S Wave

An S wave is the first wave after the R wave that dips below the baseline (isoelectric line). The end of the S wave occurs where the S wave begins to flatten out. This is called the J point.

Figure 4.13 The QRS Complex, ST Segment and the T Wave

Figure 4.13 depicts the component parts of the QRS complex. The QRS complex consists of a series of waves, the ‘Q’, ‘R’, and ‘S’ waves. The ‘Q’ wave is the first negative deflection from baseline. The ‘R’ wave is the first positive deflection above baseline. The ‘S’ wave follows the ‘R’ wave with a negative deflection. A QRS complex may or may not have all three waveforms. The ST segment begins at the J point and continues to the beginning of the T wave.

1. Six Second ECG Guidebook (2012), T Barill, p. 83

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Dynamic ECG rhythm interpretation
Static ECG rhythm interpretation
Clinical Impact Mapping
Acute Coronary Syndromes Overview
Acute Coronary Syndromes In-Depth
ST Segment & T Wave Differential
Identify Bundle Branch Blocks
15 | 18 Lead View Mapping
Electrical Axis
R Wave Progression
Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
Special Cases

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