The recording has artifact suggesting a possible supra-ventricular tachycardia with block. Artifact can be suspected as the "P" waves are unrelated to the QRS complexes and lead I clearly shows associated P waves.

A repeat EKG was normal.

Rate (/min) 56 QT (ms) 438
pr (ms) 218 QRS axis (degrees) 14
QRS (ms) 80