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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.
Normal heart rate (classically 60 to 100 beats per minute for an adult). Regular rhythm, with less than 0.16-second variation in the shortest and longest durations between successive P waves; The sinus node should pace the heart – therefore, P waves must be round, all the same shape, and present before every QRS complex in a ratio of 1:1.
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 rhythm.
Schematic representation of a normal sinus rhythm EKG wave. In electrocardiography, the PR interval is the period, measured in milliseconds, that extends from the beginning of the P wave (the onset of atrial depolarization) until the beginning of the QRS complex (the onset of ventricular depolarization); it is normally between 120 and 200 ms in duration.
A P wave (primary wave or pressure wave) is one of the two main types of elastic body waves, called seismic waves in seismology. P waves travel faster than other seismic waves and hence are the first signal from an earthquake to arrive at any affected location or at a seismograph. P waves may be transmitted through gases, liquids, or solids.
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 ...
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 ...
A wandering atrial pacemaker can be either normal or irregular in rate, much like a sinus arrhythmia the rate is normally between 60 - 100 bpm when it is normal and less than 60 when it is slow, the distinguishing feature of this rhythm is a p wave that varies in size, shape, and direction, the PR interval can either be normal or irregular ...