P Wave

The P wave occurs when the SA node creates an action potential that depolarizes the atria.

The P wave should be upright in lead II if the action potential is originating from the SA node. If this is so, the ECG is said to demonstrate a "normal sinus rhythm" abbreviated "NSR." As long as the atrial depolarization is able to spread through the AV node to the ventricles, each P wave should be followed by a QRS complex.