P Wave

A wave generated from the depolarization of the atria; the P wave is upright when originating from the SA node.

The P wave represents the depolarization of the right and left atria. The P wave begins with the first deviation from baseline and finishes when the wave meets the baseline once again. While the P wave is an electrical representation and not mechanical, a P wave strongly suggests that the atria have followed through with a contraction.

Figure 4.12 The P Wave, PR Segment and PR Interval

In Figure 4.12, several ECG components are labelled. Note that a waveform is produced when the electrical potential of cardiac cell membranes change. During atrial depolarization, the atrial cell membranes quickly become more positive producing a P wave. The baseline or isoelectric line represents nothing more than an absence of voltage change to the cardiac cells.

1. Six Second ECG Guidebook (2012), T Barill, p. 81, 103, 110-112, 201

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