PR interval

Schematic representation of a normal sinus rhythm EKG wave

In electrocardiography, the PR interval is the period, measured in milliseconds, that extends from the beginning of the P wave (the onset of atrial depolarization) until the beginning of the QRS complex (the onset of ventricular depolarization); it is normally between 120 and 200 ms in duration. The PR interval is sometimes termed the PQ interval.

Interpretation

Variations in the PQ interval can be associated with certain medical conditions:

• Duration
  • A long PR interval (of over 200 ms) indicates a slowing of conduction between the atria and ventricles, usually due to slow conduction through the atrioventricular node (AV node).^[1] This is known as first degree heart block.^[1] Prolongation can be associated with fibrosis of the AV node, high vagal tone, medications that slow the AV node such as beta-blockers, hypokalemia, acute rheumatic fever, or carditis associated with Lyme disease.^[2][3]
  • A short PR interval (of less than 120ms) may be associated with a Pre-excitation syndromes such as Wolff–Parkinson–White syndrome or Lown–Ganong–Levine syndrome, and also junctional arrhythmia like atrioventricular reentrant tachycardia or junctional rhythm.
  • A variable PR interval may indicate other types of heart block.^{[citation needed]}
• PR segment depression may indicate atrial injury^[4] or pericarditis.^[5]

PQ segment divided into parts corresponding to the location in heart's electrical conduction system

See also

• P wave

References

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