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The electrical impulses in the heart follow a specific pathway to ensure coordinated contraction. The sequence is as follows:
The left bundle branch further divides into:
Node/Structure | Rate (beats per minute) |
---|---|
SA node | Fastest |
AV node | Intermediate |
Bundle of His/Purkinje fibers/Ventricles | Slowest |
Structure | Mnemonic |
His-Purkinje System | He |
Atria | Parks |
Ventricles | At |
AV Node | Ventura Avenue |
Wave/Interval | Description | Normal Duration |
P wave | Atrial depolarization | – |
PR interval | Start of atrial depolarization to start of ventricular depolarization | 120-200 msec |
QRS complex | Ventricular depolarization | <100 msec |
QT interval | Ventricular depolarization, contraction, and repolarization | – |
T wave | Ventricular repolarization | – |
J point | The junction between the end of the QRS complex and the start of the ST segment | – |
ST segment | Isoelectric phase where ventricles remain depolarized | – |
U wave | Prominent in hypokalemia (hyp”U”kalemia) and bradycardia | – |
This structured approach will help medical students quickly understand and recall the ECG conduction pathway and its clinical implications.