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Based on my careful visual analysis of the ECG image, here is a detailed interpretation:

ECG Analysis - Goutam Ghosh

Patient: Goutam Ghosh Date: 05/06/2026 | Time: 10:20 AM Institution: Midnapore 101-bed Multispeciality Hospital Settings: Paper speed 25 mm/s | Gain 10 mm/mV | AC filter 50Hz

Leads Visible

Standard 12-lead ECG: I, II, III, aVR, aVF, aVL, V1, V2, V3, V4, V5, V6 (partially readable)

Systematic Analysis

1. Rate The R-R intervals appear regular and consistent. Counting the complexes per large square method suggests a heart rate of approximately 70-80 bpm - within normal range.
2. Rhythm
  • Rhythm appears regular
  • P waves appear to be present before each QRS complex
  • This is consistent with Normal Sinus Rhythm (NSR)
3. Axis
  • Lead I appears upright/positive
  • Lead aVF appears upright/positive
  • This suggests a normal cardiac axis (0° to +90°)
4. P Waves
  • P waves appear present and upright in lead II
  • Morphology appears normal
  • PR interval appears within normal range (~120-200 ms)
5. QRS Complexes
  • QRS duration appears narrow (< 120 ms), suggesting no bundle branch block
  • No obvious pathological Q waves visible in the inferior or lateral leads at this resolution
6. ST Segments & T Waves
  • No obvious significant ST elevation or depression is clearly visible
  • T waves appear generally upright in most leads
  • However, the image resolution limits precise ST/T wave assessment
7. QT Interval
  • Appears within normal limits at this heart rate, but cannot be precisely measured from this image

Impression

Likely Normal Sinus Rhythm with no obvious acute changes at this level of image resolution.
However, there are important limitations to this analysis:

Important Caveats

  1. Image quality - The ECG is photographed at an angle with some areas partially obscured by a hand. Precise measurement of intervals, voltages, and subtle ST changes is not possible from a photograph.
  2. Cannot rule out subtle findings such as:
    • Minor ST/T changes
    • Left or right ventricular hypertrophy (requires voltage measurement)
    • Prolonged QT
    • Early repolarization changes
  3. Clinical context is critical - Age, symptoms (chest pain, palpitations, syncope, dyspnea), and comorbidities significantly affect interpretation.

Recommendation

This ECG must be formally interpreted by a qualified cardiologist or physician who can:
  • View the original printed tracing
  • Measure all intervals accurately with calipers
  • Correlate with the patient's clinical presentation and history
If the patient has any symptoms (chest pain, breathlessness, palpitations, dizziness), seek immediate medical attention regardless of this analysis.
This AI analysis is for educational reference only and does not constitute medical advice or replace formal clinical interpretation.
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