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  2. P wave (electrocardiography) - Wikipedia

    en.wikipedia.org/wiki/P_wave_(electrocardiography)

    The P wave is a summation wave generated by the depolarization front as it transits the atria. Normally the right atrium depolarizes slightly earlier than left atrium since the depolarization wave originates in the sinoatrial node, in the high right atrium and then travels to and through the left atrium.

  3. Junctional rhythm - Wikipedia

    en.wikipedia.org/wiki/Junctional_rhythm

    If the P wave is hidden that implies the atria depolarize at the same time as the ventricles. 2. There are inverted P waves prior to the QRS complex. This is because of retrograde flow to the atria causing depolarization prior to the ventricular contraction. Since the depolarization is occurring in the opposite direction, the P wave deflection ...

  4. Electrocardiography - Wikipedia

    en.wikipedia.org/wiki/Electrocardiography

    A criterion for sinus rhythm is that P waves and QRS complexes appear 1-to-1, thus implying that the P wave causes the QRS complex. [51] Once sinus rhythm is established, or not, the second question is the rate. For a sinus rhythm, this is either the rate of P waves or QRS complexes since they are 1-to-1.

  5. Cardiac conduction system - Wikipedia

    en.wikipedia.org/wiki/Cardiac_conduction_system

    Different wave shapes generated by different parts of the heart's action potential The ECG complex. P=P wave, PR=PR interval, QRS=QRS complex, QT=QT interval, ST=ST segment, T=T wave Principle of ECG formation. The red lines represent the depolarization wave, not bloodflow. An electrocardiogram is a recording of the electrical activity of the ...

  6. Wandering atrial pacemaker - Wikipedia

    en.wikipedia.org/wiki/Wandering_atrial_pacemaker

    To make the diagnosis, there must be at least 3 different P-wave morphologies in a single ECG lead due to the shifting of the pacemaker in the atria. [1] This is different from normal sinus rhythm where one will see the same P-wave morphology through the same lead because each beat is started from the SA node. The P-wave is normally upright or ...

  7. Sinus rhythm - Wikipedia

    en.wikipedia.org/wiki/Sinus_rhythm

    In humans, for an ECG to be described as showing a sinus rhythm, the shape of the P wave in each of the 12 standard ECG leads should be consistent with a "typical P vector" of +50° to +80°. [2] This means that the P wave should be: always positive in lead I, lead II, and aVF; always negative in lead aVR

  8. Ectopic pacemaker - Wikipedia

    en.wikipedia.org/wiki/Ectopic_pacemaker

    On an ECG, the QRS complex will be abnormally shaped when looking at ventricular ectopic activity, often it occurs earlier with an absent P wave. It can be perceived as a skipped beat on both the ECG and through normal pulse-taking. [12] During atrial ectopic activity where the P wave is normally rounded can be inverted or peaked.

  9. Junctional tachycardia - Wikipedia

    en.wikipedia.org/wiki/Junctional_tachycardia

    On an EKG, junctional tachycardia exhibits the following classic criteria: [2] P-Waves: The p-wave may be inverted in leads II, III and aVF or may not be visible; Narrow QRS complexes (which is consistent with arrhythmias that conduct through the ventricles using the His-Purkinje system and often originate from the atria or AV junction.)