Resting 12 Lead ECG Recording Analysis
ECG Number ……..
Male/Female
Age
Clinical details
Ward/Department (state type of ward)
Medication (if known)
Heart rate:
Comment on P wave morphology:
Rhythm:
PR interval:
QRS axis:
QRS duration / QRS morphology:
QTc
Calculate using Bazett’s 1 formula: QTc = QT /
RR int (in seconds)
Is there evidence of ventricular hypertrophy?
If yes, give measurement details.
(Use Sokolow-Lyon2 criteria;
LVH: S wave in V1 + R wave in V5 or V6 > 3.5mV or R wave in V5 or
V6 > 2.6mV
RVH: R wave in V1 + S wave in V5 or V6 ≥ 1.1mV)
Comment on the ST segment
T wave abnormalities
Any other significant findings?
Conclusion
1 Bazzet H.C., 1920. An analysis of the time relationship of electrocardiogram. Heart, 7, pp353-70.
2 Sokolow M., and Lyon T.P., 1949. The ventricular complex in left ventricular hypertrophy as obtained by unipolar precordial and
limbs leads. American Heart Journal, 37, pp161-186.
Sokolow M., and Lyon T.P., 1949. The ventricular complex in right ventricular hypertrophy as obtained by unipolar precordial and
limbs leads. American Heart Journal, 38, pp273-294.
Signature of Reviewer ……………………………………..
Date……………………………