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ECG : The PR Interval

The PR interval is a critical component of the electrocardiogram (ECG), representing the time period from the onset of the P wave to the beginning of the QRS complex. This interval reflects the time taken for the electrical impulse generated by the sinoatrial (SA) node to travel through the atria, the atrioventricular (AV) node, and the His-Purkinje system to the ventricles.


Understanding the PR interval is essential for clinicians as it provides valuable insights into the conduction system of the heart. The normal duration of the PR interval ranges from 0.12 to 0.20 seconds (120 to 200 milliseconds). Variations in the length of the PR interval can indicate various cardiac conditions.


For instance, a prolonged PR interval may suggest a first-degree AV block, while a shortened PR interval could be indicative of pre-excitation syndromes such as Wolff-Parkinson-White (WPW) syndrome.

By examining the PR interval, healthcare professionals can diagnose and manage a range of cardiac conduction abnormalities, ensuring timely and appropriate treatment for patients.




zoomed in trace


Image credit : https://www.abdn.ac.uk/medical/elf/courses/view/146858/ecg-interpretation/1/page11


PR Interval on ECG

Parameter Description
Definition The PR interval is the period from the onset of the P wave to the start of the QRS complex.
Normal Morphology
  • Begins with the onset...

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