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