ECG QRS complex

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Introduction

ECG deflection resulting from depolarization of ventricles.

Clinical significance

Normal width: 60-100 msec

Increased width (> 120 msec)

Decreased amplitude (< 5 mm limb leads)

triphasic complex, rsR' (bifid QRS)

QRS + in lead QRS axis (degrees)
I -90 to +90
II -30 to +150
III +30 to -150
aVF 0 to +180
aVL +60 to -120
aVR +120 to -60

thus lead II negative in left axis deviation &

lead I negative or small in right axis deviation

normal QRS axis: -30 to +100

More general terms

Additional terms

References

  1. Current Pocket Reference 1992 Pharmacopoeia & Medical Notes, Shepherd/Whalen, Specialty Cards, Norman OK 1997
  2. Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998
  3. Harrison's Principles of Internal Medicine, 13th ed. Isselbacher et al (eds), McGraw-Hill Inc. NY, 1994, pg 961