ACLS Certification Association
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ACLS/BLS Preparation

Key Learning Points

ECG Waves P, Q, R, S, T

R Wave Page 6

  • The R wave(a) is the first positive wave after the P wave.
  • The R wave is usually the ECG wave with the largest amplitude or height.
  • The height of an R wave depends on which lead is used and the quantity of depolarizing muscle.
  • The R wave is produced when the right and left ventricles depolarize inferiority(b).

S Wave Page 7

  • The S Wave(a) is the first downward wave after the R wave.
  • The S Wave is produced when the superior left lateral part of the left ventricle is depolarized(b).
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