High-frequency atrial electrical activity
Left and right atrial intracavitary and conventional surface leads were used to study electrocardiographic activity during the PR interval. Electronic filters were employed for analysis of wave frequency and harmonic content from 1.7 to 1700 cps. Amplifiers permitting standardization sensitivity to 500 mm/mv were used to obtain oscilloscopic tracings recorded at a paper speed of 75 mm/sec. Frequency analysis of the electrical potential recorded during P wave inscription demonstrated the presence of high-frequency content that is excluded by conventional electrocardiographic amplifiers. The high-frequency components are associated with the time of inscription of the electrocardiographic intrinsic deflection and have a relationship to the characteristics of the pressure-pulse curve. These relationships suggest that intracavitary high frequencies and the electrocardiographic intrinsic deflection originate from electrical discharges associated with initiation of contractile events. Submitted on June 6, 1960