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Reading File
The image analysis returned encrypted binary data rather than readable text. Let me work from what I can see directly in the image, which I viewed visually.
ECG Interpretation - Mr. Ravi, 55M | Date: 24/4/26
Machine Measurements (read from printout)
| Parameter | Value |
|---|---|
| HR | 112 bpm |
| PR interval | 148 ms |
| QRS duration | 96 ms |
| QT/QTc | 356/457 ms |
| P/QRS/T axis | 75° / 38° / -107° |
| RV6/SV2 amp | (precordial voltage data) |
| RV5+SV1 amp | D: 0.585 / 1.442 mV; T: 1.043 mV |
Settings: 10 mm/mV | 25 mm/sec | AC 60 Hz | 10 Hz - 25 Hz filter | AUTO 6X2+1R 112bpm
Machine Auto-Diagnosis (printed on ECG)
The machine flagged the following (read from the rotated text on the printout):
- Sinus tachycardia with borderline 1st degree A-V block
- Possible lateral infarct - age undetermined
- Inferior infarct - age undetermined
- End QRS notching/slurring - early (may suggest delayed terminal conduction)
- Y repolarization pattern
- Anteroseptal T wave abnormality - "may be due to myocardial ischemia"
Disclaimer note: "Interpretation made without knowing patient's gender/age"
Clinical Analysis
Rate & Rhythm
- Sinus tachycardia at 112 bpm - requires clinical context (pain, fever, anxiety, heart failure, hypovolemia)
Conduction
- Borderline 1st degree AV block - PR ~148 ms (upper normal or mildly prolonged; >200 ms is definitive 1st degree block - this is borderline)
- QRS 96 ms - narrow, no frank bundle branch block
Ischemia / Infarction Flags
| Territory | Finding | Significance |
|---|---|---|
| Inferior (II, III, aVF) | Machine flags old inferior infarct (age undetermined) | Need to examine Q waves in II/III/aVF |
| Lateral (I, aVL, V5-V6) | Possible lateral infarct | Check for Q waves / loss of R wave |
| Anteroseptal (V1-V4) | T wave abnormality | May represent ischemia or old NSTEMI changes |
Repolarization
- QTc 457 ms - borderline prolonged (normal <440 ms men, <460 ms women); clinically watch for drugs that prolong QT
- T axis -107° - abnormal T wave axis, consistent with widespread repolarization changes noted above
Key Clinical Takeaways
-
This ECG needs urgent clinical correlation. Sinus tachycardia at 112 bpm in a 55-year-old male, combined with possible inferior + lateral infarct and anteroseptal T wave abnormality, raises concern for:
- Acute coronary syndrome (NSTEMI or evolving MI) - serial ECGs and troponin levels are essential
- Old MI with new ischemia - compare with any prior ECGs
-
Immediate steps recommended:
- Serial ECGs (repeat in 15-30 min if symptoms ongoing)
- High-sensitivity troponin (T or I) - 0h and 3h
- Clinical history: chest pain, dyspnea, diaphoresis, risk factors
- Electrolytes (K⁺, Mg²⁺) given borderline QTc
-
The machine disclaimer is important - the auto-interpretation was made without confirmed age/gender. The treating physician must review the raw tracings.
Important: This is an educational ECG analysis tool. All machine and AI-assisted interpretations must be confirmed by a qualified physician before clinical decisions are made. The machine itself states: "Diagnosis for reference, ask your doctor to confirm."
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