Aa
Aa
A
A
A
Close
Avatar universal

ecocardiographs

My question is about the readings on a ECG.
How come the P wave and the T wave go in the same direction if one is
Depolarization and the other is repolarization? wouldnt it make sense for them
to go in opposite directions?
2 Responses
Sort by: Helpful Oldest Newest
995271 tn?1463924259
For the atria contracting (P wave, depolarization), the wave is moving toward the positive electrode, and causes a positive deflection (above the isoelectric).

For the Ventricles recovering, (T wave, repolarization) the wave is (supposed to be) moving away from the positive lead and that also causes a positive deflection.


P wave:  As the *positive* impulse from the atria travels, it moves *toward* the positive lead(s), causing a positive deflection.

T wave:  When the *negative* impulse from the ventricles travels, it moves *away* from the positive lead(s), causing a positive deflection.

Hopefully that makes sense.  tough to explain.  Also consider that if you look at negative leads, or bi polar leads, these rules all change.    Ever look at an ECG and see a bunch of different looking traces for V1, V2, etc?.... that's what you're seeing.
Helpful - 0
612551 tn?1450022175
COMMUNITY LEADER
Thanks Itdood, I'll save your response for my reference.

estelle, did you have question about echocardiograms too?  Your subject could be a typo, or you simply got me on something new, I don't know about (and that would be easy to do with me).
Helpful - 0
Have an Answer?

You are reading content posted in the Heart Rhythm Community

Top Arrhythmias Answerers
1807132 tn?1318743597
Chicago, IL
1423357 tn?1511085442
Central, MA
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Are there grounds to recommend coffee consumption? Recent studies perk interest.
Salt in food can hurt your heart.
Get answers to your top questions about this common — but scary — symptom
How to know when chest pain may be a sign of something else
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.