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Question

The P wave in the ECG indicates
  1. Rapid ventricular depolarization
  2. Absolute refractory period
  3. Atrial depolarization
  4. Repolarization of the ventricles

A
Repolarization of the ventricles
B
Rapid ventricular depolarization
C
Absolute refractory period
D
Atrial depolarization
Solution
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An ECG consists of a set of three waves; these are namely the P wave, a QRS complex, and a T wave. Initiation of impulse by SA nodes and its travel through atria is represented by P wave which in turn signals systole of atria and initiation of contraction of atrial myocardium. This makes option A correct answer. Depolarization of the ventricles followed by excitation of the Purkinje fibers is represented by QRS complex which makes option B incorrect answer. It signals ventricular systole and initiation of contraction of ventricular myocardium. Repolarization of the ventricles is represented by T wave which makes option D incorrect. It signals ventricular diastole and relaxation of ventricular myocardium. The periods from initiation of QRS complex to peak of T wave is referred to as absolute refractory period when cardiac cells do not respond to any stimulus irrespective of it strength. This makes option C incorrect. Correct answer is A.

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