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ข้อ 2 Sinus tachycardia , rate 100/min, Normal P-wave,

ข้อ 1 Second degree atrioventricular block (Wenckebach) , rate 54/min, normal P-wave, P-R varies, QRS duration 0.08 sec. (narrow QRS complex or normal QRS duration), QRS axis 10 degree (normal axis), QTc 0.45 sec. ( prolong QTc ), normal ST-T segment.

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ข้อ 2 Sinus tachycardia , rate 100/min, Normal P-wave,

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  1. ข้อ 1 Second degree atrioventricular block (Wenckebach), rate 54/min, normal P-wave, P-R varies, QRS duration 0.08 sec. (narrow QRS complex or normal QRS duration), QRS axis 10 degree (normal axis), QTc 0.45 sec. (prolong QTc), normal ST-T segment

  2. ข้อ 2Sinus tachycardia, rate 100/min, Normal P-wave, P-R interval 0.18 sec., QRS duration 0.08 sec. (narrow QRS complex or normal QRS duration), QRS axis 75 degree (normal axis), QTc 0.40 sec. (normal QTc), normal ST-T segment

  3. ข้อ 4Normal sinus rhythm, rate 67/min, Normal P-wave,P-R interval 0.16 sec., QRS duration 0.04 sec. (narrow QRS complex or normal QRS duration), QRS axis 30 degree (normal axis), QTc 0.38 sec. (normal QTc), normal ST-T segment, Tall R in V6, RV6 > RV5, left ventricular hypertrophy by voltage criteria

  4. ข้อ 5 Atrial fibrillation (some areflutter), ventricular rate 128/min, QRS duration 0.08 sec. (narrow QRS complex or normal QRS duration), p-wave cannot clearly seen, QRS axis 75 degree (normal axis), QTc 0.45 sec. (prolong QTc), ST-T segment cannot clearly defined

  5. ข้อ 7 Sinus tachycardia, rate 94/min, Tall, wide and bifid P-wave (p-pulmonale and p-mitrale or biatrial enlargement), P-R interval 0.18 sec., QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis 100 degree (right axis deviation), rsR’ in V1 (right bundle branch block or right ventricular enlargement), QTc 0.46 sec. (prolong QTc), nonspecific ST-T changes

  6. ข้อ 8 Atrial fibrillation, ventricular rate 80/min, P-wave cannot clearly seen, QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis 50 degree (normal axis), poor R-wave progression in V1-V5, QTc 0.42 sec. (normal QTc), T-wave inversion, suggestive of antero-lateral wall infarction

  7. ข้อ 10 Normal sinus rhythm, rate 59/min, normal P-wave, P-R interval 0.16 sec., QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis 70 degree (normal axis), QTc 0.50 sec. (prolong QTc), normal ST-T segment, Tall R in V5 and V6, RV6 > RV5, left ventricular hypertrophy by voltage criteria

  8. ข้อ 11 Normal sinus rhythm, rate 80/min, Normal P-wave, P-R interval 0.14 sec., QRS duration 0.08 sec. (narrow QRS complex or normal QRS duration), QRS axis 30 degree (normal axis), multiple, unifocal premature ventricular contraction (PVC), QTc 0.44 sec. (prolong QTc), normal ST-T segment

  9. ข้อ 13 Complete atrioventricular block, ventricular rate 42/min, normal P-wave, P-R interval variable, QRS duration 0.08 sec. (narrow QRS complex or normal QRS duration), QRS axis 50 degree (normal axis), QTc 0.45 sec. (prolong QTc), normal ST-T segment, Tall R in V5 and V6, RV6 > RV5, left ventricular hypertrophy by voltage criteria

  10. ข้อ 14 Normal ECG, normal sinus rhythm, rate 90/min, normal P-wave, P-R interval 0.14 sec., QRS duration 0.08 sec. (narrow QRS complex or normal QRS duration), QRS axis 70 degree (normal axis), QTc 0.40 sec. (normal QTc), normal ST-T segment

  11. ข้อ 16 Atrial fibrillation, ventricular rate 142/min, cannot clearly see p-wave, QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis 70 degree (normal axis), QTc 0.50 sec. (prolong QTc), normal ST-T segment, Tall R in V5 (left ventricular hypertrophy by voltage criteria)

  12. ข้อ 17 Ventricular bigemini (bigemini premature ventricular contraction), mean ventricular rate 103/min, normal P-wave, P-R interval 0.16 sec., QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis 75 degree (normal axis), QTc 0.37 sec. (normal QTc), normal ST-T segment, Tall R in V5 and V6, RV6 > RV5, left ventricular hypertrophy by voltage criteria

  13. ข้อ 18 Normal sinus rhythm, rate 76/min, normal P-wave, P-R interval 0.18 sec., QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis -4 degree (abnormal left axis deviation), Q in V1-V4, anterior wall infarction (old), QTc 0.40 sec. (normal QTc), normal ST-T segment

  14. ข้อ 20 Atrial flutter with 5:1 to 6:1 AV block, ventricular rate 45/min, QRS duration 0.12 sec. (narrow QRS complex or normal QRS duration), QRS axis 105 degree (right axis deviation)

  15. ข้อ 21 Sinus arrhythmia, rate 65/min, normal P-wave, P-R interval 0.14 sec., QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis 70 degree (normal axis), QTc 0.42 sec. (normal QTc), normal ST-T segment

  16. ข้อ 23 Normal sinus rhythm, rate 72/min, frequent abnormal P-wave, frequent premature atrial contractions (PAC), P-R interval 0.14 sec., QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis 20 degree (normal axis), QTc 0.38 sec. (normal QTc), normal ST-T segment

  17. ข้อ 24 Sinus bradycardia, rate 37/min, normal P-wave, P-R interval 0.18 sec., QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis 40 degree (normal axis), QTc 0.42 sec. (normal QTc), normal ST-T segment, Tall R in V5 and V6, RV6 > RV5, left ventricular hypertrophy by voltage criteria

  18. ข้อ 26 Normal sinus rhythm, rate 59/min, wide P-wave (left atrial enlargement), P-R interval 0.24 sec.(prolong P-R interval or first degree AV block), QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis -18 degree (left axis deviation), Q in II, III, aVF, V3-V6, QTc 0.46 sec. (prolong QTc), ST-elevation in V3-V6, Old inferior infarct, recent ST elevated anterolateral infarction (STEMI)

  19. ข้อ 27 Normal sinus rhythm, rate 59/min, normal P-wave, P-R interval 0.18 sec., QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis 60 degree (normal axis), QTc 0.40 sec. (normal QTc), normal ST-T segment, Tall R in V5 and V6, RV6 > RV5, left ventricular hypertrophy by voltage criteria

  20. ข้อ 29 Sinus arrhythmia, rate 60/min, normal P-wave, P-R interval 0.16 sec., QRS duration 0.08 sec. (narrow QRS complex or normal QRS duration), QRS axis 30 degree (normal axis), QTc 0.47 sec. (prolong QTc), normal ST-T segment

  21. ข้อ 30 Sinus bradycardia, rate 48/min, normal P-wave, P-R interval 0.20 sec., QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis -35 degree (left axis deviation), QTc 0.47 sec. (prolong QTc), Q-wave with ST-elevation in V1-V4, Acute anterior wall infarction, Tall R in V5 and V6, RV6 > RV5, left ventricular hypertrophy by voltage criteria

  22. Atrial flutter with 2:1 to 3:1 AV block, rate 100/min, QRS duration 0.10 sec. (narrow QRS complex or normal QRS duration), QRS axis -60 degree (left axis deviation)

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