Intervals Axes
Rate PR-QRS---QT/QTc P - QRS - T
83 180 116 444/484 27 -2 -60
| Remarks: | Sinus rhythm. Left atrial abnormality. Intraventricular conduction delay. Poor R wave progression with frank Q waves in the lateral leads and inferior leads consistent with infero-apical/lateral myocardial infarction. The inferior myocardial infarction may recent or evolving with T wave inversions in those leads as well as in the lateral leads. Slight ST segment elevation in V4 may represent recent infarction versus aneurysm formation. Q-T interval is prolonged consistent with ischemia, etc. Clinical correlation is suggested. No previous tracing available for comparison. |
Intervals Axes
Rate PR-QRS---QT/QTc P - QRS - T
80 172 108 408/444 47 18 200
| Remarks: | Sinus rhythm. Compared to the previous tracing of 7-20-95 inferior myocardial infarction pattern, possibly recent or evolving, is again noted with poor R wave progression and intraventricular conduction delay. However, there is now a markedly increased R wave in V5-V6 suggesting altered lead placement with criteria for left ventricular hypertrophy now met, and ST-T wave changes are seen laterally consistent with ischemia, etc. Clinical correlation is suggested. |
Intervals Axes
Rate PR-QRS---QT/QTc P - QRS - T
74 172 112 400/427 55 21 255
| Remarks: | Sinus rhythm. Compared to the previous tracing of 7-21-95 multiple abnormalities are as previously reported, including possible evolving inferior wall infarction pattern, etc. Clinical correlation suggested. |