Intervals and Segments of the Electrocardiogram
Before we start, let’s clarify the concepts of electrocardiographic interval and segment. They appear to be the same thing, but they are not.
Electrocardiographic Segment: : Line (usually isoelectric) that connects two waves without including either one of them.
Electrocardiographic interval: Portion of the EKG (ECG) that includes a segment and one or more waves.
Difference between Segments and Intervals
PR Segment: Line that connects the end of the P wave with the beginning of the QRS complex.
PR Interval: From the beginning of the P wave until the beginning of the QRS complex — that is, including the P wave.
It is the distance between two consecutive R waves. In Sinus Rhythm, this interval should be constant.
Related Article: PR Interval.
Its normal value ranges between 0.12 s and 0.20 s.
In cases such as Pre-excitation Syndromes, the PR interval could be shortened, so we say the AV conduction is accelerated.
In cases such as First degree AV Block the PR interval is prolonged, so we say the AV conduction is delayed.
More Information: PR Interval.
It measures the total time of ventricular depolarisation. It is measured from the beginning of the Q or R wave until the end of the S wave (or R’ if the latter is the last wave).
Its normal value ranges between 0.06 s and 0.10 s.
See also: QT Interval Abnormalities
The QT interval represents the electrical ventricular systole, that is, the set of ventricular depolarisation and repolarisation.
Its value varies with the Heart Rate, so it is advisable to adjust its value to the Hear Rate.
This is done by obtaining the Heart Rate corrected QT interval (QTc) with Bazett’s formula (dividing the QT interval by the square root of the RR interval).
The corrected QT interval is normal between 340 ms and 450 ms in young adults (460 ms in children under 15 and 470 ms in women).
See also: ST Segment abnormalities
It represents an inactivity period between depolarisation and the beginning of ventricular repolarisation.
ST Segment abnormalities are of great importance for the diagnosis of the Acute Coronary Syndrome.