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What's changes in ECG
analyse_media
Reading File
ECG Analysis - 12-Lead (ID: 92851, 07-07-2026, 04:00:25)
Technical Details: Standard calibration (10 mm/mV), paper speed 25 mm/s, CARDIART machine.
Key ECG Findings
| Parameter | Finding |
|---|---|
| Heart Rate | ~139 bpm (printed on strip) |
| Rhythm | Sinus Tachycardia |
| Axis | Normal (~+60° to +90°) |
| P Waves | Normal morphology, upright in II/III/aVF, inverted in aVR |
| PR Interval | Normal (~120-140 ms) |
| QRS Duration | Narrow (<100 ms) - normal intraventricular conduction |
| Q Waves | No pathological Q waves in any territory |
| ST Segments | Isoelectric - no ST elevation or depression |
| T Waves | Normal - no hyperacute T waves, no inversions, no Wellens pattern |
| QTc | Visually normal for the rate |
| R-wave progression | Normal V1-V6 |
Primary Abnormality
Sinus Tachycardia at 139 bpm - this is the only significant change.
There is no evidence of acute MI, ischemia, STEMI, or conduction defect.
Clinical Correlation
The clinical notes visible in the corner mention "Acute Gastritis" and medications including Simethicone and Mefenamic acid. The sinus tachycardia is almost certainly a secondary/reactive finding due to:
- Pain from acute gastritis
- Dehydration/mild hypovolemia (vomiting, poor intake)
- Anxiety or physiological stress
The ECG essentially rules out a cardiac cause for the patient's presentation. Management should focus on treating the gastritis, adequate analgesia, and hydration. If tachycardia persists after symptom resolution, or if chest pain/dyspnea develops, further cardiac workup would be appropriate.
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