You are on page 1of 36

Midmark Diagnostics Group

1125 W. 190th Street


Gardena, California 90248

Holter Report
Patient Name: Lorena Morazzoni
Patient ID:
DOB/Sex:

10/02/1975 Female

Physician:
Analyzed Channels:

(1), 2, 3

Recorded at:

01/23/2013 10:00

Report Date:

02/08/2013

Scanned:

3 hours 36 minutes

Rejected:

N/A

Technician:

Ileana Santiago

Requested by: Pedro Falla, MD

Artifact:

29.5 %

Medication:
Indication:

Palpitations

HEART RATE

Average HR:
Minimum HR:
Maximum HR:
Tachycardia (>120):
Bradycardia (<50):
VENTRICULAR
Total Ectopics:
Isolated:
Pair:
Bigeminy:
Trigeminy:
Run:
Longest:
Fastest:
Slowest:

HEART RATE VARIABILITY

Total Beats: 22360


83 BPM (722 msec)
62 BPM (967 msec)
114 BPM (526 msec)
N/A
N/A

Analysis
at 13:07:12
at 12:03:52

SDANN:
RMSSD:
Triangular Index:

SUPRAVENTRICULAR
Total Ectopics:
Isolated:
Pair:
Run:
Longest:
Fastest:

1197
(5.35% of all beats)
667
( 32 Interpolated)
169
1
( 3 VE beats)
3
( 9 VE beats)
55
( 180 VE beats)
150 BPM, 6 beats, 2.6 sec at 10:53:39
269 BPM, 3 beats, 0.9 sec at 12:59:13
81 BPM, 3 beats, 1.9 sec at 11:06:45

ST SEGMENT

73
32
47
35

314
298
8
0
N/A
N/A

(1.40% of all beats)

0 SVE beats )

OTHERS

Minutes of depression
Minutes of elevation
Average (mm)
Depression
Elevation

Summary
SDNN:

Max
-0.5 mm
1.3 mm

Ch1
0
0
0.3
Ch
3
1

Ch2
0
0
0.2

Ch3
0
0
0.1

Time
Length
10:50
10:58
-

Pause > 2.5 sec :


Longest:
A-Fib Episodes:
Longest:
R on T:
Unnamed 1:

0
N/A
0
N/A
0
0

( 0%)

Interpretation:
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.

Reviewed by:
Printed: February 08, 2013 11:09

Date:
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

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.

Reviewed by:

Printed: February 08, 2013 11:09

Date:

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


Heart Rate

Ventricular

SupraVentricular

STD

NA

Time
Avg

Min

87
85
83
80

Summary 83

10:00
11:00
12:00
13:00

Max #QRS

VE

Pair

Run

SVE

Pair

Run

Pause Bigem Trigem RonT

(mm)

(min) AF

71
74
65
62

102
100
114
95

6419
6791
5845
3305

218
228
166
55

64
63
28
14

22
16
16
1

82
116
82
18

4
2
2
0

0
0
0
0

0
0
0
0

0
0
1
0

1
0
1
1

0
0
0
0

-0.5(3)
-0.2(3)
-0.4(1)
-0.1(3)

0
0
0
0

0
0
0
0

62

114

22360

667

169

55

298

-0.5

Measurement Criteria

Analyzed:
Total Beats:
Heart Rate:
VE:
VE Pair:
V Run:
SVE:
SVE Pair:
SV Run:
Pause:
Bigeminy:
Trigeminy:
R on T:
ST Level:
No Analysis:
A-Fib:

All channels.
Total number of beats excludes artifact.
Average, minimum and maximum heart rates are based on 1 minute averages of each hour.
Isolated ventricular beats.
Two successive VE beats.
Three or more successive VE beats.
Isolated supraventricular beats.
Two successive premature SVE beats.
Three or more successive premature SVE beats.
No detected beat occurs for an R-R interval which exceeds the threshold value.
Bigeminy pattern for at least 6 beats.
Trigeminy pattern for at least 9 beats.
VE within the QT interval of a normal beat.
Maximum Delta ST (minute average) of normal beats with respective lead in ().
Sections of recording containing excessive artifact, where no analysis was performed (minutes).
Atrial Fibrillation episode for three or more 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 4 of 36

Arrhythmia Report
Ventricular

Total: 1197

SupraVentricular

( 5.35% of all beats )

Average VEs per 1000 beats


Average VEs per hour
Average VEs per minute
Maximum in hour
Maximum in minute
Longest V-Run

Total: 314
53.5
332.5
5.5
420 at 10:00
20 at 10:39

( 1.40% of all beats )

Average SVEs per 1000 beats


Average SVEs per hour
Average SVEs per minute
Maximum in hour
Maximum in minute

14.0
87.2
1.5
120 at 11:00
7 at 11:21

10:53:25 ( 30 seconds )

Heart rate: 136 , V-Run : 150 BPM , 6 beats , 2.6 seconds

12:58:58 ( 30 seconds )

Heart rate: 125 , V-Run : 269 BPM , 3 beats , 0.9 seconds

11:06:31 ( 30 seconds )

Heart rate: 116 , V-Run : 81 BPM , 3 beats , 1.9 seconds

10:39:02 ( 30 seconds )

Heart rate: 138 , VE : 20 beats

10:39:32 ( 30 seconds )

Heart rate: 123 , VE : 20 beats

Ch1
Ch2
Ch3

Fastest V-Run
Ch1
Ch2
Ch3

Slowest V-Run
Ch1
Ch2
Ch3

Longest SV-Run

Fastest SV-Run

Maximum VEs in Minute


Ch1
Ch2
Ch3

Ch1
Ch2
Ch3

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

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

Symptoms

Midmark Diagnostics Group

Comments

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


| 265 | 476 |226|
726
|
707

ID:
|
695

667

Recording Time: 01/23/2013 10:00


667
|
648
|
640
|

558

699

Page 6 of 36
621
|

Ch1

Ch2

Ch3

10:15:18 01/23 102 BPM

679

687

503

|218|

507

847

Patient Event

691

25mm/sec

656

675

671

687

675

Ch1

Ch2

Ch3

10:32:13 01/23 96 BPM

621

| 324 | 285 | 480 |207| 355 |238|226| 449 |

Patient Event

636

| 386 |234| 269 | 343 |

25mm/sec

601

| 269 | 351 |

617

| 406 |

Ch1

Ch2

Ch3

10:53:11 01/23 156 BPM

Printed: February 08, 2013 11:09

Patient Event

Midmark Diagnostics Group

25mm/sec

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


ID:
613 | 343 | 296 | 304 |207| 269 | 261 | 292 |222| 402 | 421 |

Recording Time: 01/23/2013 10:00


Page 7 of 36
601 | 613 |
652
| 347 |226| 375 | 335 | 328 | 257 |

Ch1

Ch2

Ch3

11:09:43 01/23 162 BPM

636

617

585

511

523

Patient Event

25mm/sec

| 281 | 269 | 304 |230| 457 |226|238|

625

621

574

570

Ch1

Ch2

Ch3

11:29:08 01/23 132 BPM

Patient Event

| 449 |230| 371 | 257 | 281 | 394 |195|238|230| 433 |203|203| 417 |

617

25mm/sec

621

652

679

527

| 265 | 445 |

Ch1

Ch2

Ch3

12:02:49 01/23 155 BPM

Printed: February 08, 2013 11:09

Patient Event

Midmark Diagnostics Group

25mm/sec

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


679
|
699
|
675

ID:
640

617

605

Recording Time: 01/23/2013 10:00


| 621
|
664
|
660

644

Page 8 of 36
679
|

Ch1

Ch2

Ch3

12:23:25 01/23 91 BPM

660

632

664

710

660

Patient Event

753

25mm/sec

718

738

667

722

734

Ch1

Ch2

Ch3

12:43:26 01/23 86 BPM

675

664

625

605

625

Patient Event

613

617

25mm/sec

781

750

750

761

Ch1

Ch2

Ch3

13:06:47 01/23 88 BPM

Printed: February 08, 2013 11:09

Patient Event

Midmark Diagnostics Group

25mm/sec

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


High Heart Rate
20 Occurances
( Samples sorted by Severity )

12:03:52
(114 BPM)

Ch1
Ch2

( 8 seconds per strip )

12:03:28
(110 BPM)

Ch3

12:03:36
(108 BPM)

Ch1
Ch2
Ch3

Ch1
Ch2
Ch3

Low Heart Rate


20 Occurances
( Samples sorted by Severity )

13:07:12
(62 BPM)

Ch1
Ch2

12:46:40
(65 BPM)

Ch3

13:07:04
(67 BPM)

Ch1
Ch2
Ch3

Ch1
Ch2
Ch3

VE - Isolated
635 Occurances
( Samples sorted by Time )

10:00:28
(106 BPM)

Ch1
Ch2

11:27:44
(80 BPM)

Ch3

13:35:31
(109 BPM)

Ch1
Ch2
Ch3

Ch1
Ch2
Ch3

VE - Interpolated
32 Occurances
( Samples sorted by Time )

10:00:29
(108 BPM)

Ch1
Ch2

11:16:56
(138 BPM)

Ch3

13:22:22
(120 BPM)

Ch1
Ch2
Ch3

Ch1
Ch2
Ch3

VE - Pair
169 Occurances
( Samples sorted by Time )

10:00:26
(107 BPM)

Ch1
Ch2
Ch3

13:34:36
(86 BPM)

11:15:31
(83 BPM)

Ch1
Ch2
Ch3

Ch1
Ch2
Ch3

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


VE - Run
55 Occurances
( Samples sorted by Time )

10:01:30
(129 BPM)

Ch1
Ch2

( 8 seconds per strip )

11:13:57
(111 BPM)

Ch3

13:28:25
(128 BPM)

Ch1
Ch2
Ch3

Ch1
Ch2
Ch3

Bigeminy
1 Occurances
( Samples sorted by Time )

12:13:10
(104 BPM)

Ch1
Ch2
Ch3

Trigeminy
3 Occurances
( Samples sorted by Time )

10:43:09
(128 BPM)

Ch1
Ch2

12:30:56
(90 BPM)

Ch3

13:07:33
(116 BPM)

Ch1
Ch2
Ch3

Ch1
Ch2
Ch3

SVE
298 Occurances
( Samples sorted by Time )

10:00:26
(105 BPM)

Ch1
Ch2

11:24:41
(95 BPM)

Ch3

13:35:10
(88 BPM)

Ch1
Ch2
Ch3

Ch1
Ch2
Ch3

SVE - Pair
8 Occurances
( Samples sorted by Time )

10:25:50
(91 BPM)

Ch1
Ch2
Ch3

12:56:11
(97 BPM)

10:55:15
(137 BPM)

Ch1
Ch2
Ch3

Ch1
Ch2
Ch3

Printed: February 08, 2013 11:09

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


531 | 535 | 519 | 535

ID:
| 535

539

527

Recording Time: 01/23/2013 10:00


| 519 | 515 | 515 | 515

511

511

Page 11 of 36
| 511 |

Ch1

Ch2

Ch3

High Heart Rate

554

12:03:52 01/23 114 BPM

550

554

550

546

546

25mm/sec

539

535

527

539

515

539

539

546

Ch1

Ch2

Ch3

High Heart Rate

597

12:03:28 01/23 110 BPM

558

558

558

554

558

25mm/sec

558

546

546

542

546

539

542

Ch1

Ch2

Ch3

High Heart Rate

Printed: February 08, 2013 11:09

12:03:36 01/23 108 BPM

25mm/sec

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


|
968
|
1042

ID:
|

1054

Recording Time: 01/23/2013 10:00


945
|
914
|
929

855

Page 12 of 36
|

Ch1

Ch2

Ch3

Low Heart Rate

937

13:07:12 01/23 62 BPM

949

945

25mm/sec

941

933

894

859

816

Ch1

Ch2

Ch3

Low Heart Rate

765

12:46:40 01/23 65 BPM

796

898

960

25mm/sec

921

945

945

933

Ch1

Ch2

Ch3

Low Heart Rate

Printed: February 08, 2013 11:09

13:07:04 01/23 67 BPM

25mm/sec

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

703

Patient name: Lorena Morazzoni


|
667
| 433 |191| 609

ID:
|
660

671

Recording Time: 01/23/2013 10:00


710
|187| 492 |
691

664

652

Page 13 of 36
|

Ch1

Ch2

Ch3

VE - Isolated

718

10:00:28 01/23 106 BPM

761

761

804

25mm/sec

710

726

734

761

718

796

Ch1

Ch2

Ch3

VE - Isolated

| 375 | 257 |

11:27:44 01/23 80 BPM

593

562

625

| 406 |

738

25mm/sec

628

574

582

593

593

609

Ch1

Ch2

Ch3

VE - Isolated

Printed: February 08, 2013 11:09

13:35:31 01/23 109 BPM

25mm/sec

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


| 433 |191| 609 |
660

ID:
671

710

Recording Time: 01/23/2013 10:00


|187| 492 |
691
|
664
|

652

636

Page 14 of 36
625
|

Ch1

Ch2

Ch3

VE - Interpolated

10:00:29 01/23 108 BPM

|183|210| 339 |238|218| 339 |

679

683

656

25mm/sec

|207| 472 |

613

| 375 | 253 |

625

628

632

Ch1

Ch2

Ch3

VE - Interpolated

| 312 |

652

11:16:56 01/23 138 BPM

| 300 | 347 |

652

636

632

25mm/sec

|234| 406 |

648

628

|207| 417 |

652

738

Ch1

Ch2

Ch3

VE - Interpolated

Printed: February 08, 2013 11:09

13:22:22 01/23 120 BPM

25mm/sec

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


|
695
|
695
|
703

ID:
|
667

| 433 |191|

Recording Time: 01/23/2013 10:00


609 |
660
|
671
|

710

|187|

492

Page 15 of 36
|

Ch1

Ch2

Ch3

VE - Pair

593

10:00:26 01/23 107 BPM

601

589

582

574

| 476 |

25mm/sec

550

2437

| 476 |

585

| 402 |

Ch1

Ch2

Ch3

VE - Pair

808

11:15:31 01/23 83 BPM

| 476 | 285 |

757

753

773

25mm/sec

816

785

699

738

718

Ch1

Ch2

Ch3

VE - Pair

Printed: February 08, 2013 11:09

13:34:36 01/23 86 BPM

25mm/sec

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

722

Patient name: Lorena Morazzoni


|
628
| 410 |246 |
664

ID:
|

Recording Time: 01/23/2013 10:00


| 332 | 390 | 285 | 343 | 363 |
695

898

| 421 | 339 |

496

Page 16 of 36
| 273 | 355 |

Ch1

Ch2

Ch3

VE - Run

| 281 | 347 |

10:01:30 01/23 129 BPM

597

609

593

589

511

25mm/sec

824

| 449 | 367 | 265 |

671

683

718

Ch1

Ch2

Ch3

VE - Run

| 335 | 304 |

11:13:57 01/23 111 BPM

664

667

699

25mm/sec

| 351 | 304 | 312 | 285 |

718

648

640

636

| 292 | 355 | 261 |

Ch1

Ch2

Ch3

VE - Run

Printed: February 08, 2013 11:09

13:28:25 01/23 128 BPM

25mm/sec

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


| 468 | 253 | 375 | 289 |
660
|

ID:
644
|

585

781

Recording Time: 01/23/2013 10:00


|
707
|
667
|
664

683

Page 17 of 36
710
|

Ch1

Ch2

Ch3

Bigeminy

12:13:10 01/23 104 BPM

| 464 |238|

660

| 351 | 312 |

679

25mm/sec

| 246 | 425 |

648

644

628

621

| 382 | 449 | 414 | 304 |

Ch1

Ch2

Ch3

Trigeminy

675

10:43:09 01/23 128 BPM

675

648

636

644

25mm/sec

660

652

648

664

687

652

683

Ch1

Ch2

Ch3

Trigeminy

Printed: February 08, 2013 11:09

12:30:56 01/23 90 BPM

25mm/sec

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


|
644
| 453 |
773

ID:
625

609

Recording Time: 01/23/2013 10:00


625
| 613 |242| 386 |
640

605

Page 18 of 36
|234| 406 | 343 |

Ch1

Ch2

Ch3

Trigeminy

683

13:07:33 01/23 116 BPM

695

695

703

667

25mm/sec

| 433 |191|

609

660

671

710

|187|

492

Ch1

Ch2

Ch3

SVE

10:00:26 01/23 105 BPM

| 277 | 390 |

738

753

921

25mm/sec

| 343 |187|

648

738

761

1144

Ch1

Ch2

Ch3

SVE

11:24:41 01/23 95 BPM

Printed: February 08, 2013 11:09

25mm/sec

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


675
|
722
|
761

ID:
785

535

| 250 |

Recording Time: 01/23/2013 10:00


765
|
730
|
722

746

Page 19 of 36
730
|

Ch1

Ch2

Ch3

SVE

13:35:10 01/23 88 BPM

1164

980

765

25mm/sec

722

| 261 | 421 |242 | 457 |

718

757

691

Ch1

Ch2

Ch3

SVE - Pair

| 335 | 476 |

10:25:50 01/23 91 BPM

957

| 382 |

714

683

25mm/sec

| 382 | 347 |218| 449 |

691

| 382 |214| 320 | 269 |

613

|234|191|

Ch1

Ch2

Ch3

SVE - Pair

Printed: February 08, 2013 11:09

10:55:15 01/23 137 BPM

25mm/sec

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


804
|
750
|
902

ID:
|

863

Recording Time: 01/23/2013 10:00


| 394 | 421 |
640
|199| 554 |207|

843

Page 20 of 36
804
|

Ch1

Ch2

Ch3

SVE - Pair

Printed: February 08, 2013 11:09

12:56:11 01/23 97 BPM

25mm/sec

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

heart rate

210
180
150
120
90
60
30
0
10

16

22

10

Time
|

531

535

519

535

535

539

527

519

515

515

515

511

511

511

Ch1

Ch2

Ch3

High Heart Rate

12:03:52 01/23 114 BPM

968

1042

1054

Maximum Heart Rate 114

945

914

25mm/sec

929

855

Ch1

Ch2

Ch3

Low Heart Rate

Printed: February 08, 2013 11:09

13:07:12 01/23 62 BPM

Minimum Heart Rate 62

Midmark Diagnostics Group

25mm/sec

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 ( N-N Beats )
688

544

516

Quantity

Quantity

RR Intervals ( All Beats )


726

363
181

(ms) 0
(HR) 0

400
150

800
75

1200 1600 2000


50
37
30

344
172

(ms) 0
(HR) 0

2429

27

1821

18
9

(ms) 0
(HR) 0

400
150

800
75

607

1200 1600 2000


50
37
30

1719

57

1146
573

Printed: February 08, 2013 11:09

1
2
RR(i) / RR(i-1)

RR Ratio ( N-V Beats )


77

Quantity

Quantity

RR Ratio ( N-N Beats )

1
2
RR(i) / RR(i-1)

1200 1600 2000


50
37
30

1214

2293

800
75

RR Ratio ( All Beats )

37

Quantity

Quantity

RR Intervals ( N-V Beats )

400
150

38
19

Midmark Diagnostics Group

1
2
RR(i) / RR(i-1)

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni

ID:

Recording Time: 01/23/2013 10:00

Page 23 of 36

RR Tachogram

1200
1000
800
RR (ms)

600
400
200
0
10

16

22

10

Time (Hour)
|

609

601

589

605

2460

Ch1

Ch2

Ch3

11:59:26 01/23 61 BPM

| 480 | 281 | 289 | 386 |207| 441 |

675

589

Maximum RR 2460 ms

| 253 |234|210|

863

25mm/sec

757

781

804

Ch1

Ch2

Ch3

12:22:45 01/23 124 BPM

Printed: February 08, 2013 11:09

Minimum RR 210 ms

Midmark Diagnostics Group

25mm/sec

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


228

218

228
166

VE
(667)

152
76

55

0
10

64

VE Pair
(169)

11

12

13

14

15

16

17

18

19

20

21 22 23
Time (Hour)

10

14

15

16

17

18

19

20

21 22 23
Time (Hour)

10

14

15

16

17

18

19

20

21 22 23
Time (Hour)

10

63

64

42
28

21

14

0
10

11

12

13

30
22

V-Run
(55)

20

16

16

10
1

0
10

11

SVE
(298)

13

116

116
77

12

82

82

38
18

0
10

11

12

13

14

15

16

17

18

19

20

21 22 23
Time (Hour)

10

11

12

13

14

15

16

17

18

19

20

21 22 23
Time (Hour)

10

30

SV-Run
(0)

20
10
0
10

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
Heart Rate ( BPM )
Min

Max

Avg

Avg
RR
(ms)

10:00
11:00
12:00
13:00

71
74
65
62

102
100
114
95

87
85
83
80

689
705
722
750

0.3
0.2
0.3
0.4

-0.2
-0.1
-0.4
-0.1

0.2
0.1
0.2
0.3

-0.2
-0.1
-0.1
-0.1

0.0
0.0
0.1
0.1

-0.5
-0.2
-0.2
-0.1

Summary

62

114

83

722

0.3

-0.4

0.2

-0.2

0.1

-0.5

Time

ST Segment Level ( mm )
Ch.1
Ch.2
Ch.3
Avg
Min
Avg
Min
Avg
Min

Summary:

Depression
Elevation
Criteria:
Heart Rate:
RR Interval:
ST Level:

Printed: February 08, 2013 11:09

Max
-0.5 mm
1.3 mm

Channel
3
1

Time
10:50
10:58

Length
0 min
-

Average, minimum and maximum heart rates are based on 1 minute averages of each hour.
Average RR intervals are based on 1 minute averages of each hour.
Average and minimum ST level ( minute average ) of normal beats of each hour.

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

Ch.1

Ch.2

Ch.3

( ST point after J point : 80 ms )


2-4 Minutes
5+ Minutes
Episodes
Episodes

Depression
( -mm )

Total Ischemic
Time (min)

Number of
Episodes

1 Minute
Episodes

1.0 - 1.9
2.0 - 2.9
3.0 +
Total

0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0

1.0 - 1.9
2.0 - 2.9
3.0 +
Total

0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0

1.0 - 1.9
2.0 - 2.9
3.0 +
Total

0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0

Average
Heart
Rate

180
150
120
90
60
30

ST Level
(mm)

3
2
1
0
-1
-2
-3

ST Slope
(mv/sec)

3
2
1
0
-1
-2
-3

ST Level
(mm)

3
2
1
0
-1
-2
-3

ST Slope
(mv/sec)

3
2
1
0
-1
-2
-3

ST Level
(mm)

3
2
1
0
-1
-2
-3

ST Slope
(mv/sec)

3
2
1
0
-1
-2
-3

Ch.1

Ch.2

Ch.3

10
Printed: February 08, 2013 11:09

16

22
Midmark Diagnostics Group

10
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

Average
Heart
Rate

180
150
120
90
60
30

QT
(ms)

550
500
450
400
350
300
250

QTc
(ms)

550
500
450
400
350
300
250

QT
(ms)

550
500
450
400
350
300
250

QTc
(ms)

550
500
450
400
350
300
250

QT
(ms)

550
500
450
400
350
300
250

QTc
(ms)

550
500
450
400
350
300
250

Ch.1

Ch.2

Ch.3

10

16

22
( Time )

90%
80%

QTc

60%
50%
40%
30%

QTc <= 450 ms

77.4%

QTc > 450 ms

22.6%

QT <= 450 ms

100.0%

QT > 450 ms

0.0%

QT

70%

QTc

10

QT
QTc

20%

QTc

QTc

10%

QTc

QT

Range (ms)

< 350

350-400

400-450

450-480

> 480

QT

26.9%

72.0%

1.1%

0.0%

0.0%

QTc

5.5%

10.9%

60.9%

20.9%

1.8%

Max QT at 11:35, 386 ms

( Channel 1 )

QTc formula used : Bazett formula

Printed: February 08, 2013 11:09

Max QTc at 11:51, 576 ms

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
Total

( Channel 1 )
QT Correction (ms)

Beats

HR
(BPM)
Avg

RR
(ms)
Avg

Avg

Max

Min

Avg

Max

Min

10:00
11:00
12:00
13:00

6419
6791
5845
3305

87
85
83
80

689
705
722
750

345
350
348
365

382
386
381
383

267
312
247
253

439
442
435
435

562
576
547
482

372
400
334
396

Summary

22360

83

722

352

386

247

414

576

334

Time

QT Interval (ms)

Summary:

Longest QT Interval : 386ms, QTc: 570ms, at 11:35, Heart Rate: 131bpm;


Shortest QT Interval : 247ms, QTc: 334ms, at 12:36, Heart Rate: 110bpm;
Longest QTc: 576ms, Original QT Interval: 374ms, at 11:51, Heart Rate: 142bpm;
Shortest QTc: 334ms, Original QT Interval: 246ms, at 12:36, Heart Rate: 110bpm;
Criteria:

QTc formula used : Bazett formula

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
SDNN
SDANN
rMSSD
pNN50
Triangular Index
Total Power
ULF
VLF
LF
LF norm
HF
HF norm
LF/HF
HF/TP

Units
ms
ms
ms
%
ms2
ms2
ms2
ms2
nu
ms2
nu

24 Hours
73
32
47
11.37
35
0.00
0.00
0.00
0.00
0.00

5-Minute Mean

5-Minute Std

11.09

5.39

1121.74
56.67
343.86
345.42
30.30
375.79
24.46
0.71
0.34

2134.41
638.42
499.23
19.64
985.13
16.23
0.53
0.12

Note: The 5-minute results are averaged over the entire day.

Definitions
SDNN
SDANN
rMSSD
pNN50
Triangular Index
Total Power
ULF
VLF
LF
LF norm
HF
HF norm
LF/HF
HF/TP

Standard deviation of all normal RR intervals in the entire ECG recording.


Standard deviation of the average normal RR intervals for all 5-minute segments of entire ECG recording.
Root-mean-square successive difference ( the square root of the squared differences between adjacent normal RR intervals ).
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.
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.
The variance of NN intervals over the selected segment ( <= 0.4 Hz ).
Power in the ULF range ( <= 0.003 Hz ), not defined for 5-minute.
Power in the VLF range ( 5-minute: <= 0.04Hz, 24-hour: 0.003 - 0.04 Hz ).
Power in the LF range ( 0.04 - 0.15 Hz ).
LF power in normalized units 100*LF/(total power - VLF).
Power in the HF range ( 0.15 - 0.4 Hz ).
HF power in normalized units 100*HF/(total power - VLF).
Ratio LF/HF.
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 ( All Beats )

2000

2000

1600

1600
RR(n+1) (ms)

RR(n+1) (ms)

RR Successive Interval Plot ( NN Beats )

1200
800

1200
800

400

RR Standard Deviation (ms)

Mean Heart Rate (BPM)

400

400

800
1200
RR(n) (ms)

1600

2000

400

800
1200
RR(n) (ms)

1600

2000

150
110

70

30
10

11

12

13

14

15

16

17

18

19

20

21

22

23

10

11

12

13

14

15

16

17

18

19

20

21

22

23

10

11

12

13

14

15

16

17

18

19

20

21 22 23
Time (Hour)

10

124

82

41

0
10

rMSSD (ms)

125

83

41

0
10

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


Total Beats

Qualified Beats

Mean RR

SDNN

SDANN

rMSSD

ms

ms

ms

ms

10:00
11:00
12:00
13:00

6419
6791
5845
3305

3456
2887
3768
2435

665
684
702
735

58
76
72
68

15
23
25
20

31
62
49
41

Entire Recording

22360

12546

694

73

32

47

Time

Definitions
Total Beats
Qualified Beats
Mean RR
SDNN
rMSSD
SDANN

Total beats in the period.


Total beats in the period that are considered normal and fall within the specified tolerances.
Mean RR interval.
Standard deviation of all normal RR intervals in the entire ECG recording.
Root-mean-square successive difference ( the square root of the squared differences between adjacent normal RR intervals ).
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
6505
4336
2168
0
10

11

12

13

14

15

16

17

18

19

20

21

22

23

10

10

10

10

Time (Hour)

VLF - Power from 0.0033 Hz to 0.0400 Hz


6505
4336
2168
0
10

11

12

13

14

15

16

17

18

19

20

21

22

23

Time (Hour)

LF - Power from 0.04 Hz to 0.15 Hz


6505
4336
2168
0
10

11

12

13

14

15

16

17

18

19

20

21

22

23

Time (Hour)

HF - Power from 0.15 Hz to 0.4 Hz


6505
4336
2168
0
10

11

12

13

14

15

16

17

18

19

20

21

22

23

Time (Hour)

Printed: February 08, 2013 11:09

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


10:00 0
10:01
10:02
10:03
10:04
10:05
10:06
10:07
10:08
10:09
10:10
10:11
10:12
10:13
10:14
10:15E
10:16
10:17
10:18
10:19
10:20
10:21
10:22
10:23
10:24
10:25
10:26
10:27
10:28
10:29
10:30
10:31
10:32E
10:33
10:34
10:35
10:36
10:37
10:38
10:39
10:40
10:41
10:42
10:43
10:44
10:45
10:46
10:47
10:48
10:49
10:50
10:51
10:52
10:53E
10:54
10:55
10:56
10:57
10:58
10:59
0

10

15

ID:
20

Recording Time: 01/23/2013 10:00


25

30

35

40

45

50

Ch. 1

Page 33 of 36

55

60

HR (ST)
98

142
108
124
123
143
107
139
86
101
91
89
115
98
107
104
98
94
116
91
88
90
85
98
132
79
104
118
98
88
92
85
90
89
120
102
99
131
133
129
117
127
116
129
103
85
116
113
116
111
105
94
96
128
120
125
106
93
89
87
5

10

Printed: February 08, 2013 11:09

15

20

25

30

35

Midmark Diagnostics Group

40

45

50

55

60

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


11:00 0
11:01
11:02
11:03
11:04
11:05
11:06
11:07
11:08
11:09E
11:10
11:11
11:12
11:13
11:14
11:15
11:16
11:17
11:18
11:19
11:20
11:21
11:22
11:23
11:24
11:25
11:26
11:27
11:28
11:29E
11:30
11:31
11:32
11:33
11:34
11:35
11:36
11:37
11:38
11:39
11:40
11:41
11:42
11:43
11:44
11:45
11:46
11:47
11:48
11:49
11:50
11:51
11:52
11:53
11:54
11:55
11:56
11:57
11:58
11:59
0

10

15

ID:
20

Recording Time: 01/23/2013 10:00


25

30

35

40

45

50

Ch. 1

Page 34 of 36

55

60

HR (ST)
110
120
130
114
90
91
120
123
113
139
130
110
92
101
99
112
135
162
158
152
115
110
108
104
96
111
97
87
85
131
129
135
106
108
95
124
96
92
84
86
105
129
145
146
179
157
104
118
103
125
118
141
89
86
86
90
90
87
96
80

10

Printed: February 08, 2013 11:09

15

20

25

30

35

Midmark Diagnostics Group

40

45

50

55

60

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


12:00 0
12:01
12:02E
12:03
12:04
12:05
12:06
12:07
12:08
12:09
12:10
12:11
12:12
12:13
12:14
12:15
12:16
12:17
12:18
12:19
12:20
12:21
12:22
12:23E
12:24
12:25
12:26
12:27
12:28
12:29
12:30
12:31
12:32
12:33
12:34
12:35
12:36
12:37
12:38
12:39
12:40
12:41
12:42
12:43E
12:44
12:45
12:46
12:47
12:48
12:49
12:50
12:51
12:52
12:53
12:54
12:55
12:56
12:57
12:58
12:59
0

10

15

ID:
20

Recording Time: 01/23/2013 10:00


25

30

35

40

45

50

Ch. 1

Page 35 of 36

55

60

HR (ST)
85
85

126
103
135
92
93
91
95
135
89
89
95
100
111
91
82
100
83
83
96
88
97
94
88
103
106
101
86
100
107
89
98
88
88
100
111
92
100
108
129
154
134
113
95
87
80
83
103
92
83
82
92
87
91
79
83
86
78
110
5

10

Printed: February 08, 2013 11:09

15

20

25

30

35

Midmark Diagnostics Group

40

45

50

55

60

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni


13:00 0
13:01
13:02
13:03
13:04
13:05
13:06E
13:07
13:08
13:09
13:10
13:11
13:12
13:13
13:14
13:15
13:16
13:17
13:18
13:19
13:20
13:21
13:22
13:23
13:24
13:25
13:26
13:27
13:28
13:29
13:30
13:31
13:32
13:33
13:34
13:35
13:36

10

15

ID:
20

Recording Time: 01/23/2013 10:00


25

30

35

40

45

50

Ch. 1

Page 36 of 36

55

60

HR (ST)
83
79
80
81
80
79
86
86
86
80
78
81
75
78
90
89
82
77
77
79
80
80

105
145
145
98
84
100
100
82
131
146
106
78
81
101
90

10

Printed: February 08, 2013 11:09

15

20

25

30

35

Midmark Diagnostics Group

40

45

50

55

60

Midmark IQholterEX Version 8.4.1