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normal ECG interpretation sinus rhythm QT interval QRS axis 12 lead
Here is a detailed analysis of this ECG report:
ECG Report Analysis - GOUTAM GIRI
Patient Information
- Name: Goutam Giri
- Sex: Male
- Department: EMR
- Date/Time: June 6, 2026, 07:22:14 PM
- Institution: Spandan Hospital
Recorded Parameters
| Parameter | Value | Normal Range | Status |
|---|---|---|---|
| Heart Rate (HR) | 92 bpm | 60-100 bpm | Normal |
| P wave | 86 ms | 80-100 ms | Normal |
| PR interval | 135 ms | 120-200 ms | Normal |
| QRS duration | 87 ms | 60-100 ms | Normal |
| QT/QTc (Bz) | 333/412 ms | QTc <440 ms (male) | Normal |
| P/QRS/T axis | 52/6/5 degrees | P: 0-75°, QRS: -30 to +90° | Normal |
| RV5/SV1 | 0.786/0.597 mV | SV1 + RV5/RV6 <3.5 mV | Normal |
Machine Diagnosis
Sinus Rhythm - Normal ECG (confirmed by Dr. RMO)
Lead-by-Lead Assessment
Limb Leads (I, II, III, aVR, aVL, aVF):
- Upright P waves in I, II, aVF - consistent with normal sinus origin (SA node)
- PR interval of 135 ms - within normal limits, no AV block
- QRS axis of +6 degrees - normal axis (between -30° and +90°), no axis deviation
- No significant ST segment changes visible
Precordial Leads (V1-V6):
- Normal R-wave progression expected across V1-V6
- RV5/SV1 values within normal limits - no evidence of left ventricular hypertrophy (LVH threshold: SV1 + RV5 >3.5 mV)
- QTc of 412 ms is within the normal range for males (<440 ms)
Key Findings - What This ECG Shows
-
Normal Sinus Rhythm - The heart's natural pacemaker (SA node) is functioning normally. Every P wave is followed by a QRS complex with a consistent PR interval.
-
Heart Rate 92 bpm - Resting on the higher end of normal (60-100 bpm) but not tachycardic. This is clinically acceptable.
-
Normal Conduction - PR 135 ms rules out first-degree AV block (which would be >200 ms). QRS 87 ms rules out bundle branch block (which would be >120 ms).
-
Normal QTc (412 ms) - No prolonged QT, which means low risk for serious arrhythmias like Torsades de Pointes.
-
No LVH - RV5 + SV1 well below the 3.5 mV threshold. No evidence of pressure overload on the left ventricle.
-
Normal Axis - QRS axis of +6° is well within the normal range. No evidence of fascicular blocks, chamber enlargement, or axis shifts.
Summary
This is a completely normal 12-lead ECG for an adult male. There are no signs of:
- Arrhythmia
- Conduction block
- Myocardial ischemia or infarction
- Ventricular hypertrophy
- QT prolongation
- Axis deviation
The report has been confirmed as "Normal ECG" by the attending physician (Dr. RMO) at Spandan Hospital. No immediate cardiac concern is identified from this tracing.
Disclaimer: This analysis is for informational purposes only and is based on the printed parameters and machine interpretation visible in the image. A formal ECG interpretation must always be performed by a qualified physician who has reviewed the original tracing in a clinical context.
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