The P and T wave are in shape of a curve while the QRS complex is in straight lines. What is the reason this is happening?
1 Answer
P wave represents atrial depolarization (hence atrial contraction).
Atrial depolarization takes only a split second, therefore its corresponding wave will be smooth and rounded.
Variations from this shape could be consequences of various heart diseases: for example,a spiked P wave is called P pulmonale and suggests right atrial enlargement.
T wave represents ventricular repolarization: a normal T wave looks like an
upright low amplitude broad hump following the QRS complex.
Abnormalities in T wave could be the signs for multiple heart diseases, varying from myocardial ischemia to hyperkalemia.
In particular, peaked T waves suggest an hyperkalemia diagnosis.
T wave abnormalities are well documented here
The QRS complex corresponds to ventricular depolarization, which is faster and more intense than atrial or ventricular repolarization: hence a normal QRS complex is peaked.
In conclusion, P wave and T wave are rounded because these correspond to low-intensity electrical events while the QRS complex is provoked by an intense electrical event.