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By convention, the term "normal sinus rhythm" is taken to imply that not only are the P waves (reflecting activity of the sinus node itself) normal in morphology but that all other ECG measurements are also normal. [3] [5] Criteria therefore include: Normal heart rate (classically 60 to 100 beats per minute for an adult).
Normal variation causing LAD is an age-related physiologic change. Conduction defects such as left bundle branch block or left anterior fascicular block can cause LAD on the ECG. Pre-excitation syndrome as well as congenital heart diseases such as atrial septal defect, endocardial cushion defects can also cause LAD on ECG.
In normal resting hearts, the physiologic rhythm of the heart is normal sinus rhythm (NSR). Normal sinus rhythm produces the prototypical pattern of P wave, QRS complex, and T wave. Generally, deviation from normal sinus rhythm is considered a cardiac arrhythmia. Thus, the first question in interpreting an ECG is whether or not there is a sinus ...
Firstly, more muscle mass will result in greater amplitude of depolarisation of that side of the heart. [15] Secondly, depolarisation of the heart will be slower through the right ventricle relative to the left, and therefore the effects of the right ventricle on the axis of the heart will be dominant.
Schematic representation of a normal sinus rhythm ECG wave. Diagram showing how the polarity of the QRS complex in leads I, II, and III can be used to estimate the heart's electrical axis in the frontal plane. The QRS complex is the combination of three of the graphical deflections seen on a typical electrocardiogram (ECG or EKG). It is usually ...
Normal P wave, shown in darker red Diagram demonstrating features of a normal sinus rhythm electrocardiogram wave. In cardiology, the P wave on an electrocardiogram (ECG) represents atrial depolarization, which results in atrial contraction, or atrial systole.
Sinus bradycardia is a sinus rhythm with a reduced rate of electrical discharge from the sinoatrial node, resulting in a bradycardia, a heart rate that is lower than the normal range (60–100 beats per minute for adult humans). [1] [2]
In normal adults, T wave inversions from V2 to V3 are less commonly found but can be normal. [4] The depth of the T wave also becomes progressively shallow from one to the next lead. [ 5 ] The height of the T wave should not exceed 5 mm in limb leads and more than 10 mm in precordial leads.
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