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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  Six Second ECG Intensive Six Second ECG Mastery 12 Lead ECG & ACS 12 Lead Advanced
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Completion Card • • • •
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SkillStat 2U-able • • • •
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Dynamic ECG rhythm interpretation • • ○ ○
Static ECG rhythm interpretation • • ○ ○
Clinical Impact Mapping • • • ○
Acute Coronary Syndromes Overview • • ○
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ST Segment & T Wave Differential • ○
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15 | 18 Lead View Mapping • •
Electrical Axis • •
R Wave Progression •
Left Bundle Branch Blocks with ACS •
Atypical Findings •
Acute Non-Ischemic Disease Conditions •
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