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Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Electrocardiogram (EKG) Components and Intervals

Picture of the intervals and components of an EKG (electrocardiogram)

An electrocardiogram (EKG, ECG) is a test that measures the electrical signals that control heart rhythm. The test measures how electrical impulses move through the heart muscle as it contracts and relaxes.

The electrocardiogram translates the heart's electrical activity into line tracings on paper. The spikes and dips in the line tracings are called waves.

  • The P wave is a record of the electrical activity through the upper heart chambers (atria).
  • The QRS complex is a record of the movement of electrical impulses through the lower heart chambers (ventricles).
  • The ST segment shows when the ventricle is contracting but no electricity is flowing through it. The ST segment usually appears as a straight, level line between the QRS complex and the T wave.
  • The T wave shows when the lower heart chambers are resetting electrically and preparing for their next muscle contraction.

Current as of: June 24, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Main Street Pediatrics now offers the latest Pfizer COVID-19 vaccine and the flu vaccine, recommended by the CDC and the American Academy of Pediatrics for ages 6 months and above. Please call our office to schedule a COVID-19 vaccine visit for your child. For more details read our recent blog post.