attachment
attachment

Analysis report

I can see this is a 12-lead ECG. Let me analyze it carefully.
Reading File
Now let me carefully analyze the ECG image and search the medical library simultaneously.
Finding Sources
Finding Sources
Now let me do a thorough visual analysis of the ECG. Based on the image, here is my detailed report:

ECG Analysis Report

Patient: Gautam Giri, Male, 36 years old Date: 08/06/2026 Settings: 10 mm/mV, 25 mm/s paper speed Device: ECG-1112M CWECG SLA V1.0 V1.0.0.0 Print time: 2026/06/08, 14:43:03

Systematic Analysis

1. Rate Counting R-R intervals at 25 mm/s paper speed: the QRS complexes appear at a rate of approximately 90-100 bpm (within normal limits). The rhythm appears regular.
2. Rhythm
  • The rhythm is regular
  • P waves are present and appear to precede each QRS complex
  • Consistent P-P and R-R intervals
  • Impression: Normal Sinus Rhythm
3. Axis
  • Lead I: upright QRS complex
  • Lead aVF: upright QRS complex
  • Impression: Normal axis (approximately 0° to +90°)
4. P Waves
  • P waves are visible in all leads
  • Morphology appears normal (rounded, uniform)
  • Duration and amplitude appear within normal range
  • No evidence of P mitrale (bifid P in Lead II) or P pulmonale (peaked P)
5. PR Interval
  • Appears to be within normal range (~120-200 ms)
  • No evidence of prolongation (1st degree AV block) or shortening (pre-excitation)
6. QRS Complex
  • Duration appears narrow (<120 ms) - no bundle branch block
  • No pathological Q waves identifiable in the available image
  • Normal R wave progression in precordial leads (V1-V6): small R in V1 progressing to tall R in V5/V6
7. ST Segment
  • ST segments appear to be at baseline in most leads
  • No obvious ST elevation or depression suggestive of ischemia or infarction
  • No ST changes to suggest STEMI pattern
8. T Waves
  • T waves appear upright in leads I, II, V4-V6
  • T wave inversion not clearly identifiable in any lead from this image
9. QT Interval
  • Appears to be within normal limits for the given heart rate
  • No obvious QT prolongation
10. Precordial Leads (V1-V6)
  • Normal R wave progression
  • No evidence of left or right ventricular hypertrophy
  • No Brugada-type pattern in V1/V2

Impression

Normal Sinus Rhythm with no acute ischemic changes identified.
ParameterFinding
Rate~90-100 bpm
RhythmRegular sinus rhythm
AxisNormal
P waveNormal
PR intervalNormal
QRS durationNormal (narrow)
ST segmentIsoelectric - no elevation/depression
T wavesNormal
QT intervalNormal

Important Disclaimer

This ECG analysis is generated by an AI system for educational/informational purposes only. It does NOT constitute a medical diagnosis. All ECG interpretations must be confirmed by a licensed cardiologist or qualified physician, particularly when clinical decisions are being made. The image quality and orientation (rotated/photographed) may limit the accuracy of automated assessment. The treating clinician must correlate findings with the patient's history, symptoms, and physical examination.
This is a shared conversation. Sign in to Orris to start your own chat.