Ecg findings
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ECG Analysis
Patient: Mohan Hosamani | Age: 36 years | Sex: Female
Date: 26-Jun-2026 | Institution: Pride Multispeciality Hospital
Machine: Schiller | Paper Speed: 25 mm/s | Gain: 10 mm/mV
Measurements
| Parameter | Value | Normal Range |
|---|---|---|
| Heart Rate | 61 bpm | 60-100 bpm - Normal |
| RR Interval | 986 ms | Normal |
| P Duration | 130 ms | <120 ms - slightly prolonged |
| PR Interval | 172 ms | 120-200 ms - Normal |
| QRS Duration | 88 ms | <120 ms - Normal |
| QT Interval | 360 ms | Normal |
| QTc | 364 ms | <440 ms in females - Normal |
Axis
| Parameter | Value | Interpretation |
|---|---|---|
| P Axis | 44° | Normal sinus origin |
| QRS Axis | 34° | Normal axis |
| T Axis | 24° | Normal |
Voltage Criteria
- Sokolow-Lyon Index: S(V1) + R(V5) = 1.40 + 1.95 = 3.35 mV
- The threshold for LVH by Sokolow-Lyon is >3.5 mV - this patient is borderline (just below threshold)
- R(V5) = 1.95 mV is within normal limits
Automated Interpretation (Machine Report)
- Sinus Rhythm
- Non-specific ST-T abnormality (elevation)
- Otherwise Normal ECG
- (Unconfirmed - requires physician sign-off)
Key Clinical Points
-
Sinus rhythm at 61 bpm - entirely normal rate and rhythm.
-
Non-specific ST-T changes - the machine flags ST elevation. In a 36-year-old female, the differential for this finding includes:
- Early repolarization variant (most common benign cause in young adults) - look for J-point notching, upward-sloping ST elevation in precordial leads, particularly V2-V4
- Pericarditis - typically diffuse, saddle-shaped ST elevation in multiple leads with PR depression; needs clinical correlation (chest pain, fever, recent viral illness)
- Vasospastic/Prinzmetal angina - transient, often with symptoms
- Hypertrophic cardiomyopathy (less likely given normal voltages)
-
Normal QRS duration (88 ms) - no bundle branch block.
-
Normal QTc (364 ms) - no risk of arrhythmia from prolonged QT.
-
PR interval 172 ms - normal, no first-degree AV block.
Impression
This ECG shows sinus rhythm with non-specific ST-T changes, most likely representing an early repolarization pattern in a young 36-year-old female. This is commonly a benign finding. However, pericarditis must be excluded clinically.
Important: This is an automated + AI-assisted analysis and is not a substitute for clinical evaluation by a qualified physician. Correlation with the patient's symptoms, history, and physical examination is mandatory. If the patient has chest pain, fever, or other cardiac symptoms, further workup (troponin, echocardiogram, clinical review) is indicated.
Dont tell me machine readings on it...just tell me wht is the conclusion
ECG Conclusion
36-year-old female | HR 61 bpm | Sinus Rhythm
The ECG shows non-specific ST-T changes (elevation), which in a young woman like this most likely represents:
- Early repolarization - a common benign variant in young adults, most probable here
- Pericarditis - needs to be ruled out if she has chest pain, fever, or recent viral illness
Bottom line: The heart rhythm and conduction are normal. The only concern is the ST-T change, which is likely benign but needs clinical correlation with her symptoms.
If she has chest pain, breathlessness, or fever - further workup (troponin, echo) is needed. If she is asymptomatic, this is most likely a normal variant and nothing to worry about.
In which lead st changes can be seen and pt is male
analyse_media
(Apologies for the gender error)
ST Changes - Lead-by-Lead
ST Elevation seen in:
| Lead | Elevation | Morphology |
|---|---|---|
| V2 | ~1.5-2.0 mm | Concave upward (scooped) |
| V3 | ~2.0-2.5 mm | Concave upward - most prominent |
| V4 | ~1.0 mm | Concave upward |
| V1 | Minimal (<0.5 mm) | Borderline |
V5, V6, and all limb leads (I, II, III, aVR, aVL, aVF) - No significant ST changes.
What This Tells Us
ST elevation isolated to V2-V4 (anterior precordial leads) with a concave upward (scooped) morphology in a 36-year-old male:
- Most likely: Early Repolarization - concave ST elevation in young males is classic for this benign variant
- Must rule out: Anterior STEMI - but STEMI typically shows convex (tombstone) ST elevation, not concave
- Brugada pattern - V1-V2 elevation with specific morphology; less likely here
Key distinguishing feature:
The concave (smiley face) shape of ST elevation strongly favors early repolarization over STEMI. STEMI tends to be convex (frowning shape).
Clinical correlation with symptoms is still essential - if he has chest pain, troponin must be checked.
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