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foreign we will look at some of the most common and must-know ECG findings in medicine we start with sinus rhythm the normal Rhythm of the heart in this instance there are regular p waves followed by a QRS complex that represents normal conduction of the electrical signals from the sinoatrial node in the right atrium through the atrioventricular node and bundle of hiss into the ventricles the PR interval which is the time between the start of the P wave and initiation of the QRS remains constant throughout the QRS complex itself represents ventricular depolarization and is normally narrow typically between 80 and 100 milliseconds in adults if the rate is below 60 beats per minute this is sinus bradycardia and above 100 beats per minute is sinus tachycardia next we have atrial fibrillation in this case there is abnormal electrical activity that leads to the atrial muscle fibers Contracting at different times it is these uncoordinated contractions that give the quivering or fibri