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Tell this ecg to me
analyse_media
Here is a full read of this ECG:
ECG Report - BPL CARDIART
Patient: 59-year-old Female | Date: 08-08-2026, 17:20:14
Settings: 25 mm/s paper speed, 10 mm/mV gain, 0.67-35 Hz filter, AC50
Automated Machine Measurements
| Parameter | Value |
|---|---|
| Heart Rate | 71 bpm (normal) |
| P Wave Duration | 104 ms (normal <120 ms) |
| PR Interval | 163 ms (normal 120-200 ms) |
| QRS Duration | 102 ms (normal <120 ms) |
| QT / QTc | 392 / 428 ms (QTc borderline-high; upper normal ~440 ms in females) |
| P / QRS / T Axis | 49° / 46° / 42° (all normal) |
| RV5 + SV1 | 2.211 mV |
| RV5/SV1, RV6/SV2 | 1.459/0.752, 1.304/0.683 mV |
Rhythm & Rate
- Sinus rhythm at 71 bpm - normal rate
- Upright P waves in I and II confirm sinus origin
- Regular rhythm
Intervals
- PR interval 163 ms - normal, no heart block
- QRS 102 ms - just within normal limits; no significant bundle branch block
- QTc 428 ms - within normal range for females (normal <450 ms), though toward the higher end
Axis
- P axis 49°, QRS axis 46°, T axis 42° - all within the normal range (0°-90°), no axis deviation
Lead-by-Lead Summary
| Lead | Findings |
|---|---|
| I | Upright P, dominant R, upright T - normal |
| II | Upright P, tall R, upright T - normal |
| III | Low-amplitude QRS, flat/slightly inverted T - common normal variant |
| aVR | Inverted P and QRS - expected (normal) |
| aVL | Small/biphasic complexes - normal variant |
| aVF | Low-amplitude QRS, borderline flat T |
| V1 | rS pattern - normal |
| V2 | rS/RS transition - normal |
| V3 | Transitional morphology |
| V4 | Dominant R wave, normal morphology |
| V5 | Tall R wave (RV5 = 1.459 mV) |
| V6 | Upright R, RV6 = 1.304 mV |
Voltage Assessment (LVH Criteria)
- RV5 + SV1 = 2.211 mV (22.11 mm) - this is below the Sokolow-Lyon threshold for LVH (>3.5 mV / 35 mm), so no LVH by voltage
- RV6/SV2 also within normal limits
Overall Impression
Normal sinus rhythm. No significant abnormalities detected:
- No ST elevation or depression
- No Q waves suggestive of infarction
- No bundle branch block
- No LVH by voltage criteria
- No significant axis deviation
- QTc is within normal female range (428 ms)
Disclaimer: This is an AI-assisted ECG interpretation for informational purposes only. All ECG findings should be reviewed and confirmed by a qualified cardiologist or physician, especially in the context of this patient's clinical symptoms and history.
Pls teach me simply
Sure! Let me teach you how to read an ECG in a simple, step-by-step way using this very ECG as the example.
📖 How to Read an ECG - Simply
🫀 First, What IS an ECG?
An ECG (electrocardiogram) records the electrical activity of the heart from different angles (called leads). Each "spike" you see = one heartbeat.
Step 1 - Look at the RHYTHM
Ask: Are the beats regular? Is there a P wave before every QRS?
Each heartbeat has 3 parts:
P wave → QRS complex → T wave
↑ ↑ ↑
Atria Ventricles Ventricles
contract contract relaxing
In THIS ECG:
- Beats are evenly spaced ✅
- P wave present before every QRS ✅
- = Normal Sinus Rhythm (heart beating from the right place, the SA node)
Step 2 - Check the RATE
Count the beats per minute
Simple method: big squares between two R peaks
- 1 square = 300 bpm
- 2 squares = 150 bpm
- 3 squares = 100 bpm
- 4 squares = 75 bpm
- 5 squares = 60 bpm
In THIS ECG: HR = 71 bpm ✅ Normal (60-100 is normal)
Step 3 - Check the INTERVALS
Think of intervals as timing checks - is electricity moving through the heart at the right speed?
| Interval | What it checks | This ECG | Normal? |
|---|---|---|---|
| PR (P to QRS) | Signal from atria to ventricles | 163 ms | ✅ Normal (120-200) |
| QRS (width of spike) | Ventricles firing | 102 ms | ✅ Normal (<120) |
| QTc (QRS to end of T) | Ventricles recovering | 428 ms | ✅ Normal (<450 in women) |
If PR is too long = heart block. If QRS too wide = bundle branch block. If QTc too long = risk of dangerous arrhythmia.
Step 4 - Check the AXIS
Ask: Is the heart electrically "pointing" in the right direction?
Normal axis = 0° to +90° (points down and to the left, like a normal heart sits in the chest)
In THIS ECG:
- QRS axis = 46° ✅ Perfectly normal
Step 5 - Look at ST Segments & T Waves
This is where you spot heart attacks and ischemia!
Normal: ___/\___ ST segment is flat, at baseline
STEMI: ___/‾\___ ST is RAISED above baseline ⚠️
NSTEMI: ___\_/___ ST is DEPRESSED below baseline ⚠️
In THIS ECG:
- No ST elevation ✅
- No ST depression ✅
- T waves upright in most leads ✅
- = No sign of heart attack 🎉
Step 6 - Look for Q Waves
Deep Q waves = old heart attack (scar tissue)
In THIS ECG: No significant Q waves ✅
Step 7 - Check Voltage (for LVH)
Big tall QRS spikes = Left Ventricular Hypertrophy (thickened heart muscle)
Simple rule (Sokolow-Lyon):
S in V1 + R in V5 > 35 mm = LVH
In THIS ECG:
- RV5 + SV1 = 22.11 mm (well below 35 mm) ✅ No LVH
🟢 Summary of THIS ECG
| Check | Finding | Normal? |
|---|---|---|
| Rhythm | Sinus rhythm | ✅ |
| Rate | 71 bpm | ✅ |
| PR interval | 163 ms | ✅ |
| QRS width | 102 ms | ✅ |
| QTc | 428 ms | ✅ |
| Axis | 46° | ✅ |
| ST segments | Flat, no changes | ✅ |
| Q waves | None | ✅ |
| LVH voltage | Negative | ✅ |
Conclusion: This is a completely normal ECG for a 59-year-old woman. Nothing alarming. Her heart's electrical system is working normally.
🧠 Easy Memory Trick
"RRIAST" to read any ECG:
- Rhythm - regular? sinus?
- Rate - 60-100?
- Intervals - PR, QRS, QT normal?
- Axis - 0° to 90°?
- ST segments - flat? no elevation/depression?
- Trouble signs - Q waves? LVH?
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