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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.
Repolarization usually takes several milliseconds. [1] Repolarization is a stage of an action potential in which the cell experiences a decrease of voltage due to the efflux of potassium (K +) ions along its electrochemical gradient. This phase occurs after the cell reaches its highest voltage from depolarization.
Repolarization of the ventricle happens in the opposite direction of depolarization and is negative current, signifying the relaxation of the cardiac muscle of the ventricles. But this negative flow causes a positive T wave; although the cell becomes more negatively charged, the net effect is in the positive direction, and the ECG reports this ...
The P wave represents atrial depolarization. The QRS complex represents ventricular depolarization. The T wave represents ventricular repolarization. The U wave represents papillary muscle repolarization. Changes in the structure of the heart and its surroundings (including blood composition) change the patterns of these four entities.
Also, in comparison to the ventricular action potential, atrial action potentials have a more gradual repolarization period. This indicates that the atria's repolarization currents are not very large and they do not undergo a large repolarization peak.
Electrical waves track a systole (a contraction) of the heart. The end-point of the P wave depolarization is the start-point of the atrial stage of systole. The ventricular stage of systole begins at the R peak of the QRS wave complex; the T wave indicates the end of ventricular contraction, after which ventricular relaxation (ventricular diastole) begins.
During repolarization, voltage-gated sodium ion channels inactivate (different from the closed state) due to the now-depolarized membrane, and voltage-gated potassium channels activate (open). Both the inactivation of the sodium ion channels and the opening of the potassium ion channels act to repolarize the cell's membrane potential back to ...
Image of a myocardial action potential. Effective refractory period in green. In electrocardiography, during a cardiac cycle, once an action potential is initiated, there is a period of time that a new action potential cannot be initiated.
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