The rhythm is sinus and there is first degree A/V block (>200ms). There is terminal P wave negativity in V1 suggestive of left atrial abnormality. There is left anterior fasicular block (axis < -30 degrees). The ST segment is slightly elevated in leads II and aVF with T wave inversion suggesting inferior ischemia or infarctions. Rate (/min) 66 QT (ms) 366
pr (ms) 233 QRS axis (degrees) -55
QRS (ms) 92