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Interpret

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Reading File

ECG Interpretation - Sreejith, 40M | 5 July 2026


Technical Details

  • Paper speed: 25 mm/s | Gain: 10 mm/mV (standard calibration)
  • Filters: AC 50Hz + EMG 25Hz

Systematic Analysis

ParameterFinding
Rate~60-65 bpm
RhythmRegular sinus rhythm
AxisNormal (~+60°)
P wavesNormal morphology, amplitude <2.5 mm, duration <120 ms - no atrial enlargement
PR interval~160 ms (normal, 120-200 ms)
QRS duration~80-90 ms (narrow, normal)
QRS morphologyNormal R-wave progression V1-V6; transition at V3/V4; no pathological Q waves; no LVH/RVH criteria
ST segmentsIsoelectric in all leads - no elevation or depression
T wavesUpright in I, II, aVL, aVF, V3-V6; inverted in aVR (normal) and V1 (normal); mildly flat/biphasic in III (common normal variant)
QTcWithin normal limits (~400 ms)

Impression

Normal 12-lead ECG.
  • Normal sinus rhythm at 60-65 bpm
  • Normal cardiac electrical axis
  • No evidence of:
    • Acute ischemia or infarction (no ST elevation/depression, no pathological Q waves, no hyperacute T waves)
    • Bundle branch block or conduction delay
    • Ventricular or atrial hypertrophy
    • Arrhythmia
    • QT prolongation
This is consistent with the machine printout annotation of "Normal Sinus Rhythm - Cardiac electric axis normal."
Note: This interpretation is for informational purposes. The ECG paper itself notes "Report needs physician confirmation" - formal over-read by a qualified clinician is recommended before any clinical decision-making.
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