Patient Name : Sample , Report Page 1 of 16
Serial # : 7466
PATIENT DEMOGRAPHICS
Last Name Sample
First Name Report
Middle InitialID Number 9062870606
Date Of Birth 6/6/1900
Sex M
Source Hook up site
Billing CodeRecorder Format Philips Recorder
Reason for Test Palpitations
Medications Atenolol, Digoxin
Physician Ordering physician
Scanned ByReading Physician Interpreting physician
Test Date 3/22/2011
Analysis Date 3/23/2011
Hookup Time 12:25 PM
Recording Time 23 hr 59 min
Analysis Time 23 hr 59 min
Height 5'11"
Weight 192 lbs
Heart Rate Data
Total Beats : 128003
Min HR : 50 BPM at 3:26:13 AM
Avg HR : 89 BPM
Max HR : 92 BPM at 12:55:12 PM
Heart Rate Variability
ASDNN 5 : 46.8 msec
SDANN 5 : 115.6 msec
SDNN : 117.4 msec
ST Episode Analysis
Ch1 Ch2 Ch3Min ST Level : - - -
Max ST Level : - - -
ST Episodes : - - -
Pacer Analysis
Single Paced Beats : -
Dual Paced Beats : -
Fusion Beats : -
Atrial Fibrillation
AFib Beats : 0 (0.0%)
Duration : 0.0 min Events : 0
Ventricular Ectopy
Total VE Beats : 37652 (29.4%)Vent Runs : 25
Beats : 102Longest : 5 Beats at 5:57:43 PMFastest : 185 BPM at 4:42:36 PM
Triplets : 178 EventsCouplets : 569 EventsSingle/Interp PVC : 3447/17965R on T : 8Single/Late VE's : 88/0Bi/Trigeminy : 12956/1414 Beats
Supraventricular Ectopy
Total SVE Beats : 143 (0.1%)Atrial Runs : 0
Beats : 0Longest : 0Fastest : 0 BPM
Atrial Pairs : 1 EventDrop/Late : 0/0Longest N-N : 1.3 sec at 10:58:00 PMSingle PAC's : 141Bi/Trigeminy : 0/0 Beats
INTERPRETATION
Signed : Date :
Patient Name : Sample , Report Page 2 of 16
Serial # : 7466
Narrative Summary
Monitoring started at 12:25 PM and continued for 23 hr 59 min. The average heart rate was 89 BPM. The minimum heart rate was 50 BPM, occurring at 3:26:13 AM. The maximum heart rate was 92 BPM, occurring at 12:55:12 PM.
Ventricular ectopic activity consisted of 37652 beats, of which, 102 were in 25 runs, 534 were in triplets, 1138 were in couplets, 3447 were in single PVCs, 17965 were in interpolated PVCs, 8 were in R on T, 88 were single VEs, 12956 were in bigeminy, 1414 were in trigeminy. The longest ventricular run occurred at 5:57:43 PM, consisting of 5 beats, with maximum heart rate of 135 BPM. The fastest ventricular run occurred at 4:42:36 PM, consisting of 4 beats, with maximum heart rate of 185 BPM.
The patient's rhythm included 15 min 40 sec of bradycardia. The slowest single episode of bradycardia occurred at 3:26:10 AM, lasting 14 sec, with minimum heart rate of 50 BPM.
Supraventricular ectopic activity consisted of 143 beats, of which, 2 were in atrial couplets, 141 were single PACs. The longest R-R interval was 1.5 seconds occurring at 6:07:47 AM. The longest N-N interval was 1.3 seconds occurring at 10:58:00 PM.
Technical Comments
The quality of the hook up was excellent.
The patient was in sinus rhythm.
There were very frequent ventricular ectopics with runs, triplets and couplets.
There were occasional supraventricular ectopics with one pair.
There were no pauses.
There were no ST/ T wave changes.
There were ventricular ectopics during all of the diary entries.
Patient Name : Sample , Report Page 3 of 16
Serial # : 7466
DIARY, STRIP & MORPHOLOGY INDEXDIARY, STRIP & MORPHOLOGY INDEX
Diary Entry IndexDiary Entry Index
1:30 PM Finish lunch1:30 PM Finish lunch 3:56 PM Feel lightheaded/dizzy3:56 PM Feel lightheaded/dizzy 5:50 PM Finish 35min walk5:50 PM Finish 35min walk6:38 PM Finish dinner6:38 PM Finish dinner 7:16 PM 20 min walk/felt full of gas7:16 PM 20 min walk/felt full of gas 7:50 PM Stood quickly/felt dizzy7:50 PM Stood quickly/felt dizzy6:25 AM Up to bathroom/low blood sugar6:25 AM Up to bathroom/low blood sugar 10:50 AM Forgot insulin after low sugar reading10:50 AM Forgot insulin after low sugar reading11:45 AM 25 min walk11:45 AM 25 min walk
Morphology IndexMorphology Index
4:23:20 AM4:23:20 AM Primary NormalPrimary Normal 90364 Beats90364 Beats 83 BPM83 BPM Strip 1 of 4Strip 1 of 412:42:36 PM12:42:36 PM VentricularVentricular 37627 Beats37627 Beats 103 BPM103 BPM Strip 2 of 4Strip 2 of 49:05:23 AM9:05:23 AM VentricularVentricular 11 Beats11 Beats 93 BPM93 BPM Strip 3 of 4Strip 3 of 410:47:08 AM10:47:08 AM VentricularVentricular 1 Beat1 Beat 75 BPM75 BPM Strip 4 of 4Strip 4 of 4
Strip IndexStrip Index
12:25:00 PM12:25:00 PM 125 BPM125 BPM Size x1,x1,x1Size x1,x1,x1 Start of ScanStart of Scan Strip 1 of 36Strip 1 of 3612:55:09 PM12:55:09 PM 92 BPM92 BPM Size x1,x1,x1Size x1,x1,x1 Max HRMax HR Strip 2 of 36Strip 2 of 361:10:34 PM1:10:34 PM 114 BPM114 BPM Size x1,x1,x1Size x1,x1,x1 TripletTriplet Strip 3 of 36Strip 3 of 361:19:54 PM1:19:54 PM 94 BPM94 BPM Size x1,x1,x1Size x1,x1,x1 Ventricular RunVentricular Run Strip 4 of 36Strip 4 of 361:30:00 PM1:30:00 PM 115 BPM115 BPM Size x1,x1,x1Size x1,x1,x1 Finish lunchFinish lunch Strip 5 of 36Strip 5 of 361:41:07 PM1:41:07 PM 96 BPM96 BPM Size x1,x1,x1Size x1,x1,x1 CoupletCouplet Strip 6 of 36Strip 6 of 363:56:00 PM3:56:00 PM 93 BPM93 BPM Size x1,x1,x1Size x1,x1,x1 Feel lightheaded/dizzyFeel lightheaded/dizzy Strip 7 of 36Strip 7 of 364:22:24 PM4:22:24 PM 103 BPM103 BPM Size x1,x1,x1Size x1,x1,x1 Ventricular RunVentricular Run Strip 8 of 36Strip 8 of 364:41:50 PM4:41:50 PM 110 BPM110 BPM Size x1,x1,x1Size x1,x1,x1 TripletTriplet Strip 9 of 36Strip 9 of 365:50:00 PM5:50:00 PM 125 BPM125 BPM Size x1,x1,x1Size x1,x1,x1 Finish 35min walkFinish 35min walk Strip 10 of 36Strip 10 of 366:38:00 PM6:38:00 PM 120 BPM120 BPM Size x1,x1,x1Size x1,x1,x1 Finish dinnerFinish dinner Strip 11 of 36Strip 11 of 366:44:21 PM6:44:21 PM 90 BPM90 BPM Size x1,x1,x1Size x1,x1,x1 PVCPVC Strip 12 of 36Strip 12 of 366:51:54 PM6:51:54 PM 88 BPM88 BPM Size x1,x1,x1Size x1,x1,x1 Ventricular BigeminyVentricular Bigeminy Strip 13 of 36Strip 13 of 367:13:18 PM7:13:18 PM 125 BPM125 BPM Size x1,x1,x1Size x1,x1,x1 Ventricular RunVentricular Run Strip 14 of 36Strip 14 of 367:16:00 PM7:16:00 PM 90 BPM90 BPM Size x1,x1,x1Size x1,x1,x1 20 min walk/felt full of gas20 min walk/felt full of gas Strip 15 of 36Strip 15 of 367:50:00 PM7:50:00 PM 85 BPM85 BPM Size x1,x1,x1Size x1,x1,x1 Stood quickly/felt dizzyStood quickly/felt dizzy Strip 16 of 36Strip 16 of 369:31:27 PM9:31:27 PM 97 BPM97 BPM Size x1,x1,x1Size x1,x1,x1 Interpolated PVCInterpolated PVC Strip 17 of 36Strip 17 of 3610:49:28 PM10:49:28 PM 91 BPM91 BPM Size x1,x1,x1Size x1,x1,x1 Ventricular RunVentricular Run Strip 18 of 36Strip 18 of 3610:57:57 PM10:57:57 PM 89 BPM89 BPM Size x1,x1,x1Size x1,x1,x1 PAC - Longest N-NPAC - Longest N-N Strip 19 of 36Strip 19 of 361:47:10 AM1:47:10 AM 78 BPM78 BPM Size x1,x1,x1Size x1,x1,x1 Atrial PairAtrial Pair Strip 20 of 36Strip 20 of 362:06:22 AM2:06:22 AM 71 BPM71 BPM Size x1,x1,x1Size x1,x1,x1 PACPAC Strip 21 of 36Strip 21 of 362:54:10 AM2:54:10 AM 78 BPM78 BPM Size x1,x1,x1Size x1,x1,x1 CoupletCouplet Strip 22 of 36Strip 22 of 363:26:10 AM3:26:10 AM 50 BPM50 BPM Size x1,x1,x1Size x1,x1,x1 Min HRMin HR Strip 23 of 36Strip 23 of 364:54:57 AM4:54:57 AM 95 BPM95 BPM Size x1,x1,x1Size x1,x1,x1 Ventricular RunVentricular Run Strip 24 of 36Strip 24 of 365:16:39 AM5:16:39 AM 185 BPM185 BPM Size x1,x1,x1Size x1,x1,x1 Ventricular RunVentricular Run Strip 25 of 36Strip 25 of 366:07:44 AM6:07:44 AM 59 BPM59 BPM Size x1,x1,x1Size x1,x1,x1 PVC - Longest R-RPVC - Longest R-R Strip 26 of 36Strip 26 of 366:08:30 AM6:08:30 AM 88 BPM88 BPM Size x1,x1,x1Size x1,x1,x1 TripletTriplet Strip 27 of 36Strip 27 of 366:17:11 AM6:17:11 AM 75 BPM75 BPM Size x1,x1,x1Size x1,x1,x1 VEVE Strip 28 of 36Strip 28 of 366:25:00 AM6:25:00 AM 99 BPM99 BPM Size x1,x1,x1Size x1,x1,x1 Up to bathroom/low blood sugarUp to bathroom/low blood sugar Strip 29 of 36Strip 29 of 367:02:14 AM7:02:14 AM 77 BPM77 BPM Size x1,x1,x1Size x1,x1,x1 Interpolated PVCInterpolated PVC Strip 30 of 36Strip 30 of 367:42:35 AM7:42:35 AM 66 BPM66 BPM Size x1,x1,x1Size x1,x1,x1 VEVE Strip 31 of 36Strip 31 of 367:51:20 AM7:51:20 AM 67 BPM67 BPM Size x1,x1,x1Size x1,x1,x1 PVCPVC Strip 32 of 36Strip 32 of 369:40:46 AM9:40:46 AM 88 BPM88 BPM Size x1,x1,x1Size x1,x1,x1 Ventricular BigeminyVentricular Bigeminy Strip 33 of 36Strip 33 of 3610:50:00 AM10:50:00 AM 92 BPM92 BPM Size x1,x1,x1Size x1,x1,x1 Forgot insulin after low sugar readingForgot insulin after low sugar reading Strip 34 of 36Strip 34 of 3611:45:00 AM11:45:00 AM 92 BPM92 BPM Size x1,x1,x1Size x1,x1,x1 25 min walk25 min walk Strip 35 of 36Strip 35 of 3612:24:43 PM12:24:43 PM 117 BPM117 BPM Size x1,x1,x1Size x1,x1,x1 End of ScanEnd of Scan Strip 36 of 36Strip 36 of 36
Patient Name : Sample , Report Page 4 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 1 of 3612:25:00 PM 125 BPM Size x1,x1,x1 Start of Scan
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 2 of 3612:55:09 PM 92 BPM Size x1,x1,x1 Max HR
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 3 of 361:10:34 PM 114 BPM Size x1,x1,x1 Triplet
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 5 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 4 of 361:19:54 PM 94 BPM Size x1,x1,x1 Ventricular Run
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 5 of 361:30:00 PM 115 BPM Size x1,x1,x1 Finish lunch
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 6 of 361:41:07 PM 96 BPM Size x1,x1,x1 Couplet
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 6 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 7 of 363:56:00 PM 93 BPM Size x1,x1,x1 Feel lightheaded/dizzy
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 8 of 364:22:24 PM 103 BPM Size x1,x1,x1 Ventricular Run
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 9 of 364:41:50 PM 110 BPM Size x1,x1,x1 Triplet
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 7 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 10 of 365:50:00 PM 125 BPM Size x1,x1,x1 Finish 35min walk
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 11 of 366:38:00 PM 120 BPM Size x1,x1,x1 Finish dinner
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 12 of 366:44:21 PM 90 BPM Size x1,x1,x1 PVC
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 8 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 13 of 366:51:54 PM 88 BPM Size x1,x1,x1 Ventricular Bigeminy
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 14 of 367:13:18 PM 125 BPM Size x1,x1,x1 Ventricular Run
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 15 of 367:16:00 PM 90 BPM Size x1,x1,x1 20 min walk/felt full of gas
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 9 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 16 of 367:50:00 PM 85 BPM Size x1,x1,x1 Stood quickly/felt dizzy
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 17 of 369:31:27 PM 97 BPM Size x1,x1,x1 Interpolated PVC
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 18 of 3610:49:28 PM 91 BPM Size x1,x1,x1 Ventricular Run
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 10 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 19 of 3610:57:57 PM 89 BPM Size x1,x1,x1 PAC - Longest N-N
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 20 of 361:47:10 AM 78 BPM Size x1,x1,x1 Atrial Pair
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 21 of 362:06:22 AM 71 BPM Size x1,x1,x1 PAC
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 11 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 22 of 362:54:10 AM 78 BPM Size x1,x1,x1 Couplet
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 23 of 363:26:10 AM 50 BPM Size x1,x1,x1 Min HR
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 24 of 364:54:57 AM 95 BPM Size x1,x1,x1 Ventricular Run
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 12 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 25 of 365:16:39 AM 185 BPM Size x1,x1,x1 Ventricular Run
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 26 of 366:07:44 AM 59 BPM Size x1,x1,x1 PVC - Longest R-R
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 27 of 366:08:30 AM 88 BPM Size x1,x1,x1 Triplet
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 13 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 28 of 366:17:11 AM 75 BPM Size x1,x1,x1 VE
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 29 of 366:25:00 AM 99 BPM Size x1,x1,x1 Up to bathroom/low blood sugar
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 30 of 367:02:14 AM 77 BPM Size x1,x1,x1 Interpolated PVC
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 14 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 31 of 367:42:35 AM 66 BPM Size x1,x1,x1 VE
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 32 of 367:51:20 AM 67 BPM Size x1,x1,x1 PVC
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 33 of 369:40:46 AM 88 BPM Size x1,x1,x1 Ventricular Bigeminy
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 15 of 16
Serial # : 7466
SELECTED STRIPS
Ch1
Ch2
Ch3
Strip 34 of 3610:50:00 AM 92 BPM Size x1,x1,x1 Forgot insulin after low sugar reading
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 35 of 3611:45:00 AM 92 BPM Size x1,x1,x1 25 min walk
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
Strip 36 of 3612:24:43 PM 117 BPM Size x1,x1,x1 End of Scan
Ch1
Ch2
Ch3
Patient Name : Sample , Report Page 16 of 16
Serial # : 7466
MORPHOLOGY REVIEW
4:23:20 AM Primary Normal 90364 Beats 83 BPM Strip 1 of 4
Ch1
Ch2
Ch3
5:00 PM 10:00 PM 3:00 AM 8:00 AM
500 500
1000 1000
1500 1500
2000 2000
2500 2500
3000 3000
3500 3500
4000 4000
4500 4500
12:42:36 PM Ventricular 37627 Beats 103 BPM Strip 2 of 4
Ch1
Ch2
Ch3
5:00 PM 10:00 PM 3:00 AM 8:00 AM
250 250
500 500
750 750
1000 1000
1250 1250
1500 1500
1750 1750
2000 2000
2250 2250
2500 2500
9:05:23 AM Ventricular 11 Beats 93 BPM Strip 3 of 4
Ch1
Ch2
Ch3
5:00 PM 10:00 PM 3:00 AM 8:00 AM
0.25 0.250.50 0.500.75 0.751.00 1.001.25 1.251.50 1.501.75 1.752.00 2.002.25 2.252.50 2.502.75 2.753.00 3.003.25 3.253.50 3.503.75 3.754.00 4.00
10:47:08 AM Ventricular 1 Beat 75 BPM Strip 4 of 4
Ch1
Ch2
Ch3
5:00 PM 10:00 PM 3:00 AM 8:00 AM
0.1 0.1
0.2 0.2
0.3 0.3
0.4 0.4
0.5 0.5
0.6 0.6
0.7 0.7
0.8 0.8
0.9 0.9
1.0 1.0