N b Normal beat L b Left bundle branch block beat R b Right bundle branch block beat B b Bundle branch block beat (unspecified) A b Atrial premature beat a b Aberrated atrial premature beat J b Nodal (junctional) premature beat S b Supraventricular premature or ectopic beat (atrial or nodal) V b Premature ventricular contraction r b R-on-T premature ventricular contraction F b Fusion of ventricular and normal beat e b Atrial escape beat j b Nodal (junctional) escape beat n b Supraventricular escape beat (atrial or nodal) E b Ventricular escape beat / b Paced beat f b Fusion of paced and normal beat Q b Unclassifiable ? b Beat not classified during learning [ n Start of ventricular flutter/fibrillation ! n Ventricular flutter wave ] n End of ventricular flutter/fibrillation x n Non-conducted P-wave (blocked APC) ( n Waveform onset ) n Waveform end p n Peak of P-wave t n Peak of T-wave u n Peak of U-wave ` n PQ junction ' n J-point ^ n (Non-captured) pacemaker artifact | n Isolated QRS-like artifact [1] ~ n Change in signal quality [1] + n Rhythm change [2] s n ST segment change [2] T n T-wave change [2] * n Systole D n Diastole = n Measurement annotation [2] " n Comment annotation [2] @ n Link to external data [3]