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.
| Parameter | Finding |
|---|
| Rate | ~90-100 bpm |
| Rhythm | Regular sinus rhythm |
| Axis | Normal |
| P wave | Normal |
| PR interval | Normal |
| QRS duration | Normal (narrow) |
| ST segment | Isoelectric - no elevation/depression |
| T waves | Normal |
| QT interval | Normal |
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.