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Patients Sticker

ECG Reporting Sheet for Medical Students


Male/Female
Ward/Location:
Date:

Age:

Clinical details:

1. ECG Standardization:

2. Rhythm:

3. Heart rate:
(and Comment)
5. PR interval

4. P wave morphology
6. Cardiac axis:

7. QRS morphology and duration


8. QTc
Bazett's Formula = QT Interval / (RR interval)

9. Any evidence of ventricular hypertroph

10. ST segment

11. T wave abnormality

12. Other significant finding


Conclusion:

Prepared by
Dr. Ngiu CS