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The Normal 12-Lead EKG

57

The QRS Interval

A normal QRS interval, representing the duration of the QRS

complex, is 0.06 to 0.1 seconds in duration.

QRS

interval

The ST Segment

The ST segment is usually horizontal or gently upsloping in all leads.

It represents the time from the end of ventricular depolarization to

the start of ventricular repolarization.

The T Wave

The T wave represents ventricular

repolarization

.

Unlike depolarization, which is largely passive, repolarization

requires the expenditure of a great deal of cellular energy (remember

the membrane pump). The T wave is therefore highly susceptible to

all kinds of influences, both cardiac and noncardiac (

e.g

., hormonal,

neurologic), and is therefore variable in its appearance.