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If an impulse generated by the av node begins moving upward through the atria before the other part of it enters the ventricles In lead ii, an upright narrow qrs complex indicates that the electrical impulse originated a) in the av node and was carried through the atria in a retrograde manner A) the pr intervals will be greater than 0.20 seconds.
The most common cause of a dominant r wave in avr is incorrect limb lead placement, with reversal of the left and right arm electrodes The wall of the ventricles are very thick due to the amount of work they have to do and, consequently, more voltage is required. Explore the mechanism of r wave formation, its appearance in limb and precordial leads, ecg curve, progression, transition zones, and physiological/pathological variants.
This interval reflects the time elapsed for the depolarization to spread from the endocardium to the epicardium.
The majority of the pr segment represents slow conduction within the atrioventricular (av) node, but the terminal small part of this segment represents the rapid conduction via the bundle of his and bundle branches. Specifically represents the positive deflection (upward spike) within the qrs complex It indicates the spread of electrical impulse through the bulk of the ventricular myocardium. The impulses do not conduct to the atria so there is no av conduction and no atrial contraction/depolarization
The atria do not contract to eject the last 20% blood volume into the awaiting the ventricles to fill the ventricles to 100% capacity This 20% volume is the atrial kick. The r wave is the first upward deflection after the p wave and part of the qrs complex The r wave morphology itself is not of great clinical importance but can vary at times.
As you can see from the diagram, the r wave represents the electrical stimulus as it passes through the main portion of the ventricular walls
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