heart rate 1 204 bpm 135-197 bpm 36 bpm 86 bpm at product...patient had a min hr of 36 bpm, max hr...
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Zio AT Final Report for
Report, Sample #2Patient IDDate of Birth
12/12/67 (49 yrs)GenderFemale
Prescribing ClinicianDr. E. Physician
Managing LocationiNCC Lincolnshire
Primary Indication (I48.0)Paroxysmal atrial fibrillation
Enrollment Period
12/21/16, 01:34pm to01/04/17, 12:43pm
13 days 23 hoursAnalysis Time13 days 23 hours(after artifact removed)
Heart RateOverall Max 204 bpm 09:57pm, 12/24
Min 36 bpm 01:17am, 01/03
Avg 86 bpm
Sinus Max 85 bpm 03:20am, 12/25
Min 36 bpm 01:17am, 01/03
Avg 54 bpm
Patient EventsTriggeredEvents: 5
Findings within ± 45 sec of Triggers:Atrial Fibrillation
DiaryEntries: 2
Findings within ± 45 sec of Entries:Atrial Fibrillation
Fastest AF (HR Range 113-204 bpm, Avg 166 bpm)
AF Burden35%Longest Duration1 d 9 hHR Range64-204 bpmAvg145 bpm
Atrial Fibrillation
None found
Fastest SVT (HR Range 169-190 bpm, Avg 180 bpm)
Episodes6HR Range95-190 bpmAvg137 bpm
Supraventricular Tachycardia (4 beats or more)
None found
AV Block (2nd° Mobitz II, 3rd°) None found
Ventricular Tachycardia (4 beats or more)
Fastest VT (HR Range 135-197 bpm, Avg 164 bpm)
Episodes1HR Range135-197 bpmAvg164 bpm
None found
Longest Pause (4.8 s, 12 bpm)
Episodes6Range3.0-4.8 s
Pauses (3 secs or longer)
None found
Ectopics Rare<1%
Occasional1% to <5%
Frequent5%+
Supraventricular Ectopy (SVE/PACs)IsolatedCoupletTriplet
Occasional 265791.5%Rare 964<1.0%Rare <1.0% 47
Ventricular Ectopy (VE/PVCs)IsolatedCoupletTriplet
Rare <1.0%Rare <1.0%0
0 sLongest Ventricular Bigeminy Episode0 sLongest Ventricular Trigeminy Episode
SIGNATURE
Final InterpretationPreliminary FindingsPatient had a min HR of 36 bpm, max HR of 204 bpm, and avg HR of 86 bpm. Predominant underlying rhythm was Sinus Rhythm. 1 run of Ventricular Tachycardia occurred lasting 4 beats with a max rate of 197 bpm (avg 164 bpm). 6 Supraventricular Tachycardia runs occurred, the run with the fastest interval lasting 4 beats with a max rate of 190 bpm, the longest lasting 6 beats with an avg rate of 120 bpm. Atrial Fibrillation occurred (35% burden), ranging from 64-204 bpm (avg of 145 bpm), the longest lasting 1 day 9 hours with an avg rate of 130 bpm. Atrial Fibrillation was detected within +/- 45 seconds of patient triggered/diary event. 6 Pauses occurred, the longest lasting 4.8 secs (12 bpm). Isolated SVEs were occasional (1.5%, 26579), SVE Couplets were rare (<1.0%, 964), and SVE Triplets were rare (<1.0%, 47). Isolated VEs were rare (<1.0%), VE Couplets were rare(<1.0%), and no VE Triplets were present. MD notification criteria for First Documentation of Atrial Fibrillation met - notified Dr. E Physician on 22 Jan 2017 at 9:12 am CT. MD notification criteria for Pauses met -notified Dr. E. Physician on 02 Jan 2017 at 02:42 pm CT. MD notification criteria for Rapid Atrial Fibrillation met - notified Dr. E. Physician on 24 Jan 2017 at 01:20 pm CT.
iRhythm TechnologiesTel: (888) 693-2401www.zioreports.com
S/N:A123456789 2018 iRhythm Technologies, Inc. Page 1 of 26
HR(bpm)
020000
410
Patient diary events Patient triggered PVT, VF, TdP VT SVT Pauses % AF burden AV Block Unanalyzable ECG
Days 1 & 2
HR per 20 min period:
Max/Min Avg
6am noon 6pm midnight 6am noon 6pm
000001
350
Patient diary events Patient triggered PVT, VF, TdP VT SVT Pauses % AF burden AV Block Unanalyzable ECG
Days 3 & 46am noon 6pm midnight 6am noon 6pm
000010
170
Patient diary events Patient triggered PVT, VF, TdP VT SVT Pauses % AF burden AV Block Unanalyzable ECG
Days 5 & 66am noon 6pm midnight 6am noon 6pm
Events
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 2 of 26
HR(bpm)
11
0110
690
Patient diary events Patient triggered PVT, VF, TdP VT SVT Pauses % AF burden AV Block Unanalyzable ECG
Days 7 & 8
HR per 20 min period:
Max/Min Avg
6am noon 6pm midnight 6am noon 6pm
01000040
Patient diary events Patient triggered PVT, VF, TdP VT SVT Pauses % AF burden AV Block Unanalyzable ECG
Days 9 & 106am noon 6pm midnight 6am noon 6pm
000021
260
Patient diary events Patient triggered PVT, VF, TdP VT SVT Pauses % AF burden AV Block Unanalyzable ECG
Days 11 & 126am noon 6pm midnight 6am noon 6pm
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 3 of 26
HR(bpm)
110024
600
Patient diary events Patient triggered PVT, VF, TdP VT SVT Pauses % AF burden AV Block Unanalyzable ECG
Days 13 & 14
HR per 20 min period:
Max/Min Avg
6am noon 6ammidnight6pm noon 6pm
000000
180
Patient diary events Patient triggered PVT, VF, TdP VT SVT Pauses % AF burden AV Block Unanalyzable ECG
Day 156am noon 6ammidnight6pm noon 6pm
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 4 of 26
PatientEvents
Patient Triggered EventsNote: Triggered Event strips cover 45 seconds before and after the button press.
= Patient Triggered Marker = Vertical Zoom
12/21/16 09:29:09pm AF (152-187 bpm) 2.5x, 90 s
12/22/16 06:58:20pm AF (152-177 bpm) 2.1x, 90 s
12/28/16 12:22:55am AF (102-151 bpm) 2.3x, 90 s
12/30/16 08:31:25pm AF (148-187 bpm) 2.1x, 90 s
01/02/17 02:02:51pm AF (147-188 bpm) 2.8x, 90 s
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 5 of 26
Patient Diary EntriesNotes: iRhythm cannot verify the accuracy of the patient-reported information provided below.
Patient Diary strips cover 45 seconds before and after the patient's stated diary entry time.
= Patient Triggered Markers captured within the Patient Diary ECG = Vertical Zoom
Date Time Symptoms Duration Activity
moving furniture1/ /16 02:06pm skipped/irregular beat(s)
Findings: AF (1 -1 bpm) 2.1x, 90 s
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 6 of 26
1 minDate Time Symptoms Duration Activity
05:21pm skipped/irregular beat(s)12/27/16 walking around house
Findings: AF (135-165 bpm) 2.1x, 90 s
Date Time Symptoms Duration Activity
02:06pm skipped/irregular beat(s)01/02/17 moving furnitureless than 1 min
Findings: AF (127-175 bpm) 3.2x, 90 s
Episode Heart Rates
HeartRate(bpm)
day (6am - 10pm)night (10pm - 6am)unanalyzable ECG VT
Ventricular Tachycardia(4 beats or more)
Number of episodes
1Average heart rate
164 bpmHeart rate range
135-197 bpm
Note: Heart rates are calculatedusing single, beat-to-beat intervals.
HeartRate(bpm)
VT with Fastest Heart Rate2 s07:56:50pm 135-197 bpm12/28/16
Range:
164 bpmAverage:Duration: Pt Triggered?
YES NO
# Beats:
41
VT with Fastest Avg. Heart Rate Range:Average:Duration: Pt Triggered?
YES NO
# Beats:2
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 7 of 26
Longest VT Episode Range:Average:Duration: Pt Triggered?
YES NO
# Beats:3
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 8 of 26
Number of Pauses per hour
Pauses(No./hr)
day (6am - 10pm)night (10pm - 6am)unanalyzable ECG Pauses
(3 secs or longer)
Number of episodes
6Maximum Pauses per hour
1Maximum duration
4.8 secs (12 bpm)Range
3.0-4.8 secs
Pauses(No./hr)
Longest Pause4.8 s (12 bpm)12:12:13pm01/02/17Duration: Pt Triggered?
YES NO
1
Second Longest Pause4.1 s (14 bpm)01:21:05pm12/23/16Duration: Pt Triggered?
YES NO
2
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 9 of 26
Third Longest Pause4 s (15 bpm)05:39:59pm01/02/17Duration: Pt Triggered?
YES NO
3
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 10 of 26
AF Burden & Heart Rate Averages
Time(hr) inAF per day
Heart Rate(bpm)
% AF of Analyzable ECG
Time in AFUnanalyzable Time
AFSinus/Other
3h 10m13h 35m
10h 57m0h 2m
13h 9m0h 1m
3h 30m0h 7m
2h 9m0h 3m
5h 57m0h 2m
21h 27m0h 1m
30% 46% 55% 15% 9% 25% 89%
11h 52m0h 1m50%
Heart Rate(bpm)
% AF of Analyzable ECG
Time in AFUnanalyzable Time
0h 0m0h 3m
1h 45m0h 3m
8h 45m0h 2m
3h 48m0h 4m
18h 4m< 1 min
10h 52m0h 3m
2h 15m11h 18m
0% 7% 36% 16% 75% 45% 18%
AF Duration
% of AFEpisodes (30s+)
Episodes
Avg. Duration
30 - <60s 1 - <6m 6 - <10m 10 - <60m 1 - <12h 12 - <24h 1d+
7 13 1 14 18 0 1
45s 2m 0s 8m 22s 32m 59s 4h 13m 0 1d 9h
Total Episodes (30s+)
54Episodes of 6 mins or longer
34Longest Duration
1 d 9 h
1 AF with Fastest Heart Rate Average: Range:
12/24/16 09:57:41pm 166 bpm 113-204 bpm
Pt Triggered?
YES NO
AFAtrial Fibrillation
Total AF during enrollment
35%Average heart rate
145 bpmHeart rate range
64-204 bpm
Note: Heart rates are calculatedusing a sliding window of 8 beatintervals.
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 11 of 26
2 AF with Slowest Heart Rate Average: Range:
12/23/16 09:15:34am 127 bpm 64-185 bpm
Pt Triggered?
YES NO
3 AF with Fastest Avg. Heart Rate Average: Range:
01/03/17 10:22:47pm 171 bpm 132-203 bpm
Pt Triggered?
YES NO
4 Longest AF Episode Duration: Average: Range:
12/27/16 02:32:03am 1 d 9 h 130 bpm 65-184 bpm
Pt Triggered?
YES NO
TERMINATIONONSET FASTEST
5 Second longest AF Episode Duration: Average: Range:
12/23/16 01:34:22am 11 h 47 m 127 bpm 64-185 bpm
Pt Triggered?
YES NO
TERMINATIONONSET FASTEST
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 12 of 26
Episode Heart Rates
HeartRate(bpm)
day (6am - 10pm)night (10pm - 6am)unanalyzable ECG SVT
Supraventricular Tachycardia(4 beats or more)
Number of episodes
6Average heart rate
137 bpmHeart rate range
95-190 bpm
Note: Heart rates are calculatedusing single, beat-to-beat intervals.
HeartRate(bpm)
SVT with Fastest Heart Rate1.5 s02:54:33pm 169-190 bpm01/03/17
Range:
180 bpmAverage:Duration: Pt Triggered?
YES NO
# Beats:
41
SVT with Fastest Avg. Heart Rate Range:Average:Duration: Pt Triggered?
YES NO
# Beats:2
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 13 of 26
Longest SVT Episode2.9 s10:08:19pm 110-125 bpm12/25/16
Range:
120 bpmAverage:Duration: Pt Triggered?
YES NO
# Beats:
63
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 14 of 26
Number of Beats per Hour
SVE Beats(No./hr)
1189 1478 1483 2615 3791 2034 518 15002.2% 1.0% 1.1% 2.7% 4.1% 1.9% 0.3% 1.3%
Daily SVEs:Daily % SVEs:
day (6am - 10pm)night (10pm - 6am)unanalyzable ECG SVEs
Supraventricular Ectopics(PACs)
Isolated Ectopics
1.5% 26579, Occasional
Couplets
<1.0% 964, Rare
Triplets
<1.0% 47, Rare
3548 2087 777 3382 526 2275 13894.7% 2.3% 0.6% 3.2% 0.3% 1.5% 2.6%
Daily SVEs:Daily % SVEs:
SVE Beats(No./hr)
None found
Isolated SVE03:24:56am01/04/17
1
None found
SVE Couplet08:21:40am12/26/16
2
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 15 of 26
None found
SVE Triplet02:21:15am12/25/16
3
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 16 of 26
AdditionalStrips
1 Minimum Sinus Rate (36 bpm)01:17:00am01/03/17
2 Maximum Sinus Rate (85 bpm)03:20:19am12/25/16
3 Atrial Fibrillation (154-186 bpm)12/21/16 09:29:08pm Associated with patient triggered event
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 17 of 26
4 Initiation of Atrial Fibrillation (87-158 bpm)01:34:18am12/23/16
5 Atrial Fibrillation (64-98 bpm)09:15:22am12/23/16
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 18 of 26
6 Termination of Atrial Fibrillation (135-168 bpm), Pause (4.1 seconds)01:20:31pm12/23/16
7 Atrial Fibrillation (163-204 bpm)09:57:33pm12/24/16
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 19 of 26
8 Atrial Fibrillation (166-194 bpm)11:43:09pm12/24/16
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 20 of 26
9 Initiation of Atrial Fibrillation (115-155 bpm)02:32:00am12/27/16
10 Atrial Fibrillation (138-165 bpm)05:20:45pm Associated with patient diary event (accuracy of times reported by
patient cannot be guaranteed)12/27/16
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 21 of 26
11 Termination of Atrial Fibrillation (93-137 bpm)11:52:26am12/28/16
12 Sinus (47 bpm), Supraventricular Tachycardia (95-119 bpm)01:48:44am12/31/16
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 22 of 26
13 Sinus (53 bpm), Supraventricular Tachycardia (104-171 bpm)09:13:07pm01/01/17
14 Atrial Fibrillation (151-195 bpm)10:22:13am01/02/17
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 23 of 26
15 Termination of Atrial Fibrillation (141-160 bpm), Pause (4.0 seconds)11:56:04am01/02/17
16 Termination of Atrial Fibrillation (129-155 bpm), Pause (4.8 seconds)12:11:55pm01/02/17
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 24 of 26
17 Atrial Fibrillation (148-183 bpm)01/02/17 02:02:28pm Associated with patient triggered event
18 Termination of Atrial Fibrillation (162-167 bpm), Pause (4.0 seconds)05:39:41pm01/02/17
Patient: Report, Sample #2 S/N:A123456789 2018 iRhythm Technologies, Inc. Page 25 of 26
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