9g. Enlargement (check all that apply, or only check “None”…

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4h. Additional diagnosis (or select “None” if no more abnorm…

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2f. QT interval (milliseconds)

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3h. Additional diagnosis (or select “None” if no more abnorm…

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9e. QRS duration (milliseconds)

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6f. QT interval (milliseconds)

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11c. Axis (select one)

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8f. QT interval (milliseconds)

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6d. PR interval (milliseconds); if none or variable, enter “…

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5h. Additional diagnosis (or select “None” if no more abnorm…

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