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52

1

  The Basics

The PR Interval

The PR interval represents the time from the start of atrial

depolarization to the start of ventricular depolarization. It includes

the delay in conduction that occurs at the AV node. The PR interval

normally lasts from 0.12 to 0.2 seconds (3 to 5 mm on the EKG

paper).

lead III

lead III

+90°

90°

180°

90°

B

A

180°

+90°

Rotation of the heart within the chest cavity redirects the perceived

direction of current flow. Lead III is normally oriented perpendicularly to

atrial depolarization. With the apex of the heart turned leftward, lead III

will view atrial depolarization as receding and will record a wave that is

largely negative.