Sital Karki
P wave: atrium depolarization/activation 0.06-0.10 sec. Amplitude: 2.5 mm PR interval: from onset of P wave to onset of QRS complex 0.12-0.20 sec. Atrial depolarization is spreading to AV node QRS: ventricular depolarization/activation 0.06-0.12 sec. Q wave: first negative deflection not preceded by a positive deflection R wave: first positive deflection of the complex S wave: first negative deflection after first positive deflection R wave: positive deflection after S wave S wave: negative deflection after Rs wave QS wave: monophasic negative deflection ST segment: between end of QRS complex and onset of T wave usually isoelectric (at the same level as preceding PR interval)
Sital Karki
T wave: ventricular repolarization QT interval: from onset of QRS to end of T wave Total duration of ventricular electric systole (depolarization and repolarization) Normal: < 0.40 sec. Borderline: 0.40-0.44 Prolong: > 0.45
Corrected QT = measured QT divided by the square root of the R-R interval U wave: low voltage deflection, usually positive, after T wave and before P wave Delta wave: shoulder to initial QRS
Each little box represents 0.04 sec. Each big box represents 0.20 sec. Five big boxes represent: 1 sec. Standard 12 Lead ECG 10 sec