The vision analysis returned raw signature data rather than interpretive text. I'll analyze the ECG directly from my visual input of the image.
ECG Report - ID: 247 | Date: 31-07-2026 | Time: 02:42:21
Settings: 25 mm/s | 10 mm/mV | AC50 | DH Mandur
Technical Parameters
| Parameter | Finding |
|---|
| Paper speed | 25 mm/s (standard) |
| Calibration | 10 mm/mV (standard) |
| Filter | 0.67-100 Hz, AC50 |
Systematic Interpretation
Rate
Approximately 75-85 bpm (regular R-R intervals, estimating ~700-800 ms between complexes).
Rhythm
Regular rhythm. P waves appear to be present before each QRS, suggesting sinus rhythm.
Axis
QRS complex is predominantly positive in lead I and lead aVF, suggesting a normal axis (0° to +90°).
P Waves
P waves are visible and upright in leads I, II, and aVF. Morphology appears normal. PR interval is approximately 160-180 ms (within normal limits, < 200 ms).
QRS Complex
- Duration appears normal (~80-100 ms), no significant widening suggesting bundle branch block
- In V1: Small r wave with deeper S component (normal rS pattern in V1)
- Transition zone appears around V3-V4 (normal precordial transition)
- No pathological Q waves clearly identified in the inferior (II, III, aVF) or lateral (I, aVL, V4-V6) leads at baseline reading
ST Segment & T Waves
- Leads II, III, aVF: ST segments appear to have some deviation - possible early repolarization or inferior ST changes. The image quality and orientation make precise quantification difficult.
- Precordial leads (V1-V6): ST segments appear relatively isoelectric in the mid-precordial leads. T waves appear upright in V4-V6.
- aVR: Expected ST depression / T wave inversion pattern present.
Notable Observations
- The QRS morphology in leads V1-V3 shows a pattern consistent with normal septal depolarization.
- No clear evidence of LBBB or RBBB.
- No obvious delta waves (no pre-excitation pattern).
- QTc appears to be within normal range visually.
Impression
Sinus Rhythm, Normal Rate (~75-85 bpm), Normal Axis
No definitive acute ischemic changes identified on this read, though the inferior leads (II, III, aVF) warrant careful assessment for any subtle ST elevation or depression given the clinical context.
Important Disclaimer: This ECG reading is a preliminary AI-assisted interpretation only. It must be formally reviewed by a qualified physician or cardiologist before any clinical decisions are made. The image resolution and print quality can affect accuracy of interval measurements.