full report holter lorena m 1-23-13

36
Printed: February 08, 2013 11:09 Midmark Diagnostics Group Midmark IQholterEX Version 8.4.1 Midmark Diagnostics Group 1125 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 Summary HEART 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/A Bradycardia (<50): N/A SDNN: 73 SDANN: 32 RMSSD: 47 Triangular Index: 35 Total Ectopics: 1197 (5.35% of all beats) Isolated: 667 ( 32 Interpolated) Pair: 169 Bigeminy: 1 ( 3 VE beats) Trigeminy: 3 ( 9 VE beats) Run: 55 ( 180 VE beats) Longest: 150 BPM, 6 beats, 2.6 sec at 10:53:39 Fastest: 269 BPM, 3 beats, 0.9 sec at 12:59:13 Slowest: 81 BPM, 3 beats, 1.9 sec at 11:06:45 Total Ectopics: 314 (1.40% of all beats) Isolated: 298 Pair: 8 Run: 0 ( 0 SVE beats ) Longest: N/A Fastest: N/A Ch1 0 0 0.3 Ch2 0 0 0.2 Ch3 0 0 0.1 Max -0.5 mm 1.3 mm Ch 3 1 Time 10:50 10:58 Length - - Minutes of depression Minutes of elevation Average (mm) Depression Elevation Pause > 2.5 sec : 0 Longest: N/A A-Fib Episodes: 0 ( 0%) Longest: N/A R on T: 0 Unnamed 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.

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Page 1: Full Report Holter Lorena M 1-23-13

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.

Page 2: Full Report Holter Lorena M 1-23-13

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.

Page 3: Full Report Holter Lorena M 1-23-13

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

Page 4: Full Report Holter Lorena M 1-23-13

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

Page 5: Full Report Holter Lorena M 1-23-13

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

Page 6: Full Report Holter Lorena M 1-23-13

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

Page 7: Full Report Holter Lorena M 1-23-13

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

Page 8: Full Report Holter Lorena M 1-23-13

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

Page 9: Full Report Holter Lorena M 1-23-13

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)

Page 10: Full Report Holter Lorena M 1-23-13

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)

Page 11: Full Report Holter Lorena M 1-23-13

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

Page 12: Full Report Holter Lorena M 1-23-13

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

Page 13: Full Report Holter Lorena M 1-23-13

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

Page 14: Full Report Holter Lorena M 1-23-13

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

Page 15: Full Report Holter Lorena M 1-23-13

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

Page 16: Full Report Holter Lorena M 1-23-13

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

Page 17: Full Report Holter Lorena M 1-23-13

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

Page 18: Full Report Holter Lorena M 1-23-13

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

Page 19: Full Report Holter Lorena M 1-23-13

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

Page 20: Full Report Holter Lorena M 1-23-13

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

Page 21: Full Report Holter Lorena M 1-23-13

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

Page 22: Full Report Holter Lorena M 1-23-13

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

Page 23: Full Report Holter Lorena M 1-23-13

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

Page 24: Full Report Holter Lorena M 1-23-13

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

Page 25: Full Report Holter Lorena M 1-23-13

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

Page 26: Full Report Holter Lorena M 1-23-13

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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)

Page 27: Full Report Holter Lorena M 1-23-13

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

Page 28: Full Report Holter Lorena M 1-23-13

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

Page 29: Full Report Holter Lorena M 1-23-13

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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.

Page 30: Full Report Holter Lorena M 1-23-13

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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)

Page 31: Full Report Holter Lorena M 1-23-13

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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.

Page 32: Full Report Holter Lorena M 1-23-13

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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)

Page 33: Full Report Holter Lorena M 1-23-13

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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)

Page 34: Full Report Holter Lorena M 1-23-13

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)

Page 35: Full Report Holter Lorena M 1-23-13

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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)

Page 36: Full Report Holter Lorena M 1-23-13

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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)