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Electrocardiogram (EKG, ECG) tracing

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By Robin Parks, MS

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Electrocardiography (EKG, ECG) tracings show a characteristic pattern of electrical impulses that are generated by the heart. The different parts of an EKG tracing of a heartbeat are called the P wave, the QRS complex, the ST segment, and the T wave.

See a picture of EKG components and intervals.

  • The P wave is a record of the movement of electrical activity through the upper heart chambers (the atria) and is recorded when they contract.
  • The QRS complex is a record of the movement of electrical impulses through the lower heart chambers (the ventricles) and is recorded when they contract.
  • The ST segment appears as a straight, level line between the QRS complex and the T wave. Elevated or lowered ST segments may mean the heart muscle is damaged or not receiving enough blood.
  • The T wave corresponds to the period when the lower heart chambers are relaxing and preparing for their next muscle contraction.

Credits

Author Robin Parks, MS
Editor Kathleen M. Ariss, MS
Editor Marianne Flagg
Associate Editor Pat Truman, MATC
Associate Editor Terrina Vail
Primary Medical Reviewer Caroline S. Rhoads, MD - Internal Medicine
Specialist Medical Reviewer Robert A. Kloner, MD, PhD - Cardiology
Last Updated August 25, 2008
Last Updated: 08/25/2008