← Case Library
CLINICAL ECG

Sinus rhythm with no major abnormality described

An ECG to Interpret at Age 66

DOCUMENTED HISTORY

ECG from a 66-year-old man. The reason for recording and symptoms are not supplied.

De-identified clinical ECG tracing
Open image ↗

Look for

Where to look. Start in lead II for the P–QRS relationship, then check all 12 leads.

Activation begins in the sinus node and then reaches the ventricles. A tracing described as normal does not exclude heart disease.

Available information does not justify adding symptoms or a reason for presentation.

References & provenance

The ECG Made Easy, 9e, ch. 2, PDF 41–44; ch. 4, PDF 91–93; Lilly, 6e, ch. 4, p. 85–88.

Normal ECG from a 66-year old British male subject 2019.jpg

Normal ECG from a 66-year old British male subject 2019.jpg — Rodhullandemu — Wikimedia Commons — Public domain — https://commons.wikimedia.org/wiki/File:Normal_ECG_from_a_66-year_old_British_male_subject_2019.jpg. Indiquer toute modification. Public domain

Adaptation: cropping and removal of headers/annotations outside the tracing where applicable; metadata removed. Waveforms have not been redrawn.

Compared with the published source; no independent clinical validation is claimed.

Original annotations & limitations

ECG décrit comme normal

Normal ECG from a 66-year old British male subject.

L’âge et le sexe sont documentés; ne pas inventer un bilan préopératoire, des symptômes ou un statut de sportif.