ECG Interpretation – How to interpret ECG heart sinus rhythm?

ECG Interpretation – How to interpret ECG/EKG heart sinus rhythm? More than 30 types of sinus can be detected by ECGMonitor.

Zero-Crossing Frequency Technology

‘Zero-Crossing Frequency’ Technology is a kind of computing algorithm to capture and to measure the maxima, the minima and the turning points of PQRST-Complex. It also calculates and finds out all of the timing intervals such as P-Interval, PR-Segment, PR-Interval, RR-Interval, QRS-Interval, QT-Interval, ST-Segment, ST-Interval & etc.

This technology is used to calculate the PQRST-Complex voltage and to analyze +P, Inverted-P, Bi-Phasic-P, Grant-P, +Q, Prolong Q, +S, -S, +T, Inverted-T, Grant-T & etc.

With the help of ‘Heart Rate Variability’. it is easily to find out the heart disease such as Atrial Fibrillation, Sinus Arrhythmia, Second Degree AV Block.

The function of ‘Heart Rate Turbulence’ is used to find out the abnormality heart disease such as Sinus Bradycardia, Sinus Tachycardia, Premature Ventricular Contraction, Wolff Parkinson White, Ventricular Fibrillation, Osborn Wave & etc.

ST-Analysis is used to analyze ST-Segment. It finds out the ‘Area Above the ST-Segment’, ‘Area Under the ST-Segment’ or ‘Horizontal ST-Segment’. It also find out the slope of ST-Segment. Finally, the ST-Analysis is used to determine the importance of STEMI, NSTEMI and Myocardial Ischemia.

ECG Interpretation by ECGMonitor

PQRST-Complex Basic Timing Diagram

ECG Interpretation: Normal-Sinus-Rhythm-Single-Pulse

Normal Sinus Rhythm Single Pulse PQRST-Complex (Single Pulse)

ECG Interpretation: Normal-Sinus-Rhythm-Full-Single-Pulse

Normal Sinus Rhythm Full Single Pulse

ECG Interpretation: PQRST-Complex-Basic-Timing-Diagram

PQRST-Complex Basic Timing Diagram

ECG Interpretation: PQRST-Complex-Capture-All-Turning-Points

Capture All Turning Points Located on PQRST-Complex

ECG Interpretation: PQRST-Complex-Capture-All-Maxima-Minima

Capture All Maxima & Minima Located on PQRST-Complex

ECG Interpretation: PQRST-Complex-Basic-Timing-Diagram-All-Maxima-Minima-All-Turning-Points

PQRST-Complex Basic-Timing-Diagram All Maxima, Minima & All Turning-Points

ST-Analysis

ECG Interpretation: ST-Depression

ST-Segment is Below the Baseline. Area Under the Curve is Negative.

-Horizontal Depression (Left Diagram)
-Downsloping Depression (Mid Diagram)
-Upsloping Depression (Right Diagram)

ECG Interpretation: ST-Normal-&-ST-Elevation

ST-Normal (Left Diagram)
ST-Segment is on the Baseline. Area Under the Curve is approximately Zero.

ST-Elevation (Right Diagram)
ST-Segment is Above the Baseline. Area Under the Curve is Positive.

ECG Interpretation: ST-Analysis -Normal ST-Segment -Depression ST-Segment -Elevation ST-Segment

ST-Analysis
-Normal ST-Segment (Left Up Diagram)
-Depression ST-Segment (Bottom Diagram)
-Elevation ST-Segment (Right Up Diagram)

ECG Interpretation – How to interpret ECG/EKG sinus rhythm?

More than 30 kinds of ECG/EKG sinus rhythm, ecgMonitor can detect and analyze these ecg/ekg patterns.

Normal-Sinus-Rhythm

Normal-Sinus-Rhythm

ECG Interpretation: Normal-Sinus-Rhythm

1 Normal Sinus Rhythm
正常竇性心律

0:00:00:00 Still Q-Normal +T 0.00dB pr-148ms
60bpm HRT-Normal No-Depression +P 256sps qrs-105ms
1bps TO=0 ST-Normal DC HRV qtc-477ms
TS=0 STm=0.0883 0 0.00%
P=0.044v ~P=0v Q=-0.011v R=0.459v S=-0.104v T=0.149v ~T=0v

ECG Interpretation
Normal Sinus Rhythm

1 Normal Sinus Rhythm

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 148ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 477ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0883
  • Heart Rate Turbulence: TO=0, TS=0
ecg/ekg-Sample

ecg/ekg-Sample

ECG Interpretation: ECG/EKG Sample - High QTc Interval

2 ECG Sample
心電圖樣本

0:00:00:00 Still Q-Normal +T 0.00dB pr-148ms
60bpm HRT-Normal No-Depression +P 256sps qrs-105ms
1bps TO=0 ST-Normal DC HRV qtc-543ms
TS=0 STm=0.0428 0 0.00%
P=0.048v ~P=0v Q=-0.012v R=0.501v S=-0.113v T=0.163v ~T=0v

ECG Interpretation
Prolonged QT: Long QT Syndrome-Abnormal ECG.

2 ECG Sample

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 148ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 543ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0428
  • Heart Rate Turbulence: TO=0, TS=0
Downsloping-Myocardial-Ischemia-(NSTEMI)-Inverted-T

Downsloping-Myocardial-Ischemia-(NSTEMI)-Inverted-T

ECG Interpretation: Downsloping-Myocardial-Ischemia-(NSTEMI)-Inverted-T-Wave

3 Downsloping - Myocardial Ischemia (NSTEMI)
下坡-心肌缺血

0:00:00:00 Still Q-Normal Inv-T 0.00dB pr-129ms
60bpm HRT-Normal ST Depression +P 256sps qrs-113ms
1bps TO=0 NSTEMI DC HRV qtc-418ms
TS=0 STm=-0.0722 0 0.00%
P=0.032v ~P=0v Q=-0.028v R=0.329v S=-0.2v T=0v ~T=-0.102v

ECG Interpretation
Downsloping (NSTEMI): ATypial Myocardial Infarction-ACUTE MI.
Inverted-T: Ischemia and Myocardial Infarction-Abnormal ECG.

3 Downsloping - Myocardial Ischemia (NSTEMI)

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 129ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 113ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 418ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, Inv-T Wave
  • ST-Analysis: NSTEMI
  • ST Depression: ST-Segment Area Under the Curve is negative.
  • ST-Slope: STm=-0.0722
  • Heart Rate Turbulence: TO=0, TS=0
Horizontal-Sloping-Myocardial-Ischemia

Horizontal-Sloping-Myocardial-Ischemia

ECG Interpretation: Horizontal-Sloping-Myocardial-Ischemia

4 Horizontal Sloping - Myocardial Ischemia
水平傾斜-心肌缺血

0:00:00:00 Still Q-Normal +T 0.00dB pr-129ms
60bpm HRT-Normal ST Depression +P 256sps qrs-113ms
1bps TO=0 Ischemia DC HRV qtc-445ms
TS=0 STm=0.0041 0 0.00%
P=0.034v ~P=0v Q=-0.03v R=0.349v S=-0.212v T=0.081v ~T=0v

ECG Interpretation
Horizontal Sloping: ATypial Myocardial Infarction-ACUTE MI.

4 Horizontal Sloping - Myocardial Ischemia

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 129ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 113ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 445ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: Ischemia
  • ST Depression: ST-Segment Area Under the Curve is negative.
  • ST-Slope: STm=0.0041
  • Heart Rate Turbulence: TO=0, TS=0
Upsloping-Depression

Upsloping-Depression

ECG Interpretation: Upsloping-Depression

5 Upsloping - Depression
上坡-抑鬱

0:00:00:00 Still Q-Normal +T 0.00dB pr-125ms
60bpm HRT-Normal ST Depression +P 256sps qrs-113ms
1bps TO=0 ST-Normal DC HRV qtc-445ms
TS=0 STm=0.1314 0 0.00%
P=0.03v ~P=0v Q=-0.027v R=0.308v S=-0.187v T=0.072v ~T=0v

ECG Interpretation
Upsloping – Depression: ATypial Myocardial Infarction-ACUTE MI.

5 Upsloping - Depression

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 125ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 113ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 445ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • ST Depression: ST-Segment Area Under the Curve is negative.
  • ST-Slope: STm=0.1314
  • Heart Rate Turbulence: TO=0, TS=0
Downsloping-Inverted-T-Myocardial-Ischemia-(NSTEMI)

Downsloping-Inverted-T-Myocardial-Ischemia-(NSTEMI)

ECG Interpretation: Downsloping-Inverted-T Myocardial Ischemia (NSTEMI)

6 Downsloping Inverted T
下坡-倒T

0:00:00:00 Still Q-Normal Inv-T 0.00dB pr-129ms
60bpm HRT-Normal ST Depression +P 256sps qrs-137ms
1bps TO=0 NSTEMI DC HRV qtc-793ms
TS=0 STm=-0.0346 0 0.00%
P=0.033v ~P=0v Q=-0.029v R=0.328v S=-0.065v T=0v ~T=-0.113v

ECG Interpretation
Downsloping (NSTEMI): ATypial Myocardial Infarction-ACUTE MI.
Prolonged QT: Long QT Syndrome-Abnormal ECG.

6 Downsloping Inverted T

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 129ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 137ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 793ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, Inv-T Wave
  • ST-Analysis: NSTEMI
  • ST Depression: ST-Segment Area Under the Curve is negative.
  • ST-Slope: STm=-0.0346
  • Heart Rate Turbulence: TO=0, TS=0
Inverted-T-Wave

Inverted-T-Wave

ECG Interpretation:

7 Inverted T
倒T

0:00:00:00 Still Q-Normal Inv-T 0.00dB pr-129ms
60bpm HRT-Normal No-Depression +P 256sps qrs-113ms
1bps TO=0 ST-Normal DC HRV qtc-793ms
TS=0 STm=0.2760 0 0.00%
P=0.037v ~P=0v Q=-0.032v R=0.377v S=-0.159v T=0v ~T=-0.101v

ECG Interpretation
Prolonged QT: Long QT Syndrome-Abnormal ECG.
Inverted-T: Ischemia and Myocardial Infarction-Abnormal ECG.

7 Inverted T

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 129ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 113ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 793ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, Inv-T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.2760
  • Heart Rate Turbulence: TO=0, TS=0
Positive-S-Prolong-T-Wave

Positive-S-Prolong-T-Wave

ECG Interpretation: Positive S-Wave & Prolong T-Wave

8 Positive S & Prolong T
正S和延長T

0:00:00:00 Still Q-Normal Giant-T 0.00dB pr-129ms
60bpm HRT-Normal ST Elevation +P 256sps qrs-125ms
1bps TO=0 STEMI DC HRV qtc-434ms
TS=0 STm=1.1059 0 0.00%
P=0.042v ~P=0v Q=-0.04v R=0.439v S=0.024v T=0.411v ~T=0v

ECG Interpretation
ST Elevation – STEMI: ATypial Myocardial Infarction-ACUTE MI.
Giant-T: Hyperkalemia or Hyperacute T-Wave-Abnormal ECG.

8 Positive S & Prolong T

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 129ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 125ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 434ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, Giant-T Wave
  • ST-Analysis: STEMI
  • ST Elevation: ST-Segment Area Under the Curve is positive.
  • ST-Slope: STm=1.1059
  • Heart Rate Turbulence: TO=0, TS=0
Positive-Horizontal-ST-Inverted-T-Wave

Positive-Horizontal-ST-Inverted-T-Wave

ECG Interpretation: Positive-Horizontal-ST & Inverted-T

9 Positive Horizontal ST & Inverted T
正向水平ST和倒T

0:00:00:00 Still Q-Abnormal Inv-T 0.00dB pr-113ms
60bpm HRT-Normal ST Elevation +P 256sps qrs-164ms
1bps TO=0 Ischemia DC HRV qtc-781ms
TS=0 STm=0.0003 0 0.00%
P=0.058v ~P=0v Q=-0.196v R=0.35v S=0.053v T=0v ~T=-0.152v

ECG Interpretation
ST Elevation – Ischemia: ATypial Myocardial Infarction-ACUTE MI.
Prolonged QT: Long QT Syndrome-Abnormal ECG.
Abnormal Q: Old Myocardial Infarction-Abnormal ECG.

9 Positive Horizontal ST & Inverted T

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 113ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 164ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 781ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Abnormal Wave, Inv-T Wave
  • ST-Analysis: Ischemia
  • ST Elevation: ST-Segment Area Under the Curve is positive.
  • ST-Slope: STm=0.0003
  • Heart Rate Turbulence: TO=0, TS=0
STEMI-Extended-Q-Normalize-ST

STEMI-Extended-Q-Normalize-ST

ECG Interpretation: ST-Elevation STEMI Extended-Q Normalize-ST

10 STEMI Ext Q Normalize ST
STEMI擴展Q歸化ST

0:00:00:00 Still Q-Abnormal +T 0.00dB pr-137ms
60bpm HRT-Normal ST Elevation +P 256sps qrs-105ms
1bps TO=0 STEMI DC HRV qtc-344ms
TS=0 STm=0.2285 0 0.00%
P=0.034v ~P=0v Q=-0.218v R=0.344v S=0.07v T=0.22v ~T=0v

ECG Interpretation
ST Elevation – STEMI: ATypial Myocardial Infarction-ACUTE MI.
Abnormal Q: Old Myocardial Infarction-Abnormal ECG.

10 STEMI Ext Q Normalize ST

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 137ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 344ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Abnormal Wave, +T Wave
  • ST-Analysis: STEMI
  • ST Elevation: ST-Segment Area Under the Curve is positive.
  • ST-Slope: STm=0.2285
  • Heart Rate Turbulence: TO=0, TS=0
STEMI-Extended-Q-Normalize-ST-Inverted-T-Wave

STEMI-Extended-Q-Normalize-ST-Inverted-T-Wave

ECG Interpretation: ST Elevation STEMI Extended Q Normalized-ST Inverted T-Wave

11 STEMI Ext Q Normalize ST Inverted T
STEMI擴展Q歸化ST和倒T

0:00:00:00 Still Q-Abnormal Inv-T 0.00dB pr-133ms
60bpm HRT-Normal ST Elevation +P 256sps qrs-109ms
1bps TO=0 STEMI DC HRV qtc-320ms
TS=0 STm=0.1592 0 0.00%
P=0.033v ~P=0v Q=-0.22v R=0.345v S=0.012v T=0v ~T=-0.122v

ECG Interpretation
ST Elevation – STEMI: ATypial Myocardial Infarction-ACUTE MI.
Abnormal Q: Old Myocardial Infarction-Abnormal ECG.
Inverted-T: Ischemia and Myocardial Infarction-Abnormal ECG.

11 STEMI Ext Q Normalize ST Inverted T

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 133ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 109ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 320ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Abnormal Wave, Inv-T Wave
  • ST-Analysis: STEMI
  • ST Elevation: ST-Segment Area Under the Curve is positive.
  • ST-Slope: STm=0.1592
  • Heart Rate Turbulence: TO=0, TS=0
STEMI-Extended-Q-Positive-T-Wave

STEMI-Extended-Q-Positive-T-Wave

ECG Interpretation: ST Elevation STEMI Extended Q-Wave Positive S-Wave Positive T-Wave

12 STEMI Ext Q Positive T
STEMI擴展Q正T

0:00:00:00 Still Q-Abnormal +T 0.00dB pr-137ms
60bpm HRT-Normal ST Elevation +P 256sps qrs-105ms
1bps TO=0 STEMI DC HRV qtc-355ms
TS=0 STm=0.2285 0 0.00%
P=0.034v ~P=0v Q=-0.218v R=0.344v S=0.112v T=0.262v ~T=0v

ECG Interpretation
ST Elevation – STEMI: ATypial Myocardial Infarction-ACUTE MI.
Abnormal Q: Old Myocardial Infarction-Abnormal ECG.
Positive S: Early Repolarization-Borderline ECG.

12 STEMI Ext Q Positive T

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 137ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 355ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Abnormal Wave, +T Wave
  • ST-Analysis: STEMI
  • ST Elevation: ST-Segment Area Under the Curve is positive.
  • ST-Slope: STm=0.2285
  • Heart Rate Turbulence: TO=0, TS=0
STEMI-Inverted-T-Wave

STEMI-Inverted-T-Wave

ECG Interpretation: ST-Elevation STEMI Positive S-Wave Inverted-T Wave

13 STEMI Inverted T
STEMI倒T

0:00:00:00 Still Q-Normal Inv-T 0.00dB pr-129ms
60bpm HRT-Normal ST Elevation +P 256sps qrs-105ms
1bps TO=0 STEMI DC HRV qtc-797ms
TS=0 STm=0.2775 0 0.00%
P=0.039v ~P=0v Q=-0.036v R=0.392v S=0.13v T=0v ~T=-0.107v

ECG Interpretation
ST Elevation – STEMI: ATypial Myocardial Infarction-ACUTE MI.
Prolonged QT: Long QT Syndrome-Abnormal ECG.
Positive S: Early Repolarization-Borderline ECG.
Inverted-T: Ischemia and Myocardial Infarction-Abnormal ECG.

13 STEMI Inverted T

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 129ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 797ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, Inv-T Wave
  • ST-Analysis: STEMI
  • ST Elevation: ST-Segment Area Under the Curve is positive.
  • ST-Slope: STm=0.2775
  • Heart Rate Turbulence: TO=0, TS=0
STEMI-Positive-T-Wave

STEMI-Positive-T-Wave

ECG Interpretation: ST-Elevation STEMI Positive S-Wave Positive T-Wave

14 STEMI Positive T
STEMI正T

0:00:00:00 Still Q-Normal +T 0.00dB pr-129ms
60bpm HRT-Normal ST Elevation +P 256sps qrs-105ms
1bps TO=0 STEMI DC HRV qtc-355ms
TS=0 STm=0.2379 0 0.00%
P=0.033v ~P=0v Q=-0.031v R=0.336v S=0.112v T=0.261v ~T=0v

ECG Interpretation
ST Elevation – STEMI: ATypial Myocardial Infarction-ACUTE MI.
Positive S: Early Repolarization-Borderline ECG.

14 STEMI Positive T

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 129ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 355ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: STEMI
  • ST Elevation: ST-Segment Area Under the Curve is positive.
  • ST-Slope: STm=0.2379
  • Heart Rate Turbulence: TO=0, TS=0
ST-Recovery-Inverted-T-Wave

ST-Recovery-Inverted-T-Wave

ECG Interpretation: ST-Recovery Inverted T-Wave Prolong Q-Wave

15 ST Recovery Inverted T
ST恢復和倒T

0:00:00:00 Still Q-Abnormal Inv-T 0.00dB pr-121ms
60bpm HRT-Normal No-Depression +P 256sps qrs-172ms
1bps TO=0 Ischemia DC HRV qtc-793ms
TS=0 STm=-0.0034 0 0.00%
P=0.056v ~P=0v Q=-0.198v R=0.351v S=0.001v T=0v ~T=-0.122v

ECG Interpretation
No-Depression-Consider Normal Variant.
Prolonged QT: Long QT Syndrome-Abnormal ECG.
Abnormal Q: Old Myocardial Infarction-Abnormal ECG.
Inverted-T: Ischemia and Myocardial Infarction-Abnormal ECG.

15 ST Recovery Inverted T

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 121ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 172ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 793ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Abnormal Wave, Inv-T Wave
  • ST-Analysis: Ischemia
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=-0.0034
  • Heart Rate Turbulence: TO=0, TS=0
ST-Recovery-Normal-T-Persistent-Q-Wave

ST-Recovery-Normal-T-Persistent-Q-Wave

ECG Interpretation: ST Recovery Normalized T-Wave Persistent Q-Wave

16 ST Recovery Normal T Persistent Q
ST恢復正常T和持久Q

0:00:00:00 Still Q-Abnormal +T 0.00dB pr-129ms
60bpm HRT-Normal No-Depression +P 256sps qrs-137ms
1bps TO=0 Ischemia DC HRV qtc-523ms
TS=0 STm=0.0000 0 0.00%
P=0.058v ~P=0v Q=-0.196v R=0.351v S=-0.012v T=0.122v ~T=0v

ECG Interpretation
No-Depression-Consider Normal Variant.
Abnormal Q: Old Myocardial Infarction-Abnormal ECG.

16 ST Recovery Normal T Persistent Q

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 129ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 137ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 523ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Abnormal Wave, +T Wave
  • ST-Analysis: Ischemia
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0000
  • Heart Rate Turbulence: TO=0, TS=0
Flat-T-Wave

Flat-T-Wave

ECG Interpretation: Flat T-Wave

17 Flat T
平T

0:00:00:00 Still Q-Normal Flat-T 0.00dB pr-0ms
60bpm HRT-Normal No-Depression +P 256sps qrs-0ms
1bps TO=0 ST-Normal DC HRV qtc-0ms
TS=0 STm=0.0430 0 0.00%
P=0.017v ~P=0v Q=-0.013v R=0.304v S=-0.141v T=0v ~T=0v

ECG Interpretation
Flat-T: Ischemia or Hyperkalemia-Abnormal ECG.

17 Flat T

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Absent (No Atrial Depolarization)
  • PR-Interval = 0ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 0ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 0ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, Flat-T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0430
  • Heart Rate Turbulence: TO=0, TS=0
BiPhasic-P-Wave

BiPhasic-P-Wave

ECG Interpretation: Biphasic P-Wave

18 BiPhasic P
雙相P

0:00:00:00 Still Q-Normal +T 0.00dB pr-141ms
60bpm HRT-Normal No-Depression Bi-P 256sps qrs-109ms
1bps TO=0 ST-Normal DC HRV qtc-629ms
TS=0 STm=0.0428 0 0.00%
P=0.035v ~P=-0.037v Q=-0.015v R=0.501v S=-0.113v T=0.163v ~T=0v

ECG Interpretation
Prolonged QT: Long QT Syndrome-Abnormal ECG.
BiPhasic-P: Ectopic Atrial Rhythm-Abnormal Rhythm ECG.

18 BiPhasic P

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 141ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 109ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 629ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: Bi-P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0428
  • Heart Rate Turbulence: TO=0, TS=0
Flat-P-Wave

Flat-P-Wave

ECG Interpretation: Flat P-Wave

19 Flat P
平P

0:00:00:00 Still Q-Normal +T 0.00dB pr-0ms
60bpm HRT-Normal No-Depression Flat-P 256sps qrs-0ms
1bps TO=0 ST-Normal DC HRV qtc-0ms
TS=0 STm=0.0428 0 0.00%
P=0v ~P=0v Q=-0.004v R=0.501v S=-0.113v T=0.163v ~T=0v

ECG Interpretation
Flat-P: Junctional Rhythm-Abnormal Rhythm ECG.

19 Flat P

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Absent (No Atrial Depolarization)
  • PR-Interval = 0ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 0ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 0ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: Flat-P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0428
  • Heart Rate Turbulence: TO=0, TS=0
Giant-P-Wave

Giant-P-Wave

ECG Interpretation: Giant P-Wave

20 Giant P
巨人P

0:00:00:00 Still Q-Normal +T 0.00dB pr-148ms
60bpm HRT-Normal No-Depression Giant-P 256sps qrs-105ms
1bps TO=0 ST-Normal DC HRV qtc-543ms
TS=0 STm=0.0428 0 0.00%
P=0.155v ~P=0v Q=-0.012v R=0.501v S=-0.113v T=0.163v ~T=0v

ECG Interpretation
Prolonged QT: Long QT Syndrome-Abnormal ECG.
Giant-P: Right Atrial Enlargement-Abnormal ECG.

20 Giant P

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 148ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 543ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: Giant-P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0428
  • Heart Rate Turbulence: TO=0, TS=0
Inverted-P-Wave

Inverted-P-Wave

ECG Interpretation: Inverted P-Wave

21 Inverted P
倒P

0:00:00:00 Still Q-Normal +T 0.00dB pr-148ms
60bpm HRT-Normal No-Depression Inv-P 256sps qrs-105ms
1bps TO=0 ST-Normal DC HRV qtc-543ms
TS=0 STm=0.0428 0 0.00%
P=0v ~P=-0.034v Q=-0.012v R=0.501v S=-0.113v T=0.163v ~T=0v

ECG Interpretation
Prolonged QT: Long QT Syndrome-Abnormal ECG.
Inverted-P: Ectopic Atrial Rhythm-Abnormal Rhythm ECG.
Low P: Probably Junctional Rhythm-Abnormal ECG.

21 Inverted P

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 148ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 543ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: Inv-P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0428
  • Heart Rate Turbulence: TO=0, TS=0
Asystole-or-NO ECG/EKG Signal

Asystole-or-NO ECG/EKG Signal

ECG Interpretation: No-ECG/EKG-Signal-or-Asystole

22 Asystole
心搏停止

0:00:00:00 Still Q-Normal +T 0.00dB pr-0ms
888bpm HRT-Normal No-Depression +P 256sps qrs-0ms
8.88bps TO=0 ST-Normal DC HRV qtc-0ms
TS=0 STm=0.0000 0 0.00%
P=0v ~P=0v Q=0v R=0v S=0v T=0v ~T=0v

ECG Interpretation
No ECG Signal or Asystole
Low P: Probably Junctional Rhythm-Abnormal ECG.

22 Asystole

  • Rate = 888bpm (60-100 bpm)
  • P-Wave Absent (No Atrial Depolarization)
  • PR-Interval = 0ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 0ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 0ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0000
  • Heart Rate Turbulence: TO=0, TS=0
Sinus-Arrhythmia

Sinus-Arrhythmia

ECG Interpretation: Sinus-Arrhythmia

23 Sinus Arrhythmia
竇性心律不齊

0:00:00:00 Still Q-Normal +T 0.00dB pr-160ms
80bpm HRT-Normal No-Depression +P 256sps qrs-82ms
1.3bps TO=0 ST-Normal DC HRV qtc-328ms
TS=0 STm=0.0298 0 5.04%
P=0.034v ~P=0v Q=-0.027v R=0.304v S=-0.058v T=0.08v ~T=0v

ECG Interpretation
Sinus Arrhythmia-Borderline ECG.

23 Sinus Arrhythmia

  • Rate = 80bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 160ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 82ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 328ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 5.04% greater than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0298
  • Heart Rate Turbulence: TO=0, TS=0
Sinus-Bradycardia

Sinus-Bradycardia

ECG Interpretation: Sinus-Bradycardia

24 Sinus Bradycardia
竇性心律過緩

0:00:00:00 Still Q-Normal +T 0.00dB pr-148ms
57.7bpm HRT-Normal No-Depression +P 256sps qrs-105ms
1bps TO=-90 ST-Normal DC HRV qtc-477ms
TS=251.25 STm=0.0883 0 0.00%
P=0.044v ~P=0v Q=-0.011v R=0.459v S=-0.104v T=0.149v ~T=0v

ECG Interpretation
Sinus Bradycardia-Borderline ECG.

24 Sinus Bradycardia

  • Rate = 57.7bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 148ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 477ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0883
  • Heart Rate Turbulence: TO=-90, TS=251.25
Sinus-Tachycardia

Sinus-Tachycardia

ECG Interpretation: Sinus-Tachycardia

25 Sinus Tachycardia
竇性心律過速

0:00:00:00 Still Q-Normal +T 0.00dB pr-117ms
103.8bpm HRT-Normal No-Depression +P 256sps qrs-125ms
1.7bps TO=837.5 ST-Normal DC HRV qtc-363ms
TS=86.72 STm=0.0140 0 0.00%
P=0.034v ~P=0v Q=-0.027v R=0.304v S=-0.058v T=0.08v ~T=0v

ECG Interpretation
Sinus Tachycardia-Abnormal Rhythm ECG.

25 Sinus Tachycardia

  • Rate = 103.8bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 117ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 125ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 363ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0140
  • Heart Rate Turbulence: TO=837.5, TS=86.72
Sinus-Arrest-or-Sinus-Pause

Sinus-Arrest-or-Sinus-Pause

ECG Interpretation: Sinus Arrest or Sinus Pause

26 Sinus Arrest
竇停滯或暫停

0:00:00:00 Still Q-Normal +T 0.00dB pr-148ms
60bpm HRT-Normal No-Depression +P 256sps qrs-105ms
1bps TO=35.71 ST-Normal DC HRV qtc-477ms
TS=126.56 STm=0.0883 0.5 0.00%
P=0.044v ~P=0v Q=-0.011v R=0.459v S=-0.104v T=0.149v ~T=0v

ECG Interpretation
Sinus Arrest/Pause or Sinoatrial Block-Abnormal Rhythm ECG.

26 Sinus Arrest

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 148ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 477ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0.5
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0883
  • Heart Rate Turbulence: TO=35.71, TS=126.56
Atrial-Flutter

Atrial-Flutter

ECG Interpretation: Sinus-Flutter, Undetermined-PQRST-Complex

27 Atrial Flutter
心房震顫

0:00:00:00 Still Q-Normal +T 0.00dB pr-102ms
74.9bpm HRT-Normal No-Depression +P 256sps qrs-141ms
1.25bps TO=83.41 NSTEMI DC HRV qtc-324ms
TS=26.56 Stm=-0.5712 0 8.88%
P=0.085v ~P=0v Q=-0.015v R=0.323v S=-0.046v T=0.061v ~T=0v

ECG Interpretation
Sinus Arrhythmia-Borderline ECG
Atrial Flutter

27 Atrial Flutter

  • Rate = 74.9bpm (60-100 bpm)
  • P-Wave Uncertain (Atrial Depolarization)
  • PR-Interval = 102ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 141ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 324ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 8.88% greater than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: NSTEMI
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: Stm=-0.5712
  • Heart Rate Turbulence: TO=83.41, TS=26.56
Atrial-Fibrillation

Atrial-Fibrillation

ECG Interpretation: Atrial Fibrillation, Irregular Heartbeat, Undetermined-PQRST-Complex

28 Atrial Fibrillation
心房震顫

0:00:00:00 Still Q-Normal +T 0.00dB pr-94ms
64bpm HRT-Normal No-Depression +P 256sps qrs-125ms
1.07bps TO=0 ST-Normal DC HRV qtc-363ms
TS=0 Stm=0.1402 0 0.00%
P=0.027v ~P=0v Q=-0.027v R=0.304v S=-0.058v T=0.027v ~T=0v

ECG Interpretation
Probably Atrial Fibrillation

28 Atrial Fibrillation

  • Rate = 64bpm (60-100 bpm)
  • P-Wave Uncertain (Atrial Depolarization)
  • PR-Interval = 94ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 125ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 363ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: Stm=0.1402
  • Heart Rate Turbulence: TO=0, TS=0
Idioventricular-Rhythm

Idioventricular-Rhythm

ECG Interpretation: Idoventricular-Rhythm

29 Idioventricular Rhythm
室性心律

0:00:00:00 Still Q-Normal +T 0.00dB pr-0ms
57.7bpm HRT-Normal ST Depression Flat-P 256sps qrs-0ms
0.96bps TO=-26.56 ST-Normal DC HRV qtc-0ms
TS=80.86 STm=0.0344 1.88 0.00%
P=0v ~P=0v Q=0.002v R=0.273v S=-0.142v T=0.039v ~T=0v

ECG Interpretation
Sinus Bradycardia-Borderline ECG.
Upsloping – Depression: ATypial Myocardial Infarction-ACUTE MI.
Flat-P: Junctional Rhythm-Abnormal Rhythm ECG.
Idioventricular Rhythm-Abnormal ECG.

29 Idioventricular Rhythm

  • Rate = 57.7bpm (60-100 bpm)
  • P-Wave Absent (No Atrial Depolarization)
  • PR-Interval = 0ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 0ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 0ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 1.88
  • PQRST-Status: Flat-P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • ST Depression: ST-Segment Area Under the Curve is negative.
  • ST-Slope: STm=0.0344
  • Heart Rate Turbulence: TO=-26.56, TS=80.86
Premature Ventricular Contraction - Bigeminy 室性早搏 - 二元律

Premature Ventricular Contraction – Bigeminy

Premature Ventricular Contraction - Bigeminy 室性早搏 - 二元律

Premature Ventricular Contraction - Trigeminy 室性早搏 - 三重律

Premature Ventricular Contraction – Trigeminy

Premature Ventricular Contraction - Trigeminy 室性早搏 - 三重律

30 Premature Ventricular Contraction
心室性早搏

0:00:00:00 Still Q-Normal +T 0.00dB pr-148ms
135bpm HRT-Normal No-Depression +P 256sps qrs-105ms
2.25bps TO=-3.28 ST-Normal DC HRV qtc-477ms
TS=46.09 STm=0.0883 3.46 0.00%
P=0.044v ~P=0v Q=-0.011v R=0.459v S=-0.104v T=0.149v ~T=0v

ECG Interpretation
Sinus Tachycardia-Abnormal Rhythm ECG.
Premature Ventricular Contraction – Bigeminy -Abnormal Rhythm ECG.
Premature Ventricular Contraction – Trigeminy -Abnormal Rhythm ECG.

30 Premature Ventricular Contraction

  • Rate = 135bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 148ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 477ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 3.46
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0883
  • Heart Rate Turbulence: TO=-3.28, TS=46.09
Supraventricular-Tachycardia

Supraventricular-Tachycardia

ECG Interpretation: Supraventricular-Tachycardia

31 Supraventricular Tachycardia
心室上性心律過速

0:00:00:00 Still Q-Normal +T 0.00dB pr-125ms
149.1bpm HRT-Normal No-Depression +P 256sps qrs-117ms
2.5bps TO=0 ST-Normal DC HRV qtc-285ms
TS=0 STm=0.0276 3.18 0.00%
P=0.047v ~P=0v Q=-0.029v R=0.372v S=-0.074v T=0.103v ~T=0v

ECG Interpretation
Sinus Tachycardia-Abnormal Rhythm ECG.
Supraventricular Tachycardia-Abnormal Rhythm ECG.

31 Supraventricular Tachycardia

  • Rate = 149.1bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 125ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 117ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 285ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 3.18
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0276
  • Heart Rate Turbulence: TO=0, TS=0
Ventricular-Tachycardia

Ventricular-Tachycardia

ECG Interpretation: Ventricular-Tachycardia, Undetermined-PQRST-Complex

32 Ventricular Tachycardia
室性心搏過速

0:00:00:00 Still +Q-Abnormal +T 0.00dB pr-199ms
161.3bpm HRT-Normal No-Depression Bi-P 256sps qrs-207ms
2.7bps TO=0 NSTEMI DC HRV qtc-461ms
TS=0 STm=-0.3682 4.08 0.00%
P=0.089v ~P=-0.174v Q=0.088v R=0.169v S=0.088v T=0.092v ~T=0v

ECG Interpretation
Probably Ventricular Tachycardia

32 Ventricular Tachycardia

  • Rate = 161.3bpm (60-100 bpm)
  • P-Wave Absent (No Atrial Depolarization)
  • PR-Interval = 199ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 207ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 461ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 4.08
  • PQRST-Status: Bi-P Wave, +Q-Abnormal Wave, +T Wave
  • ST-Analysis: NSTEMI
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=-0.3682
  • Heart Rate Turbulence: TO=0, TS=0
First-Degree-AV-Block

First-Degree-AV-Block

ECG Interpretation: First-Degree-AV-Block

33 First Degree AV Block
一級AV塊

0:00:00:00 Still Q-Normal +T 0.00dB pr-203ms
57.7bpm HRT-Normal No-Depression +P 256sps qrs-82ms
0.96bps TO=0 ST-Normal DC HRV qtc-340ms
TS=0 STm=0.1838 0 0.00%
P=0.034v ~P=0v Q=-0.027v R=0.304v S=-0.058v T=0.08v ~T=0v

ECG Interpretation
ECG Interpretation
Sinus Bradycardia-Borderline ECG.
First Degree AV Block-Abnormal ECG.

33 First Degree AV Block

  • Rate = 57.7bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 203ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 82ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 340ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.1838
  • Heart Rate Turbulence: TO=0, TS=0
Second-Degree-AV-Block

Second-Degree-AV-Block

ECG Interpretation: Second-Degree-AV-Block

34 Second Degree AV Block
二級AV塊

0:00:00:00 Still Q-Normal +T 0.00dB pr-203ms
48bpm HRT-Normal No-Depression +P 256sps qrs-82ms
0.8bps TO=0 ST-Normal DC HRV qtc-340ms
TS=0 STm=0.1838 0 6.63%
P=0.034v ~P=0v Q=-0.027v R=0.304v S=-0.058v T=0.08v ~T=0v

ECG Interpretation
Sinus Bradycardia-Borderline ECG.
Sinus Arrhythmia-Borderline ECG.
Second Degree AV Block-Abnormal ECG.

34 Second Degree AV Block

  • Rate = 48bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 203ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 82ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 340ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 6.63% greater than 5.00%
  • Deceleration Capacity: 0
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.1838
  • Heart Rate Turbulence: TO=0, TS=0
Wolff-Parkinson-White

Wolff-Parkinson-White

ECG Interpretation: Wolff-Parkinson-White

35 Wolff Parkinson White
沃爾夫·帕金森·懷特

0:00:00:00 Still +Q-Abnormal +T 0.00dB pr-180ms
109.7bpm HRT-Normal No-Depression +P 256sps qrs-82ms
1.88bps TO=179.25 ST-Normal DC HRV qtc-391ms
TS=35.16 STm=0.0196 2.95 0.00%
P=0.049v ~P=0v Q=0.039v R=0.428v S=-0.079v T=0.114v ~T=0v

ECG Interpretation
Sinus Tachycardia-Abnormal Rhythm ECG.
Wolff-Parkinson-White: Ventricular Pre-excitation-Abnormal ECG.
Positive Q: Delta Wave-Abnormal ECG.

35 Wolff Parkinson White

  • Rate = 109.7bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 180ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 82ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 391ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 2.95
  • PQRST-Status: +P Wave, +Q-Abnormal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0196
  • Heart Rate Turbulence: TO=179.25, TS=35.16
Ventricular-Flutter

Ventricular-Flutter

ECG Interpretation: Ventricular-Fibrillation, Undetermined-PQRST-Complex

36 Ventricular Flutter
心室撲動

0:00:00:00 Still Q-Abnormal +T 0.00dB pr-199ms
77.2bpm HRT-Normal No-Depression +P 256sps qrs-207ms
1.29bps TO=5.64 ST-Normal DC HRV qtc-770ms
TS=23.44 Stm=1.7256 2.79 0.00%
P=0.15v ~P=0v Q=-0.214v R=0.14v S=-0.13v T=0.049v ~T=0v

ECG Interpretation
Probably Ventricular Flutter

36 Ventricular Flutter

  • Rate = 77.2bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 199ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 207ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 770ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 2.79
  • PQRST-Status: +P Wave, Q-Abnormal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: Stm=1.7256
  • Heart Rate Turbulence: TO=5.64, TS=23.44
Osborn-Wave

Osborn-Wave

ECG Interpretation: Ventricular-Fibrillation, Undetermined-PQRST-Complex

37 Osborn Wave
奧斯本波

0:00:00:00 Still Q-Normal +T 0.00dB pr-148ms
60bpm HRT-Normal No-Depression +P 256sps qrs-105ms
1bps TO=-54.55 NSTEMI DC HRV qtc-477ms
TS=69.14 STm=-0.0459 5.6 0.00%
P=0.044v ~P=0v Q=-0.011v R=0.459v S=-0.105v T=0.149v ~T=0v

ECG Interpretation
Probably Osborn Wave

37 Osborn Wave

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 148ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 105ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 477ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 5.6
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: NSTEMI
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=-0.0459
  • Heart Rate Turbulence: TO=-54.55, TS=69.14
Ventricular-Fibrillation

Ventricular-Fibrillation

ECG Interpretation: Ventricular-Fibrillation, Undetermined-PQRST-Complex

38 Ventricular Fibrillation
心室顫動

0:00:00:00 Still Q-Normal Flat-T 0.00dB pr-0ms
60bpm HRT-Normal No-Depression +P 256sps qrs-0ms
1bps TO=42.14 ST-Normal DC HRV qtc-0ms
TS=66.8 STm=0.2196 5.64 0.00%
P=0v ~P=0v Q=-0.01v R=0.021v S=-0.007v T=0v ~T=0v

ECG Interpretation
Probably Ventricular Fibrillation

38 Ventricular Fibrillation

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 0ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 0ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 0ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 5.64
  • PQRST-Status: +P Wave, Q-Normal Wave, Flat-T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.2196
  • Heart Rate Turbulence: TO=42.14, TS=66.8
Left-Bundle-Branch-Block

Left-Bundle-Branch-Block

ECG Interpretation: Ventricular-Fibrillation, Undetermined-PQRST-Complex

39 Left Bundle Branch Block
左束支阻滯

0:00:00:00 Still Q-Normal Inv-T 0.00dB pr-129ms
60bpm HRT-Normal ST Depression +P 256sps qrs-168ms
1bps TO=0 NSTEMI DC HRV qtc-797ms
TS=0 STm=-0.1300 4.43 0.00%
P=0.032v ~P=0v Q=-0.028v R=0.329v S=-0.071v T=0v ~T=-0.102v

ECG Interpretation
Downsloping (NSTEMI): ATypial Myocardial Infarction-ACUTE MI.
Prolonged QT: Long QT Syndrome-Abnormal ECG.
Inverted-T: Ischemia and Myocardial Infarction-Abnormal ECG.
Probably Left Bundle Branch Block (LBBB)-Abnormal ECG.

39 Left Bundle Branch Block

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 129ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 168ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 797ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 4.43
  • PQRST-Status: +P Wave, Q-Normal Wave, Inv-T Wave
  • ST-Analysis: NSTEMI
  • ST Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=-0.1300
  • Heart Rate Turbulence: TO=0, TS=0
Left-Ventricular-Hypertrophy

Left-Ventricular-Hypertrophy

ECG Interpretation: Ventricular-Fibrillation, Undetermined-PQRST-Complex

40 Left Ventricular Hypertrophy
左心室肥大

0:00:00:00 Still Q-Normal +T 0.00dB pr-176ms
60bpm HRT-Normal No-Depression +P 256sps qrs-47ms
1bps TO=0 ST-Normal DC HRV qtc-492ms
TS=0 STm=0.0823 5.13 0.00%
P=0.04v ~P=0v Q=-0.01v R=0.255v S=-0.293v T=0.136v ~T=0v

ECG Interpretation
Probably Left Ventricular Hypertrophy (LVH)-Abnormal ECG.

40 Left Ventricular Hypertrophy

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 176ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 47ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 492ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 5.13
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.0823
  • Heart Rate Turbulence: TO=0, TS=0
Right-Bundle-Branch-Block

Right-Bundle-Branch-Block

ECG Interpretation: Ventricular-Fibrillation, Undetermined-PQRST-Complex

41 Right Bundle Branch Block
右束支阻滯

0:00:00:00 Still Q-Normal +T 0.00dB pr-133ms
60bpm HRT-Normal No-Depression +P 256sps qrs-141ms
1bps TO=0 ST-Normal DC HRV qtc-500ms
TS=0 STm=0.4784 5.75 0.00%
P=0.04v ~P=0v Q=-0.036v R=0.411v S=-0.25v T=0.141v ~T=0v

ECG Interpretation
Probably Right Bundle Branch Block (RBBB)-Abnormal ECG.

41 Right Bundle Branch Block

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 133ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 141ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 500ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 5.75
  • PQRST-Status: +P Wave, Q-Normal Wave, +T Wave
  • ST-Analysis: ST-Normal
  • No-Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=0.4784
  • Heart Rate Turbulence: TO=0, TS=0
Right-Ventricular-Hypertrophy

Right-Ventricular-Hypertrophy

ECG Interpretation: Ventricular-Fibrillation, Undetermined-PQRST-Complex

42 Right Ventricular Hypertrophy
右心室肥大

0:00:00:00 Still Q-Normal Inv-T 0.00dB pr-133ms
60bpm HRT-Normal ST Depression +P 256sps qrs-129ms
1bps TO=0 NSTEMI DC HRV qtc-793ms
TS=0 STm=-0.1781 5.56 0.00%
P=0.048v ~P=0v Q=-0.043v R=0.659v S=-0.106v T=0v ~T=-0.153v

ECG Interpretation
Downsloping (NSTEMI): ATypial Myocardial Infarction-ACUTE MI.
Prolonged QT: Long QT Syndrome-Abnormal ECG.
High R: Early Phase of Acute Myocardial Infarction-Abnormal ECG.
Inverted-T: Ischemia and Myocardial Infarction-Abnormal ECG.
Probably Right Ventricular Hypertrophy (RVH)-Abnormal ECG.

42 Right Ventricular Hypertrophy

  • Rate = 60bpm (60-100 bpm)
  • P-Wave Present (Atrial Depolarization)
  • PR-Interval = 133ms. (Normal 0.12s-0.20s + Allowance)
  • QRS Interval = 129ms. (Normal 0.06s-0.12s + Allowance)
  • QTc Interval = 793ms. (QTc is abnormally short if < 350ms. QTc is prolonged if > 440ms in men or > 460ms in women + Allowance)
  • Heart Rate Variability = 0.00% smaller than 5.00%
  • Deceleration Capacity: 5.56
  • PQRST-Status: +P Wave, Q-Normal Wave, Inv-T Wave
  • ST-Analysis: NSTEMI
  • ST Depression: ST-Segment Area Under the Curve is approximately zero.
  • ST-Slope: STm=-0.1781
  • Heart Rate Turbulence: TO=0, TS=0