What characterizes the Q wave in a normal EKG?

The Q wave on a normal EKG is typically characterized as not being prominent and often absent. In the context of a standard EKG tracing, the Q wave represents the initial negative deflection that occurs during the depolarization of the interventricular septum. In many healthy individuals, especially those without any underlying heart conditions, these Q waves may be very small or completely absent, making them not obvious.

This absence or minimal visibility is considered normal, as Q waves can vary in size and appearance among different individuals. In contrast, depending on certain cardiac conditions, such as a myocardial infarction, the Q waves may become larger and more pronounced, indicating potential pathological changes. Therefore, the characteristic of Q waves being not obvious and often absent aligns with what one would expect in a normal EKG reading.