an electrocardiogram that is of good quality and can not always be interpreted is easy. Electrical interference, muscle tremors and baseline wandering are the main artifacts that we find ourselves.
For those interested in improving the quality (and readability) of electrocardiograms I leave a couple of links on how to make a correct electrocardiogram avoiding artifacts and increasing the chances of that is useful for diagnosis.
Obtaining and Interpreting Electrocardiograms
Ecg How To'S
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