ECG (Maitreya, Surat) — 13 Jul 2026

• UHID: 59568 · Age/Sex on trace: 63 Yrs / Female
• Treating / referring: Dr. Sanjay Agrawal · Report confirmed by: Dr. Narendra Ta[nwar]

Measured intervals (machine)

Machine diagnosis (verbatim)

Sinus Rhythm
Larged PtfV1
Poor r Wave Progression(V2)
Inverted T Wave(V3)
Right Ventricular Hypertrophy
Prolonged QT Interval
Low Voltage(Chest Leads)
Indeterminate Axis
Report Confirmed by: DR NARENDRA TA[NWAR]

Settings: 0.67~35 Hz, AC50, 25 mm/s, 10 mm/mV, 2*5.0 s.

Clinical significance

Fourth ECG in the July series carrying the right-heart strain pattern (RVH, large PtfV1, poor R-wave progression, T-inversion V3, low chest-lead voltage) that matches her known severe pulmonary arterial hypertension and her bilateral pleural effusions (low voltage). QTc 491 ms — still prolonged, though improved from the 520/529 ms traces of 06 and 08 Jul. She is on amiodarone (Cordarone/"Cordadon") plus mexiletine (Mexohar). The "Prolonged QT Interval" line is underlined on the paper trace by the reviewing clinician.