TP Segment

The baseline or isoelectric line is a reference point for the waves, intervals and segments. While the PR segment is often used as the baseline, the TP segment – between the end of the T wave and the beginning of the P wave – is now generally seen as a more accurate baseline. Note: with fast rates, the TP segment disappears, leaving you with the PR segment as the next best, and only, baseline.

Figure 4.12 The P Wave, PR Segment and PR Interval

In Figure 4.12, several ECG components are labelled. Note that a waveform is produced when the electrical potential of cardiac cell membranes change. During atrial depolarization, the atrial cell membranes quickly become more positive producing a P wave. The baseline or isoelectric line represents nothing more than an absence of voltage change to the cardiac cells.

1. Six Second ECG Guidebook (2012), T Barill, p. 81

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Dynamic ECG rhythm interpretation
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Clinical Impact Mapping
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ST Segment & T Wave Differential
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Electrical Axis
R Wave Progression
Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
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