My heart skip skips a beat
The pause is to allow the atria to fully empty into the ventricle.
Heartbeat on an ECG trace
P Interval (Ventricular Diastole)
Atria and ventricles are relaxed
blood is flowing into the atria from the veins.Â
Atrial pressure increases above that of the ventricle, AV valves open allowing blood to flow into the ventricle
P Wave (Atrial Systole) P-Q
Signal transduction from SA to AV nodes.Â
Atria contract causing atrial systoleÂ
which forces all blood into the ventricles
Q Interval (End of Ventricular Diastole)
Depolarisation of interventricular (IV) septumÂ
AV valves remain open - all remaining blood squeezed into the ventricles.Â
impulse from the SA node reaches the AV nodeÂ
which spreads the signal throughout the walls of the ventricles via bundles of His and Purkinje fibres
R peak is the end of ventricular diastole and the start of systole.
R Interval (Ventricular Systole)
All blood is now within the ventricles
so pressure is higher than in the atria - AV valves close
ventricles start to contract although pressure is not yet high enough to open the SL (semilunar) valves
ST Segment (Ventricular Systole)
Pressure increases until it equals Aortic pressure,
blood is ejected into the Aorta (and pulmonary artery) as ventricles contract
At this time the atria are in diastole and filling with blood returning from the veins.
plateau in ventricular arterial pressure
T Wave (Ventricular Diastole)
T= moment of Ventricular repolarisation immediately before ventricular relaxation
ventricular pressure is once again less than the aortic pressureÂ