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QRS complex
The QRS complex is a name for the combination of three of the graphical deflections seen on a typical electrocardiogram (EKG or ECG). It is usually the central and most visually obvious part of the tracing. It corresponds to the depolarization of the right and left ventricles of the human heart. In adults, it normally lasts 0.06–0.10 s; in children and during physical activity, it may be shorter. Typically an ECG has five deflections, arbitrarily named "P" to "T" waves. The Q, R, and S waves occur in rapid succession, do not all appear in all leads, and reflect a single event, and thus are usually considered together. A Q wave is any downward deflection after the P wave. An R wave follows as an upward deflection, and the S wave is any downward deflection after the R wave. The T wave follows the S wave, and in some cases an additional U wave follows the T wave. ==Formation==
Depolarization of the heart ventricles occurs almost simultaneously, via the Bundle of His and Purkinje fibers. If they are working efficiently, the QRS complex is 80 to 120 ms in duration. This is represented by three small squares or less at the standard paper speed of 25mm/s.
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