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12-Lead ECG of a 70-year-old patient showing sinus bradycardia with normal axis and no significant ST-T changes.

12-lead ECG tracing showing sinus bradycardia with a heart rate of 59 bpm, PR interval 0.160s, QRS duration 0.098s, and QT/QTc 0.416s/0.411s, recorded on 06-02-2013 for a 70-year-old patient.

12-lead ECG tracing showing sinus bradycardia with a heart rate of 59 bpm, PR interval 0.160s, QRS duration 0.098s, and QT/QTc 0.416s/0.411s, recorded on 06-02-2013 for a 70-year-old patient.

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Show Answer Key & Explanations Step-by-step solution for: Rhythm Strip Samples to help with ACLS Precourse Assessment with
Let’s carefully analyze the ECG (electrocardiogram) data provided to determine if there are any abnormalities or notable findings.

Step 1: Check heart rate
The ECG shows HR = 59 bpm.
Normal resting heart rate is 60–100 bpm.
→ 59 bpm is just below normal — this is called bradycardia (slow heart rate), but it’s very mild and may be normal for some people (like athletes).

Step 2: Check PR interval
PR = 0.160 seconds.
Normal PR interval is 0.12–0.20 seconds.
→ This is within normal range → no AV block.

Step 3: Check QRS duration
QRS = 0.098 seconds.
Normal QRS is < 0.12 seconds.
→ This is normal → no bundle branch block.

Step 4: Check QT/QTc intervals
QT = 0.416 s, QTc = 0.411 s.
Normal QTc is usually < 0.44 s for men, < 0.46 s for women.
→ Both values are normal → no risk of long QT syndrome.

Step 5: Look at P-QRS-T axes
Axes: P=62°, QRS=25°, T=16°
All are within normal ranges (QRS axis normally -30° to +90°).
→ No axis deviation.

Step 6: Examine waveforms visually (based on standard interpretation rules)
- Leads I, II, III, aVF show upright P waves → sinus rhythm confirmed.
- No ST elevation or depression in any lead → no acute ischemia/infarction.
- No tall peaked T waves or inverted T waves suggesting electrolyte issues or ischemia.
- V1–V6 show normal R-wave progression (R gets taller from V1 to V5/V6).
- No pathological Q waves → no old MI.

Step 7: Consider patient age and sex
Age 70, Sex not specified (but likely male based on typical presentation unless stated otherwise).
At age 70, a heart rate of 59 is still acceptable — many older adults have slightly slower rates.

Conclusion:
This ECG is essentially normal. The only minor finding is a heart rate of 59 bpm, which is borderline bradycardic but not clinically significant without symptoms. All other intervals and waveforms are within normal limits.

Final Answer: Normal ECG with mild bradycardia (HR 59 bpm), otherwise unremarkable.
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