Electrocardiogram
graphic representation of the heart’s electrical activity that is used to assess rhythm, find location/extent of insult, and evaluate change with activity
Arterial depolarization
SA node
Ventricular depolarization
AV node
P wave
atrial depolarization
PR interval
time of atrial depolarization and conductance from SA to AV node
PR interval normal time
0.12 - 0.20 sec; more than 0.20 seconds indicates a first degree heart block
PR segment
AV node delay, around 0.08-0.12 seconds
QRS complex
ventricular depolarization and atrial repolarization (hidden d/t ventricle activity)
QRS complex normal time
0.04-0.10 seconds
QT interval
time for ventricular depolarization and repolarization
QT Interval normal time
0.32-0.40 sec
ST segment
time ventricles are depolarized (isoelectric period)
T wave
ventricular repolarization
Normal or abnormal during exercise
P wave increases in height
normal
Normal or abnormal during exercise
R wave decreases in height
Normal
Normal or abnormal during exercise
J point becomes depressed
Normal
Normal or abnormal during exercise
ST segment becomes sharply up sloping
Normal
Normal or abnormal during exercise
Q-T interval shortens
Normal
Normal or abnormal during exercise
T wave decreases in height
Normal
Normal or abnormal during exercise
Excessive ST-segment depression (>2mm)
Abnormal
Normal or abnormal during exercise
ST elevation (>1mm) in leads without diagnostic Q waves
Abnormal
Normal or abnormal during exercise
Increase PR interval
Abnormal
Normal or abnormal during exercise
Missing Q wave
Abnormal
Normal or abnormal during exercise
Missing P wave
Abnormal