This EKG shows sinus rhythm, with a some what wide QRS and a right axis deviation. The S1 Q3 pattern suggest an isolated left posterior fasicular block. One should also consider right ventricular hypertrophy but there is no sign of right atrial abnormality, and his echocardiogram was normal.

Rate (/min) 46 QT (ms) 391
pr (ms) 152 QRS axis (degrees) 166
QRS (ms) 102