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BULANT DATE SIGNATURE OF WARD PHYSICIAN RHYTHM AXIS DEVIATION (QRS) RATES AURIC. INTERVALS PR QRS COMPLEXES VENT. P WAVES QRS QT R-ST SEGMENT T WAVES UNIPOLAR EXTREMITY LEADS (Specify) PRECORDIAL LEADS (Specify) SUMMARY, SERIAL CHANGES, AND IMPLICATIONS (Continue on reverse) NO. SIGNATURE OF PHYSICIAN DATE ECG SPONSOR'S NAME RELATIONSHIP TO SPONSOR LAST DEPART./SERVICE FIRST HOSPITAL OR MEDICAL FACILITY PATIENT'S IDENTIFICATION: ( For typed or written entries, give: Name - la.

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Keywords relevant to PREVIOUS ECG

  • ambulant
  • sf
  • auric
  • Tracings
  • QRS
  • QT
  • Extremity
  • Complexes
  • deviation
  • specify
  • optional
  • entries
  • intervals
  • reproduction
  • IMPLICATIONS
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