Report
ECG Report - Arun Kumar, 60/Male
Here is a structured interpretation of the 12-lead ECG:
Patient Details
- Name: Arun Kumar | Age/Sex: 60 years / Male
- Date: 17 Jun 2026, 10:15 AM | Facility: Samta Chikitsalaya
Machine Measurements
| Parameter | Value |
|---|---|
| Atrial Rate (AR) | 120 bpm |
| Ventricular Rate (VR) | 119 bpm |
| QRS Duration | 86 ms |
| QT Interval | 294 ms |
| QTc (Bazett) | 414 ms |
| PR Interval | 126 ms |
| P-R-T Axes | 113° / 147° / -8° |
| Speed / Gain | 25 mm/s / 10 mm/mV |
| Filter | 0-40 Hz, 50 Hz |
Systematic ECG Analysis
1. Rate
- Ventricular rate: ~119 bpm - tachycardic
2. Rhythm
- P waves are present and appear to precede each QRS complex
- PR interval is 126 ms (normal range 120-200 ms) - at the lower end of normal
- Rhythm is regular - consistent with Sinus Tachycardia
3. Axis
- P axis: 113° (right-shifted)
- QRS axis: 147° - Right Axis Deviation (RAD)
- T axis: -8°
4. P Wave
- Present and upright in lead II; PR interval 126 ms
- P axis of 113° suggests possible right atrial enlargement or ectopic atrial focus
5. QRS Complex
- Duration: 86 ms (narrow) - no bundle branch block
- Tall R waves in V1 (dominant R in right precordial leads) visible
- Deep S waves appear present in lateral leads (I, V5-V6) - pattern suggestive of right ventricular hypertrophy (RVH)
6. ST Segment & T Waves
- T-wave axis is -8°, discordant from QRS axis (147°) - suggests T-wave abnormality / strain pattern
- Possible ST changes in precordial leads (V1-V4 region) - difficult to fully assess from image quality but warrants attention
7. QT/QTc
- QTc: 414 ms - within normal limits (normal <450 ms in males)
Interpretation
Sinus Tachycardia with Right Axis Deviation and features suggestive of Right Ventricular Hypertrophy (RVH) with Strain Pattern
Key Findings:
- Sinus tachycardia at ~119 bpm
- Right axis deviation (QRS axis +147°)
- RVH pattern - tall R in V1, right axis deviation, S waves in lateral leads
- RV strain - T-wave axis discordance (-8° vs QRS 147°)
- Narrow QRS - no intraventricular conduction defect
Clinical Correlation Recommended
This ECG pattern in a 60-year-old male is consistent with conditions causing right heart pressure/volume overload, including:
- Pulmonary arterial hypertension (PAH)
- Chronic pulmonary embolism / acute PE (especially given the tachycardia)
- Chronic cor pulmonale (COPD, ILD)
- Valvular disease (mitral stenosis, pulmonary stenosis)
Urgent considerations: In the context of tachycardia + RVH + strain, acute pulmonary embolism should be ruled out with D-dimer and CT-PA if clinically suspected.
This ECG report is computer-assisted and must be interpreted by a qualified medical professional in the context of the patient's clinical presentation.
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