ECG Interp

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This is ECG is not identified, it’s well calibrated and with no baseline artifacts

Looking at the rhythm strip we a see a regular rhythm

heart rate of 107 bpm (Tachycardia)

Normal cardiac axis (Lead I +, aVF +)

Sinus rhythm (P waves +ev in leads I,II and -ve in lead aVR) so sinus Tachycardia

Normal PR interval // narrow QRS complexes // no U/delta waves

Normal R wave progression // normal QT interval

ST segment elevations in leads the inferior wall leads (II, III, aVF) Also in leads V4, V5, V6 (last two are
high lateral wall lead

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This is ECG is not identified, it’s not well calibrated and with no baseline artifacts

Regular rhythm(regular P to P intervals // heart rate is 150 bpm (2 large squares divided by 300)

So this is an atrial tachycardia ( as the SA node cannot generate such speeds)

P waves are negative in leads II, III and aVF // Also left Axis deviation (Lead I +, aVF -)

Prolonged QRS complex // normal R wave progression // R wave seen notched in multiple leads

Also dropped beats that seem to be caused by progressively prolonged PR interval

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This is ECG is not identified, it’s well calibrated and with no baseline artifacts

Respiratory alternans is noticed in rhythm strip (and other)

Regular rhythm // heart rate of 188 bpm (abnormally high) Tachycardia

Right axis deviation (Lead I -, aVF +)

I see no P waves // there are more than three ventricular premature complex beats occurring Obvious
pattern of Ventricular Tachycardia

No ST segment elevation/depression

abnormal R wave progression with sudden transition from negative to positive R wave at V3 (most likely
a left bundle branch block)

meaning that the VT is originating from the right ventricle


(We did not take on how to read an ECG of a patient with a Pacemaker)

This is ECG is not identified, it’s well calibrated and with no baseline artifacts

This ECG is irregularly Irregular at the start but then goes back to normal at the end (sinus rhythm)

When normal sinus rhythm Heart rate is 68 bpm

R wave progression is not normal (most likely cause of the pacemaker)

Wide QRS // no ST segment elvations/depression

Deep S waves in leads ( V2-V5)

This patient has a pacemaker that malfunctioned after the second beat and after the third beat

Which was the cause of near syncope in this patient

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This is ECG is not identified, it’s not well calibrated and with no baseline artifacts

Very poor ECG to read: no rhythm strip and no 3 consecutive beats that can be read in any lead

Regular rhythm

HR: 56 bpm // Bradycardia

No P waves seen

Ventricular Rhythm

Very wide QRS complexes ( >0.12 sec) very wide in lead V1 (around 6 small squares)

Left axis deviation (Lead I +, aVF -)

Sine wave appearance in lead V1

Tall upright T waves from lead V3, V4, V5 and V6

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This is ECG is not identified, it’s well calibrated and with no baseline artifacts

A pacemaker is being used in this patient, noted because of the small spike that comes before a p wave
is generated

Regular rhythm // HR: 83 bpm (within normal range)

Normal heart axis (Lead I +, aVF +)


Sinus rhythm (P waves +ev in leads I,II and -ve in lead aVR)

In the rhythm strip beats 10 and 11 seem to have happened prematurely by PACs

Narrow QRS complex // with normal PR interval

ST segment elevation is present in V2-V6 and the inferior wall leads (II, III, aVF)

T wave looks to be merging with the S waves in multiple lead

No U waves present

T wave looks to be merging with the S waves in multiple lead

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