Normal Electrical Depolarization

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Lead V1 - Bundle branch blocks are usually seen in Leads V1, V6 and sometimes V2. The first wave of depolarization toward lead V1 results in a short r-wave, referred to as a "septal R-wave". It represents septal depolarization. The second wave of depolarization is away from lead V1 and is represented by an S-wave, due to the large amount of conduction taken away by the left ventricle. Under normal conditions the rS-waveform is observed.

Lead V6 - The first wave of depolarization travels away from lead V6. It is represented by a short q-wave, also referred to as a "septal q-wave". The second wave of depolarization travels toward lead V6. It is represented by a positive deflection of an R-wave due to the large amount of electrical conduction to the left ventricle. Normally seen is a qR-wave form.


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