This is my ECG Male 22yrs Weight 81kg Mild smoker

Reading File
Running Command

python3 -c " import pdfplumber path = '/tmp/workspace/attachments/e701849b-e76f-4552-a3fd-4ddce9c04de3/Health - Pratik Nagare - ECG 2026-07-31 at 05.07.pdf' with pdfplumber.open(path) as pdf: print(f'Pages: {len(pdf.pages)}') for i, page in enumerate(pdf.pages): print(f'--- Page {i+1} ---') text = page.extract_text() print(text) print() "

Running Command

python3 -c " import pdfplumber from PIL import Image import io path = '/tmp/workspace/attachments/e701849b-e76f-4552-a3fd-4ddce9c04de3/Health - Pratik Nagare - ECG 2026-07-31 at 05.07.pdf' with pdfplumber.open(path) as pdf: page = pdf.pages[0] images = page.images print(f'Number of images: {len(images)}') for img in images: print(img) "

Running Command

python3 -c " import subprocess, sys # Try pymupdf (fitz) for PDF rendering try: import fitz print('fitz available') except ImportError: print('fitz not available') # Try pdf2image try: from pdf2image import convert_from_path print('pdf2image available') except ImportError: print('pdf2image not available') # Try pypdf try: from pypdf import PdfReader print('pypdf available') except ImportError: print('pypdf not available') "

Running Command

python3 -c " from pdf2image import convert_from_path import os path = '/tmp/workspace/attachments/e701849b-e76f-4552-a3fd-4ddce9c04de3/Health - Pratik Nagare - ECG 2026-07-31 at 05.07.pdf' os.makedirs('/tmp/workspace/ecg_render', exist_ok=True) images = convert_from_path(path, dpi=200) for i, img in enumerate(images): out = f'/tmp/workspace/ecg_render/ecg_page_{i+1}.png' img.save(out, 'PNG') print(f'Saved: {out}, size: {img.size}') "

analyse_media
Reading File
I can now clearly see the ECG. Let me analyze it carefully.

ECG Analysis - Pratik Nagare | 21 yrs | Male | 81 kg | Mild Smoker

Recorded: 31 Jul 2026, 5:07 AM | Apple Watch Series 7 | Lead I | 25 mm/s, 10 mm/mV

Device Report

  • Sinus Rhythm - 91 BPM Average
  • No signs of atrial fibrillation detected

Waveform Analysis (Lead I, 30-second strip)

Rhythm
  • Regular sinus rhythm throughout all three strips (0-29 seconds)
  • Rate: ~91 BPM - upper end of normal, consistent with someone waking up at 5:07 AM or mild physiological arousal
  • Beat-to-beat interval is consistent with no significant variability suggestive of arrhythmia
P Waves
  • Present and precede every QRS complex - confirming sinus origin
  • Appear upright in Lead I (expected for sinus rhythm), small but identifiable before each QRS
PR Interval
  • Appears within normal range (~120-200 ms) - no evidence of heart block or pre-excitation (no delta waves visible)
QRS Complex
  • Narrow QRS complexes throughout - normal duration (< 120 ms)
  • Morphology: upright, tall and relatively narrow peaks - appropriate for Lead I
  • No bundle branch block pattern
  • No abnormally wide or bizarre-looking beats
ST Segment
  • No obvious ST elevation or depression visible in Lead I
  • Isoelectric baseline between QRS and T wave
T Waves
  • Upright T waves following each QRS - normal polarity for Lead I
  • No T wave inversion, peaked T waves, or flattening
Notable Observations
  • There are slight beat-to-beat amplitude variations in some complexes, which is normal (respiratory variation / physiological)
  • The rhythm is slightly on the faster end at 91 BPM but well within sinus range
  • No ectopic beats, no premature ventricular contractions (PVCs), no pauses

Important Limitations to Know

This is an Apple Watch single-lead (Lead I equivalent) ECG. While it is a clinically validated tool for detecting atrial fibrillation, it has significant limitations:
What it CAN detectWhat it CANNOT detect
Atrial fibrillationHeart attacks (MI)
Bradycardia / TachycardiaRight/left bundle branch blocks
Normal vs abnormal rhythmST changes in most leads
Right/left ventricular hypertrophy
Ischemia in inferior/posterior leads
A 12-lead ECG is required for a complete cardiac assessment.

Summary

Your ECG looks normal for your age. Sinus rhythm at 91 BPM with no detected atrial fibrillation, no obvious conduction abnormalities, and a clean waveform morphology in Lead I.
At 21-22 years old, 91 BPM at 5:07 AM is slightly elevated from the typical resting rate (60-80 BPM), which could be explained by:
  • Just waking up / incomplete sleep
  • Mild anxiety or sympathetic activation at the time of recording
  • Effect of nicotine from smoking (even mild smoking raises resting HR)
  • Mild dehydration
No red flags are visible on this tracing. That said, because this is a single-lead Apple Watch recording, it is not a substitute for a full 12-lead ECG if you have any cardiac symptoms (chest pain, palpitations, shortness of breath, dizziness). If you have no symptoms and this was a routine check, this is reassuring.

⚠️ Disclaimer: This analysis is informational only and does not constitute medical advice. ECG interpretation requires clinical context and should be reviewed by a qualified physician. If you have any cardiac symptoms, please consult a doctor.

My apple watch is series 10

Thanks for the correction! The ECG metadata in your PDF showed Watch7,11 as the device identifier — that's actually the internal model code Apple uses. Let me clarify:
  • Watch7,11 is indeed the internal identifier for Apple Watch Series 10 (the Series 10 uses model identifiers in the Watch7,x range)
  • It's running watchOS 26.6 and iOS 26.6, which are the latest 2026 software versions
This doesn't change the ECG interpretation at all — the analysis and findings remain exactly the same. The Series 10 ECG hardware uses the same single-lead (Lead I equivalent) optical/electrical sensor technology, recording at 512 Hz with the same clinical algorithm.
What's new in Apple Watch Series 10 ECG vs older models:
  • Thinner form factor but same ECG electrode capability
  • Same FDA-cleared AFib detection algorithm
  • The Series 10 added sleep apnea detection (separate from ECG)
  • ECG is still Lead I equivalent only — the 12-lead limitation mentioned in my analysis still applies
So your ECG summary stands: Normal sinus rhythm at 91 BPM, no AFib, no visible abnormalities on Lead I. The Series 10 recorded it cleanly.
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