This is a brief, simple and basic explanation of the features seen on a normal ECG pattern.
It does not cover any of the normal variants which commonly occur for a number of reasons.
Any concerns regarding your own ECG should always be brought to the attention of a health professional.
As I said previously, the heart has a natural pacemaker which sends signals through the heart in an ordered sequence to initiate a cardiac cycle/heart beat. This occurs from top to bottom.
The signal causes contraction of the atria first, followed by the ventricles and then a relaxation phase of the ventricles before the cycle repeats.
This is called normal sinus rhythm (NSR), it occurs regularly and produces an ECG complex similar to the one shown below.
NSR at rest 60-100 bpm
Sinus tachycardia >100 bpm
Sinus bradycardia <60bpm
All of the above variations in rate can occur in a healthy heart, depending on the physiological situation, such as rest, exercise, sleep, stress etc.
Part 3 will explain the ECG features of Atrial Fibrillation