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  2. The P-wave is always positive in lead II during sinus rhythm. This is rather easy to understand because lead II is angled alongside the P-wave vector, and the exploring electrode is located in front of the P-wave vector (Figure 2, right-hand side). The P-wave vector is slightly curved in the horizontal plane.

  3. en.my-ekg.com › basic-principles › p-waveThe P Wave - My EKG

    The P wave is the first deflection of the cardiac cycle seen on an EKG. It represents the electrical activity associated with atrial depolarization. The normal P wave is a low amplitude, vertical, rounded wave, resembling a gentle hill, which is continued immediately from the QRS complex.

  4. Jan 29, 2022 · The P wave is the first positive deflection on the ECG and represents atrial depolarisation. Atrial abnormalities are most easily seen in the inferior leads (II, III and aVF) and lead V1, as the P waves are most prominent in these leads. The Atrial Waveform – Relationship to the P wave. However, in lead V1 the right and left atrial waveforms ...

  5. Feb 15, 2021 · Absence of P Waves. A lack of visible P waves preceding QRS complexes suggests a lack of sinus beats; this may occur with sinus dysfunction or in the presence of fibrillation or flutter waves. The P wave may also be hidden within the QRS complex. Atria. Ventricles.

  6. 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. The depolarization front is carried ...

  7. Jul 24, 2023 · The P wave and PR segment is an integral part of an electrocardiogram (ECG). It represents the electrical depolarization of the atria of the heart. It is typically a small positive deflection from the isoelectric baseline that occurs just before the QRS complex. It can sometimes have abnormalities in morphology or timing that can be indicative of significant clinical pathology.[1] An ...

  8. A normal PR interval ranges between 0.12 seconds to 0.22 seconds. The flat line between the end of the P-wave and the onset of the QRS complex is called the PR segment and it reflects the slow impulse conduction through the atrioventricular node. The PR segment serves as the baseline (also referred to as reference line or isoelectric line) of ...

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