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Each of the individual segments of the wave is designated by a letter (or letters), and each represents a distinct phase of the cardiac cycle.
The electrodes placed on the skin are positive terminals attached to lead wires.
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Together these waves reflect the time necessary for the impulse to spread through the bundle of His and its branches to complete ventricular excitation.
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When the P wave is of normal size and shape, it is assumed that the impulse began in the SA node.
When P waves are absent or of abnormal size or shape, it is likely that the impulse originated outside the SA node. The period from the start of the P wave to the beginning of the QRS complex is called the PR interval.