Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Midmark Diagnostics Group1125 W. 190th Street
Gardena, California 90248
Holter Report
Patient Name: Lorena Morazzoni
Patient ID: Recorded at: 01/23/2013 10:00 Report Date: 02/08/2013
DOB/Sex: 10/02/1975 Female Scanned: 3 hours 36 minutes Rejected: N/A
Physician: Technician: Ileana Santiago Requested by: Pedro Falla, MD
Analyzed Channels: (1), 2, 3 Artifact: 29.5 %
Palpitations
Medication:
Indication:
Analysis SummaryHEART RATE
VENTRICULAR SUPRAVENTRICULAR
HEART RATE VARIABILITY
ST SEGMENT OTHERS
Total Beats: 22360
Average HR: 83 BPM (722 msec)Minimum HR: 62 BPM (967 msec)Maximum HR: 114 BPM (526 msec) at 12:03:52
at 13:07:12
Tachycardia (>120): N/ABradycardia (<50): N/A
SDNN: 73SDANN: 32RMSSD: 47Triangular Index: 35
Total Ectopics: 1197 (5.35% of all beats)Isolated: 667 ( 32 Interpolated)Pair: 169Bigeminy: 1 ( 3 VE beats)Trigeminy: 3 ( 9 VE beats)Run: 55 ( 180 VE beats)
Longest: 150 BPM, 6 beats, 2.6 sec at 10:53:39Fastest: 269 BPM, 3 beats, 0.9 sec at 12:59:13Slowest: 81 BPM, 3 beats, 1.9 sec at 11:06:45
Total Ectopics: 314 (1.40% of all beats)Isolated: 298Pair: 8Run: 0 ( 0 SVE beats )
Longest: N/AFastest: N/A
Ch100
0.3
Ch200
0.2
Ch300
0.1
Max-0.5 mm1.3 mm
Ch31
Time10:5010:58
Length--
Minutes of depressionMinutes of elevationAverage (mm)
DepressionElevation
Pause > 2.5 sec : 0Longest: N/A
A-Fib Episodes: 0 ( 0%)Longest: N/A
R on T: 0Unnamed 1: 0
Interpretation:
Reviewed by: Date:
The patient's Holter monitoring period was 3 hours and 36 minutes. There were a total of 22360 QRS complexes detected.
The average heart rate was 83 BPM with a maximum heart rate of 114 BPM at 12:03:52 and a minimum heart rate of 62 BPM at 13:07:12.
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 2 of 36
Narrative / Comments Report
Reviewed by: Date:
Tachycardia (heart rate > 120 BPM) was noted 0% of the time.
Bradycardia (heart rate < 50 BPM) was noted 0% of the time.
No Pauses exceeding 2.5 seconds were noted.
1197 Ventricular ectopics, which represented 5.35% of the total beat count, were noted. Ventricular ectopics were observed as 667 isolated beat(s) and as 169 couplet(s). 55 runs were noted. 3 of the ventricular beats occurred in 1 bigeminal cycles. 9 of the ventricular beats occured in 3 trigeminal cycles.
314 Supraventricular ectopics, which represented 1.40% of the total beat count, were noted.
No episodes of ST depression (defined as -1.0 mm or more for longer than 1 minute) were noted in channel 1.
0 A-Fib episodes, with a total time of 0 hr 0 min 0 sec, representing 0.0 % of the total monitoring time, were noted.
Channel 1 was the Primary channel during the analysis.
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 3 of 36
Hourly Tabular Report
Measurement Criteria
Analyzed: All channels.Total Beats: Total number of beats excludes artifact.Heart Rate: Average, minimum and maximum heart rates are based on 1 minute averages of each hour.VE: Isolated ventricular beats.VE Pair: Two successive VE beats.V Run: Three or more successive VE beats.SVE: Isolated supraventricular beats.SVE Pair: Two successive premature SVE beats.SV Run: Three or more successive premature SVE beats.Pause: No detected beat occurs for an R-R interval which exceeds the threshold value.Bigeminy: Bigeminy pattern for at least 6 beats.Trigeminy: Trigeminy pattern for at least 9 beats.R on T: VE within the QT interval of a normal beat.ST Level: Maximum Delta ST (minute average) of normal beats with respective lead in ().No Analysis: Sections of recording containing excessive artifact, where no analysis was performed (minutes).A-Fib: Atrial Fibrillation episode for three or more beats.
Heart Rate Ventricular SupraVentricular
Time
Avg Min Max #QRS VE Pair Run SVE Pair Run PauseBigemTrigem RonT
STD
(mm)
NA
(min) AF
10:00 87 71 102 6419 218 64 22 82 4 0 0 0 1 0 -0.5(3) 0 011:00 85 74 100 6791 228 63 16 116 2 0 0 0 0 0 -0.2(3) 0 012:00 83 65 114 5845 166 28 16 82 2 0 0 1 1 0 -0.4(1) 0 013:00 80 62 95 3305 55 14 1 18 0 0 0 0 1 0 -0.1(3) 0 0
Summary 83 62 114 22360 667 169 55 298 8 0 0 1 3 0 -0.5 0 0
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 4 of 36
Arrhythmia Report
Ventricular SupraVentricular
Total: 1197 ( 5.35% of all beats ) Total: 314 ( 1.40% of all beats )
Average VEs per 1000 beats 53.5 Average SVEs per 1000 beats 14.0Average VEs per hour Average SVEs per hour332.5 87.2Average VEs per minute Average SVEs per minute5.5 1.5Maximum in hour Maximum in hour420 at 10:00 120 at 11:00Maximum in minute Maximum in minute20 at 10:39 7 at 11:21
Longest V-Run
Ch1
Ch2
Ch3
10:53:25 ( 30 seconds ) Heart rate: 136 , V-Run : 150 BPM , 6 beats , 2.6 seconds
Fastest V-Run
Ch1
Ch2
Ch3
12:58:58 ( 30 seconds ) Heart rate: 125 , V-Run : 269 BPM , 3 beats , 0.9 seconds
Slowest V-Run
Ch1
Ch2
Ch3
11:06:31 ( 30 seconds ) Heart rate: 116 , V-Run : 81 BPM , 3 beats , 1.9 seconds
Longest SV-Run
Fastest SV-Run
Maximum VEs in Minute
Ch1
Ch2
Ch3
10:39:02 ( 30 seconds ) Heart rate: 138 , VE : 20 beats
Ch1
Ch2
Ch3
10:39:32 ( 30 seconds ) Heart rate: 123 , VE : 20 beats
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 5 of 36
Patient Events/Diary Report
Time Activity Symptoms Comments
01/23/2013 10:15:18 Recorder Event
01/23/2013 10:32:13 Recorder Event
01/23/2013 10:53:11 Recorder Event
01/23/2013 11:09:43 Recorder Event
01/23/2013 11:29:08 Recorder Event
01/23/2013 12:02:49 Recorder Event
01/23/2013 12:23:25 Recorder Event
01/23/2013 12:43:26 Recorder Event
01/23/2013 13:06:47 Recorder Event
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 6 of 36
Ch1
Ch2
Ch3
25mm/sec10:15:18 01/23 102 BPM Patient Event
| |265 |476 |226 |726 |707 |695 |667 |667 |648 |640 |558 |699 |621
Ch1
Ch2
Ch3
25mm/sec10:32:13 01/23 96 BPM Patient Event
| |679 |687 |503 |218 |507 |847 |691 |656 |675 |671 |687 |675
Ch1
Ch2
Ch3
25mm/sec10:53:11 01/23 156 BPM Patient Event
| |621 |324 |285 |480 |207 |355 |238 |226 |449 |636 |386 |234 |269 |343 |601 |269 |351 |617 |406
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 7 of 36
Ch1
Ch2
Ch3
25mm/sec11:09:43 01/23 162 BPM Patient Event
| |613 |343 |296 |304 |207 |269 |261 |292 |222 |402 |421 |601 |613 |652 |347 |226 |375 |335 |328 |257
Ch1
Ch2
Ch3
25mm/sec11:29:08 01/23 132 BPM Patient Event
| |636 |617 |585 |511 |523 |281 |269 |304 |230 |457 |226 |238 |625 |621 |574 |570
Ch1
Ch2
Ch3
25mm/sec12:02:49 01/23 155 BPM Patient Event
| |449 |230 |371 |257 |281 |394 |195 |238 |230 |433 |203 |203 |417 |617 |621 |652 |679 |527 |265 |445
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 8 of 36
Ch1
Ch2
Ch3
25mm/sec12:23:25 01/23 91 BPM Patient Event
| |679 |699 |675 |640 |617 |605 |621 |664 |660 |644 |679
Ch1
Ch2
Ch3
25mm/sec12:43:26 01/23 86 BPM Patient Event
| |660 |632 |664 |710 |660 |753 |718 |738 |667 |722 |734
Ch1
Ch2
Ch3
25mm/sec13:06:47 01/23 88 BPM Patient Event
| |675 |664 |625 |605 |625 |613 |617 |781 |750 |750 |761
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 9 of 36
Condensed Sample Strips( 8 seconds per strip )
High Heart Rate20 Occurances
( Samples sorted by Severity )
Ch1
Ch2
Ch3
12:03:52(114 BPM)
Ch1
Ch2
Ch3
12:03:28(110 BPM)
Ch1
Ch2
Ch3
12:03:36(108 BPM)
Low Heart Rate20 Occurances
( Samples sorted by Severity )
Ch1
Ch2
Ch3
13:07:12(62 BPM)
Ch1
Ch2
Ch3
12:46:40(65 BPM)
Ch1
Ch2
Ch3
13:07:04(67 BPM)
VE - Isolated635 Occurances
( Samples sorted by Time )
Ch1
Ch2
Ch3
10:00:28(106 BPM)
Ch1
Ch2
Ch3
11:27:44(80 BPM)
Ch1
Ch2
Ch3
13:35:31(109 BPM)
VE - Interpolated32 Occurances
( Samples sorted by Time )
Ch1
Ch2
Ch3
10:00:29(108 BPM)
Ch1
Ch2
Ch3
11:16:56(138 BPM)
Ch1
Ch2
Ch3
13:22:22(120 BPM)
VE - Pair169 Occurances
( Samples sorted by Time )
Ch1
Ch2
Ch3
10:00:26(107 BPM)
Ch1
Ch2
Ch3
11:15:31(83 BPM)
Ch1
Ch2
Ch3
13:34:36(86 BPM)
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 10 of 36
Condensed Sample Strips( 8 seconds per strip )
VE - Run55 Occurances
( Samples sorted by Time )
Ch1
Ch2
Ch3
10:01:30(129 BPM)
Ch1
Ch2
Ch3
11:13:57(111 BPM)
Ch1
Ch2
Ch3
13:28:25(128 BPM)
Bigeminy1 Occurances
( Samples sorted by Time )
Ch1
Ch2
Ch3
12:13:10(104 BPM)
Trigeminy3 Occurances
( Samples sorted by Time )
Ch1
Ch2
Ch3
10:43:09(128 BPM)
Ch1
Ch2
Ch3
12:30:56(90 BPM)
Ch1
Ch2
Ch3
13:07:33(116 BPM)
SVE298 Occurances
( Samples sorted by Time )
Ch1
Ch2
Ch3
10:00:26(105 BPM)
Ch1
Ch2
Ch3
11:24:41(95 BPM)
Ch1
Ch2
Ch3
13:35:10(88 BPM)
SVE - Pair8 Occurances
( Samples sorted by Time )
Ch1
Ch2
Ch3
10:25:50(91 BPM)
Ch1
Ch2
Ch3
10:55:15(137 BPM)
Ch1
Ch2
Ch3
12:56:11(97 BPM)
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 11 of 36
Ch1
Ch2
Ch3
25mm/sec12:03:52 01/23 114 BPMHigh Heart Rate
| |531 |535 |519 |535 |535 |539 |527 |519 |515 |515 |515 |511 |511 |511
Ch1
Ch2
Ch3
25mm/sec12:03:28 01/23 110 BPMHigh Heart Rate
| |554 |550 |554 |550 |546 |546 |539 |535 |527 |539 |515 |539 |539 |546
Ch1
Ch2
Ch3
25mm/sec12:03:36 01/23 108 BPMHigh Heart Rate
| |597 |558 |558 |558 |554 |558 |558 |546 |546 |542 |546 |539 |542
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 12 of 36
Ch1
Ch2
Ch3
25mm/sec13:07:12 01/23 62 BPMLow Heart Rate
| |968 |1042 |1054 |945 |914 |929 |855
Ch1
Ch2
Ch3
25mm/sec12:46:40 01/23 65 BPMLow Heart Rate
| |937 |949 |945 |941 |933 |894 |859 |816
Ch1
Ch2
Ch3
25mm/sec13:07:04 01/23 67 BPMLow Heart Rate
| |765 |796 |898 |960 |921 |945 |945 |933
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 13 of 36
Ch1
Ch2
Ch3
25mm/sec10:00:28 01/23 106 BPMVE - Isolated
| |703 |667 |433 |191 |609 |660 |671 |710 |187 |492 |691 |664 |652
Ch1
Ch2
Ch3
25mm/sec11:27:44 01/23 80 BPMVE - Isolated
| |718 |761 |761 |804 |710 |726 |734 |761 |718 |796
Ch1
Ch2
Ch3
25mm/sec13:35:31 01/23 109 BPMVE - Isolated
| |375 |257 |593 |562 |625 |406 |738 |628 |574 |582 |593 |593 |609
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 14 of 36
Ch1
Ch2
Ch3
25mm/sec10:00:29 01/23 108 BPMVE - Interpolated
| |433 |191 |609 |660 |671 |710 |187 |492 |691 |664 |652 |636 |625
Ch1
Ch2
Ch3
25mm/sec11:16:56 01/23 138 BPMVE - Interpolated
| |183 |210 |339 |238 |218 |339 |679 |683 |656 |207 |472 |613 |375 |253 |625 |628 |632
Ch1
Ch2
Ch3
25mm/sec13:22:22 01/23 120 BPMVE - Interpolated
| |312 |652 |300 |347 |652 |636 |632 |234 |406 |648 |628 |207 |417 |652 |738
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 15 of 36
Ch1
Ch2
Ch3
25mm/sec10:00:26 01/23 107 BPMVE - Pair
| |695 |695 |703 |667 |433 |191 |609 |660 |671 |710 |187 |492
Ch1
Ch2
Ch3
25mm/sec11:15:31 01/23 83 BPMVE - Pair
| |593 |601 |589 |582 |574 |476 |550 |2437 |476 |585 |402
Ch1
Ch2
Ch3
25mm/sec13:34:36 01/23 86 BPMVE - Pair
| |808 |476 |285 |757 |753 |773 |816 |785 |699 |738 |718
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 16 of 36
Ch1
Ch2
Ch3
25mm/sec10:01:30 01/23 129 BPMVE - Run
| |722 |628 |410 |246 |664 |898 |332 |390 |285 |343 |363 |695 |421 |339 |496 |273 |355
Ch1
Ch2
Ch3
25mm/sec11:13:57 01/23 111 BPMVE - Run
| |281 |347 |597 |609 |593 |589 |511 |824 |449 |367 |265 |671 |683 |718
Ch1
Ch2
Ch3
25mm/sec13:28:25 01/23 128 BPMVE - Run
| |335 |304 |664 |667 |699 |351 |304 |312 |285 |718 |648 |640 |636 |292 |355 |261
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 17 of 36
Ch1
Ch2
Ch3
25mm/sec12:13:10 01/23 104 BPMBigeminy
| |468 |253 |375 |289 |660 |644 |585 |781 |707 |667 |664 |683 |710
Ch1
Ch2
Ch3
25mm/sec10:43:09 01/23 128 BPMTrigeminy
| |464 |238 |660 |351 |312 |679 |246 |425 |648 |644 |628 |621 |382 |449 |414 |304
Ch1
Ch2
Ch3
25mm/sec12:30:56 01/23 90 BPMTrigeminy
| |675 |675 |648 |636 |644 |660 |652 |648 |664 |687 |652 |683
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 18 of 36
Ch1
Ch2
Ch3
25mm/sec13:07:33 01/23 116 BPMTrigeminy
| |644 |453 |773 |625 |609 |625 |613 |242 |386 |640 |605 |234 |406 |343
Ch1
Ch2
Ch3
25mm/sec10:00:26 01/23 105 BPMSVE
| |683 |695 |695 |703 |667 |433 |191 |609 |660 |671 |710 |187 |492
Ch1
Ch2
Ch3
25mm/sec11:24:41 01/23 95 BPMSVE
| |277 |390 |738 |753 |921 |343 |187 |648 |738 |761 |1144
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 19 of 36
Ch1
Ch2
Ch3
25mm/sec13:35:10 01/23 88 BPMSVE
| |675 |722 |761 |785 |535 |250 |765 |730 |722 |746 |730
Ch1
Ch2
Ch3
25mm/sec10:25:50 01/23 91 BPMSVE - Pair
| |1164 |980 |765 |722 |261 |421 |242 |457 |718 |757 |691
Ch1
Ch2
Ch3
25mm/sec10:55:15 01/23 137 BPMSVE - Pair
| |335 |476 |957 |382 |714 |683 |382 |347 |218 |449 |691 |382 |214 |320 |269 |613 |234 |191
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 20 of 36
Ch1
Ch2
Ch3
25mm/sec12:56:11 01/23 97 BPMSVE - Pair
| |804 |750 |902 |863 |394 |421 |640 |199 |554 |207 |843 |804
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 21 of 36
Heart Rate Trend
Time
hea
rt r
ate
Ch1
Ch2
Ch3
25mm/sec12:03:52 01/23 114 BPMHigh Heart Rate Maximum Heart Rate 114
| |531 |535 |519 |535 |535 |539 |527 |519 |515 |515 |515 |511 |511 |511
Ch1
Ch2
Ch3
25mm/sec13:07:12 01/23 62 BPMLow Heart Rate Minimum Heart Rate 62
| |968 |1042 |1054 |945 |914 |929 |855
10 1016 22 40
306090
120150180210
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 22 of 36
RR Interval/Ratio Report
RR Intervals ( All Beats )
Q u
a n
t i t
y
(ms)(HR)
00
400150
80075
120050
160037
200030
181
363
544
726RR Intervals ( N-N Beats )
Q u
a n
t i t
y
(ms)(HR)
00
400150
80075
120050
160037
200030
172
344
516
688
RR Intervals ( N-V Beats )
Q u
a n
t i t
y
(ms)(HR)
00
400150
80075
120050
160037
200030
9
18
27
37RR Ratio ( All Beats )Q
u a
n t
i t y
RR(i) / RR(i-1)0 1 2 3
607
1214
1821
2429
RR Ratio ( N-N Beats )
Q u
a n
t i t
y
RR(i) / RR(i-1)0 1 2 3
573
1146
1719
2293RR Ratio ( N-V Beats )
Q u
a n
t i t
y
RR(i) / RR(i-1)0 1 2 3
19
38
57
77
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 23 of 36
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00
RR Tachogram
Time (Hour)
RR
(ms)
Ch1
Ch2
Ch3
25mm/sec11:59:26 01/23 61 BPM Maximum RR 2460 ms
| |609 |601 |589 |605 |2460
Ch1
Ch2
Ch3
25mm/sec12:22:45 01/23 124 BPM Minimum RR 210 ms
| |480 |281 |289 |386 |207 |441 |675 |589 |253 |234 |210 |863 |757 |781 |804
10 1016 22 40
200
400
600
800
1000
1200
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 24 of 36
Arrhythmia Distribution Report
VE (667)
Time (Hour)
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 9 1010
76
152
0
228 218 228
166
55
VE Pair (169)
Time (Hour)
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 9 1010
21
42
0
64 64 63
28
14
V-Run (55)
Time (Hour)
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 9 1010
10
20
0
30
22
16 16
1
SVE (298)
Time (Hour)
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 9 1010
38
77
0
116
82
116
82
18
SV-Run (0)
Time (Hour)
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 9 1010
10
20
0
30
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 25 of 36
ST Tabular Report
Summary:
Criteria:Heart Rate: Average, minimum and maximum heart rates are based on 1 minute averages of each hour.RR Interval: Average RR intervals are based on 1 minute averages of each hour.ST Level: Average and minimum ST level ( minute average ) of normal beats of each hour.
DepressionElevation
Max-0.5 mm1.3 mm
Channel31
Time10:5010:58
Length0 min
-
Heart Rate ( BPM ) Avg ST Segment Level ( mm )
Time RR Ch.1 Ch.2 Ch.3
Min Max Avg (ms) Avg Avg AvgMin Min Min
10:00 71 102 87 689 0.3 -0.2 0.2 -0.2 0.0 -0.511:00 74 100 85 705 0.2 -0.1 0.1 -0.1 0.0 -0.212:00 65 114 83 722 0.3 -0.4 0.2 -0.1 0.1 -0.213:00 62 95 80 750 0.4 -0.1 0.3 -0.1 0.1 -0.1
Summary 62 114 83 722 0.3 -0.4 0.2 -0.2 0.1 -0.5
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 26 of 36
ST Segment Trend( ST point after J point : 80 ms )
Depression( -mm )
Total IschemicTime (min)
Number ofEpisodes
1 MinuteEpisodes
2-4 MinutesEpisodes
5+ MinutesEpisodes
Ch.1
Ch.2
Ch.3
1.0 - 1.9 0 0 0 0 02.0 - 2.9 0 0 0 0 0
3.0 + 0 0 0 0 0Total 0 0 0 0 0
1.0 - 1.9 0 0 0 0 02.0 - 2.9 0 0 0 0 0
3.0 + 0 0 0 0 0Total 0 0 0 0 0
1.0 - 1.9 0 0 0 0 02.0 - 2.9 0 0 0 0 0
3.0 + 0 0 0 0 0Total 0 0 0 0 0
10 16 22 4 10
HeartAverage
Rate306090
120150180
-3-2-10123
Ch.1
ST Level(mm)
-3-2-10123
ST Slope(mv/sec)
-3-2-10123
Ch.2
ST Level(mm)
-3-2-10123
ST Slope(mv/sec)
-3-2-10123
Ch.3
ST Level(mm)
-3-2-10123
ST Slope(mv/sec)
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 27 of 36
QT Interval Trend
10 16 22 4 10( Time )
HeartAverage
Rate306090
120150180
250300350400450500550
Ch.1
QT(ms)
250300350400450500550
QTc(ms)
250300350400450500550
Ch.2
QT(ms)
250300350400450500550
QTc(ms)
250300350400450500550
Ch.3
QT(ms)
250300350400450500550
QTc(ms)
Range (ms) < 350 350-400 400-450 450-480 > 480
QT
QTc
QTc
10%
20%
30%
40%
50%
60%
70%
80%
90%
26.9%
QT
5.5%
QTc
72.0%
QT
10.9%
QTc
1.1%
QT
60.9%
QTc
0.0%
20.9%
QTc
0.0%
1.8%
QTc
( Channel 1 )QTc formula used : Bazett formula
QTc <= 450 ms 77.4%
QTc > 450 ms 22.6%
QT <= 450 ms 100.0%
QT > 450 ms 0.0%
Max QTc at 11:51, 576 ms
Max QT at 11:35, 386 ms
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 28 of 36
QT Tabular Report
Summary:
Criteria:
Longest QT Interval : 386ms, QTc: 570ms, at 11:35, Heart Rate: 131bpm;
Longest QTc: 576ms, Original QT Interval: 374ms, at 11:51, Heart Rate: 142bpm;
Shortest QT Interval : 247ms, QTc: 334ms, at 12:36, Heart Rate: 110bpm;
Shortest QTc: 334ms, Original QT Interval: 246ms, at 12:36, Heart Rate: 110bpm;
QTc formula used : Bazett formula
( Channel 1 )
TimeTotal
Beats
H R(BPM)Avg
R R(ms)Avg
QT Interval (ms)
Avg Max Min
QT Correction (ms)
Avg Max Min
10:00 6419 87 689 345 382 267 439 562 37211:00 6791 85 705 350 386 312 442 576 40012:00 5845 83 722 348 381 247 435 547 33413:00 3305 80 750 365 383 253 435 482 396
Summary 22360 83 722 352 386 247 414 576 334
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 29 of 36
HRV Analysis Summary
Variable Units 24 Hours 5-Minute Mean 5-Minute Std
Note: The 5-minute results are averaged over the entire day.
SDNN ms 73SDANN ms 32rMSSD ms 47pNN50 % 11.37 11.09 5.39 Triangular Index 35Total Power ms2 0.00 1121.74 2134.41ULF ms2 0.00 56.67VLF ms2 0.00 343.86 638.42LF ms2 0.00 345.42 499.23LF norm nu 30.30 19.64HF ms2 0.00 375.79 985.13HF norm nu 24.46 16.23LF/HF 0.71 0.53HF/TP 0.34 0.12
Definitions
SDNN Standard deviation of all normal RR intervals in the entire ECG recording.SDANN Standard deviation of the average normal RR intervals for all 5-minute segments of entire ECG recording.rMSSD Root-mean-square successive difference ( the square root of the squared differences between adjacent normal RR intervals ).pNN50 The number of times in which the change in consecutive N-N intervals exceeds 50 milliseconds, measured as a percentage of total NN pairs for the unit time.Triangular Index Total number of all NN intervals divided by the height of the histogram of all NN intervals measured on a discrete scale with bins of 7.8125 ms.Total Power The variance of NN intervals over the selected segment ( <= 0.4 Hz ).ULF Power in the ULF range ( <= 0.003 Hz ), not defined for 5-minute.VLF Power in the VLF range ( 5-minute: <= 0.04Hz, 24-hour: 0.003 - 0.04 Hz ).LF Power in the LF range ( 0.04 - 0.15 Hz ).LF norm LF power in normalized units 100*LF/(total power - VLF).HF Power in the HF range ( 0.15 - 0.4 Hz ).HF norm HF power in normalized units 100*HF/(total power - VLF).LF/HF Ratio LF/HF.HF/TP Ratio HF/TP.
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 30 of 36
Time Domain Analysis
RR Successive Interval Plot ( NN Beats )
400
400
800
800
1200
1200
1600
16000
0
2000
2000RR(n) (ms)
RR
(n+
1)
(m
s)
RR Successive Interval Plot ( All Beats )
400
400
800
800
1200
1200
1600
16000
0
2000
2000RR(n) (ms)
RR
(n+
1)
(m
s)
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 910 10
70
110
30
150
Me
an
He
art
Ra
te (
BP
M)
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 910 10
41
82
0
124
RR
Sta
nd
ard
De
via
tion
(m
s)
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 910 10
41
83
0
125
rMS
SD
(m
s)
Time (Hour)
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 31 of 36
HRV Time Domain Tabular Report
Time Total Beats Qualified Beats Mean RR SDNN SDANN rMSSD# # ms ms ms ms
10:00 6419 3456 665 58 15 3111:00 6791 2887 684 76 23 6212:00 5845 3768 702 72 25 4913:00 3305 2435 735 68 20 41
Entire Recording 22360 12546 694 73 32 47
Definitions
Total Beats Total beats in the period.
Qualified Beats Total beats in the period that are considered normal and fall within the specified tolerances.
Mean RR Mean RR interval.
SDNN Standard deviation of all normal RR intervals in the entire ECG recording.
rMSSD Root-mean-square successive difference ( the square root of the squared differences between adjacent normal RR intervals ).
SDANN Standard deviation of the average normal RR intervals for all 5-minute segments of entire ECG recording.
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 32 of 36
Frequency Domain Analysis
ULF - Power from 0.0000 Hz to 0.0033 Hz
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 910 10
2168
4336
0
6505
Time (Hour)
VLF - Power from 0.0033 Hz to 0.0400 Hz
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 910 10
2168
4336
0
6505
Time (Hour)
LF - Power from 0.04 Hz to 0.15 Hz
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 910 10
2168
4336
0
6505
Time (Hour)
HF - Power from 0.15 Hz to 0.4 Hz
11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 910 10
2168
4336
0
6505
Time (Hour)
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 33 of 36Ch. 1
10:00 98
10:01 142
10:02 108
10:03 124
10:04 123
10:05 143
10:06 107
10:07 139
10:08 86
10:09 101
10:10 91
10:11 89
10:12 115
10:13 98
10:14 107
10:15E 104
10:16 98
10:17 94
10:18 116
10:19 91
10:20 88
10:21 90
10:22 85
10:23 98
10:24 132
10:25 79
10:26 104
10:27 118
10:28 98
10:29 88
10:30 92
10:31 85
10:32E 90
10:33 89
10:34 120
10:35 102
10:36 99
10:37 131
10:38 133
10:39 129
10:40 117
10:41 127
10:42 116
10:43 129
10:44 103
10:45 85
10:46 116
10:47 113
10:48 116
10:49 111
10:50 105
10:51 94
10:52 96
10:53E 128
10:54 120
10:55 125
10:56 106
10:57 93
10:58 89
10:59 87
0 5 10 15 20 25 30 35 40 45 50 55 60
0 5 10 15 20 25 30 35 40 45 50 55 60
HR (ST)
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 34 of 36Ch. 1
11:00 110
11:01 120
11:02 130
11:03 114
11:04 90
11:05 91
11:06 120
11:07 123
11:08 113
11:09E 139
11:10 130
11:11 110
11:12 92
11:13 101
11:14 99
11:15 112
11:16 135
11:17 162
11:18 158
11:19 152
11:20 115
11:21 110
11:22 108
11:23 104
11:24 96
11:25 111
11:26 97
11:27 87
11:28 85
11:29E 131
11:30 129
11:31 135
11:32 106
11:33 108
11:34 95
11:35 124
11:36 96
11:37 92
11:38 84
11:39 86
11:40 105
11:41 129
11:42 145
11:43 146
11:44 179
11:45 157
11:46 104
11:47 118
11:48 103
11:49 125
11:50 118
11:51 141
11:52 89
11:53 86
11:54 86
11:55 90
11:56 90
11:57 87
11:58 96
11:59 80
0 5 10 15 20 25 30 35 40 45 50 55 60
0 5 10 15 20 25 30 35 40 45 50 55 60
HR (ST)
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 35 of 36Ch. 1
12:00 85
12:01 85
12:02E 126
12:03 103
12:04 135
12:05 92
12:06 93
12:07 91
12:08 95
12:09 135
12:10 89
12:11 89
12:12 95
12:13 100
12:14 111
12:15 91
12:16 82
12:17 100
12:18 83
12:19 83
12:20 96
12:21 88
12:22 97
12:23E 94
12:24 88
12:25 103
12:26 106
12:27 101
12:28 86
12:29 100
12:30 107
12:31 89
12:32 98
12:33 88
12:34 88
12:35 100
12:36 111
12:37 92
12:38 100
12:39 108
12:40 129
12:41 154
12:42 134
12:43E 113
12:44 95
12:45 87
12:46 80
12:47 83
12:48 103
12:49 92
12:50 83
12:51 82
12:52 92
12:53 87
12:54 91
12:55 79
12:56 83
12:57 86
12:58 78
12:59 110
0 5 10 15 20 25 30 35 40 45 50 55 60
0 5 10 15 20 25 30 35 40 45 50 55 60
HR (ST)
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1
Patient name: Lorena Morazzoni ID: Recording Time: 01/23/2013 10:00 Page 36 of 36Ch. 1
13:00 83
13:01 79
13:02 80
13:03 81
13:04 80
13:05 79
13:06E 86
13:07 86
13:08 86
13:09 80
13:10 78
13:11 81
13:12 75
13:13 78
13:14 90
13:15 89
13:16 82
13:17 77
13:18 77
13:19 79
13:20 80
13:21 80
13:22 105
13:23 145
13:24 145
13:25 98
13:26 84
13:27 100
13:28 100
13:29 82
13:30 131
13:31 146
13:32 106
13:33 78
13:34 81
13:35 101
13:36 90
0 5 10 15 20 25 30 35 40 45 50 55 60
0 5 10 15 20 25 30 35 40 45 50 55 60
HR (ST)