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.
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.