article/158712-overview
5. Marill KA. Ventricular Fibrillation in Emergency Medicine. Medscape. 2021. https://emedicine.medscape.com/article/760832-overview
16. Panchal AR, Bartos JA, Cabañas JG, et al. Part 3: adult basic and advanced life support: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2020 Oct 20;142(16_Suppl_2):S366-468.
17. Szabó Z, Ujvárosy D, Ötvös T, et al. Handling of ventricular fibrillation in the emergency setting. Frontiers in pharmacology. 2020 Jan 29;10:1640.
18. Oliver TI, Sadiq U, Grossman SA. Pulseless Electrical Activity. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. https://www.ncbi.nlm.nih.gov/books/NBK513349/
19. Foth C, Gangwani MK, Ahmed I, et al. Ventricular Tachycardia. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. https://www.ncbi.nlm.nih.gov/books/NBK532954/
20. Gangwani MK, Nagalli S. Idioventricular Rhythm. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. https://www.ncbi.nlm.nih.gov/books/NBK554520/
21. Patti L, Ashurst JV. Supraventricular Tachycardia. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. https://www.ncbi.nlm.nih.gov/books/NBK441972/
22. Levy D, Goyal A, Grigorova Y, et al. Aortic Dissection. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. https://www.ncbi.nlm.nih.gov/books/NBK441963/
23. Vyas V, Goyal A. Acute Pulmonary Embolism. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. https://www.ncbi.nlm.nih.gov/books/NBK560551/

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