The most common error in ECG reporting we encounter is differentiating between sinus rhythm and atrial fibrillation particularly in poor quality tracings. Thankfully a confirmed report with this error is very rare. This is because the Techs putting the final stamp of approval on your reports are taught that:
Such was the case with the accompanying ECG.
Sinus rhythm with first degree AV block.
We probably see at least one example each day.
Some examples:
This should be repeated but sometimes this is difficult to do.
The major footprint is QRS regularity.
The minor are the P waves.
However, this can sometimes fool you when there are atrial ectopics!!
Assoc Prof Harry Mond
In 49+ years as a practicing cardiologist, Assoc Prof Harry Mond has published 260+ published manuscripts & books. A co-founder of Cardiac Monitoring Service, he remains Medical Director and oversees 500K+ heart studies each year.
Download his full profile here.