Discussion: Normal vs. Abnormal ECG

A wave as a deviation from the baseline must be seen as an important measure. Specifically, the EGC under analysis shows that a P-wave does not exceed 2.4 squares, and the T-wave is upright in leads I and II (Jones, 2019). The specified characteristics indicate the presence of a normal heartbeat. Another essential characteristic of an ECG is a QRS complex. Representing the depolarization of the right and the left ventricles of the patient’s heart, the specified element of the cardiogram allows for assessing the extent of the large ventricular muscle contraction. The normal duration of the QRS complex is typically 80-100 ms, the one under analysis being 95, which is why any deviations from the specified norm must be seen as a reason for concern (Jones, 2019). Remarkably, apart from being the most noticeable part of the waveform, the QRS complex is also the most critical element thereof, which is why it needs to be the center of attention when analyzing the information presented in the ECG. The multitude of the QRS complexes represents the sinus rhythm, which is, in essence, the heart rhythm. In the case under analysis, the sinus rhythm is 80 beats per minute (bpm), which is within the normal (50-100 bmp) range.

The T-wave, namely, a curve after the QRS complex, must be upright and curved. The ST segment, which connects the QRS complex to the rest of the elements, should be flat. The analyzed one has a minor curve, yet slight elevation or lowering is possible as long as it remains within a 1 mm range. Finally, the QT and PR intervals, which are represented by the lines on the right and on the left sides of the QRS complex correspondingly, must be within 0.4-0.44s (QT) and 0.12-0.20 ms (RS) (Jones, 2019). In this case, they are at a 0.41 me and a 0.18 ms rate, which aligns with the set standard. Thus, overall, the ECG results observed in the specified case are those of a healthy patient.

Reference

Jones, S. A. (2019). ECG mastery: Improving your ECG interpretation skills. F.A. Davis.

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