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Understanding the Electrocardiogram

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  2. Understanding the Electrocardiogram In Health & Disease
  3. 2.0.0 The Normal Electrocardiogram
  4. 2.5.0 T wave

2.5.1

In the normal heart, the direction of the T wave vector in the frontal plane is similar to that of the QRS complex and, like the QRS vector, is located between 0 and +90 degrees. Most often it is between +45 and +60 degrees and the angle between the main QRS vector and the T wave vector (the QRS-T angle) is normally less than 60 degrees. Thus, the normal T wave should always be positive in leads I and II and negative in lead aVR. In the tracing shown here, the main QRS vector (the red arrow) is +26 degrees, the T wave vector (the yellow arrow) is +21 degrees and the QRS-T angle is only 5 degrees.

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  • Introduction to First Edition
  • 1.0.0 Generation of the ECG
  • 2.0.0 The Normal Electrocardiogram
    • 2.1.0 P Wave
    • 2.2.0 PR Interval
    • 2.3.0 QRS Complex
    • 2.4.0 ST segment
    • 2.5.0 T wave
      • 2.5.1
      • 2.5.2
      • 2.5.3
      • 2.5.4
      • 2.5.5
      • 2.5.6
      • 2.5.7
      • 2.5.8
      • 2.5.9
      • 2.5.10
      • 2.5.11
      • 2.5.12
      • 2.5.13
    • 2.6.0 QT Interval
    • 2.7.0 U Wave
  • 3.0.0 Inter and intra-ventricular Conduction Disturbances
  • 4.0.0 Ventricular Hypertrophy
  • 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
  • 6.0.0 Ischemia and Infarction - Introduction (frame i and ii)
  • 7.0.0 Tachycardias- Introduction
  • 8.0.0 The Bradycardias frame i-introduction
  • 9.0.0 The ECG of Heart Murmurs-introduction
  • 10.0.0 The Electrocardiogram in the Emergency Department-Introduction
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