ECG #5

Interpretation

 

Rate:

Atrial = ? min-1

Ventricular = 93 min-1

Rhythm:

Regular

P waves:  

Duration = ? ms

Amplitude = ? mV

PR interval:

Duration = ? ms

Morphology = ?

QRS complex:

Duration = 110 ms

Axis = -75°

Q Waves:

III, aVF

R wave progression:

Normal

LV Hypertrophy [Sokolow; SV1 + (RV5 or RV6) > 35mm) or RI + SIII > 25mm]?

No

RV Hypertrophy [R/S ratio V5 or V6 < 1 or R/S ratio V1 > 1 or S1S2S3 pattern]?

No

ST segments:

Duration = 120 ms

Morphology = sagging depression V2, V3

T waves:

Duration = 160 ms

Morphology = inversion aVL, V1-3

QT interval:

QT duration = 410 ms

QTc duration = 510 ms

Additional comments:

Wandering baseline first 5 complexes


Interpretation: Incomplete RBBB. Left axis deviation: almost bifascicular block. The rhythm cannot be determined with certainty; it is unclear if there are any P waves, although the PR interval could possibly be prolonged > 200 ms, making this almost trifascicular block.


 

ECG #5
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