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Lesson 7 of 21 · Waves & Intervals

Key Intervals: PR, QRS, QT

Three intervals carry most of the diagnostic weight. Memorize the normal ranges and you'll catch blocks, pre-excitation, and arrhythmia risk.

01PR interval

Start of the P wave to start of the QRS. Normal 0.12–0.20 s (3–5 small boxes).

  • Long (> 0.20 s): 1st degree AV block
  • Short (< 0.12 s): pre-excitation (WPW) or junctional rhythm
  • Variable: Wenckebach or AV dissociation
II
PR 0.30 s: 1st degree AV block.
II
Short PR + delta wave: Wolff–Parkinson–White.

02QT interval

Start of the QRS to the end of the T wave. It shortens as heart rate rises, so correct it (QTc).

Measuring and correcting the QT
R-R intervalQTQTc = QT ÷ √RR (Bazett)Normal QTc < 450 ms (men) · < 460 ms (women) · > 500 ms = torsades risk

Key takeaways

  • PR 0.12–0.20 s
  • QRS < 0.12 s
  • QTc < 450 (M) / 460 (F); > 500 ms = high torsades risk