SUWITO MR

RS. Mitra Medika Bondowoso

ID 019479, Born: 23/06/1949(Male 67), 67 kg, 170 cm

Test Date: 11/10/2016 20:11:09

Trends

Patient info
Born:
Age:
Sex:
Weight:
Height:
Smoker:
Pacemaker:

23/06/1949
67
Male
67 kg
170 cm

Staff

[bpm, mmHg]
200

[W (MET)]
25

160

20

120

Medical history

RS. Mitra Medika

180

11/10/2016
20:11

Stress device:
Protocol

BTL Treadmill
Bruce

10

Total duration:
Stress achieved:

02:31
2,7km/h, 10,0% (~4,6MET) - for 151
sec

HR rest:
HR peak:

96
142 = 93% predicted (152) --- 02:31
Exercise (4,6MET)

Handgrip test:
BP rest:
BP peak:
BP recovery:

--160/90
180/100 --- 02:31 Exercise (4,6MET)
180/100

DP rest:
DP peak:

15360
25532 = 1,7x DP at rest

ST depression max:
St elevation max:
ST/HR index:

III -1,03mV 00:18 Exercise 4,3MET

V2 1,38mV 00:18 Exercise 4,3MET
47,5 V/bpm (abnormal)

15

100
80
60
40
20
0
0:00

0
1:00

2:00

1:00

2:00

3:00

4:00

5:00

6:00

7:00

8:00

9:00

10:00

Test info
Test date:
Test time:

140

DIABETES

Attending doctor:
Technician:

[min]

Conclusion
Reference ECG: premature ventricular contractions, Functional capacity: slightly decreased (20% to 30%), HR
response to exercise: appropriate, BP response to exercise: resting hypertension - appropriate response,
Chest Pain none, Arrhythmias: ventricular premature beats , ST Changes: Depression horizontal, Overall
impression: Positive stress test suggestive of ischemia
ABNORMAL TREADMILL TEST AT 4 METS

Medications

Reason for Admission

Palpitations

Reason for Stop

RS. Mitra Medika, Jl. HOS. Cokroaminoto No. 98, Bondowoso, Indonesia, Phone: 0332-423800

BTL CardioPoint 2.22.15757.0, DIAG 1.7.15395.0, ECG:071D-B-02615

BTL CardioPoint - Stress Test

Page: 1

SUWITO MR

RS. Mitra Medika Bondowoso

ID 019479, Born: 23/06/1949(Male 67), 67 kg, 170 cm

Test Date: 11/10/2016 20:11:09

Time: P 00:34 - Reference

Load: 1,4MET, HR: 96bpm, BP: 160/90

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6
Filter: 0,07 Spline - 90 Adapt, ~50 [Hz]
RS. Mitra Medika, Jl. HOS. Cokroaminoto No. 98, Bondowoso, Indonesia, Phone: 0332-423800

25,00 mm/sec 10,0 mm/mV

BTL CardioPoint 2.22.15757.0, DIAG 1.7.15395.0, ECG:071D-B-02615

BTL CardioPoint - Stress Test

Page: 2

SUWITO MR

RS. Mitra Medika Bondowoso

ID 019479, Born: 23/06/1949(Male 67), 67 kg, 170 cm

Test Date: 11/10/2016 20:11:09

Time: E 02:26 - Peak

Load: 4,6MET, HR: 142bpm, BP: 180/100

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6
Filter: 0,07 Spline - 90 Adapt, ~50 [Hz]
RS. Mitra Medika, Jl. HOS. Cokroaminoto No. 98, Bondowoso, Indonesia, Phone: 0332-423800

25,00 mm/sec 10,0 mm/mV

BTL CardioPoint 2.22.15757.0, DIAG 1.7.15395.0, ECG:071D-B-02615

BTL CardioPoint - Stress Test

Page: 3

SUWITO MR

RS. Mitra Medika Bondowoso

ID 019479, Born: 23/06/1949(Male 67), 67 kg, 170 cm

Test Date: 11/10/2016 20:11:09

Time: R 00:10 - RECOVERY

Load: 1,7MET, HR: 141bpm, BP: 180/100

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6
Filter: 0,07 Spline - 90 Adapt, ~50 [Hz]
RS. Mitra Medika, Jl. HOS. Cokroaminoto No. 98, Bondowoso, Indonesia, Phone: 0332-423800

25,00 mm/sec 10,0 mm/mV

BTL CardioPoint 2.22.15757.0, DIAG 1.7.15395.0, ECG:071D-B-02615

BTL CardioPoint - Stress Test

Page: 4

SUWITO MR

RS. Mitra Medika Bondowoso

ID 019479, Born: 23/06/1949(Male 67), 67 kg, 170 cm

Test Date: 11/10/2016 20:11:09

Time: R 00:55 - RECOVERY

Load: 1,0MET, HR: 132bpm, BP: 180/100

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6
Filter: 0,07 Spline - 90 Adapt, ~50 [Hz]
RS. Mitra Medika, Jl. HOS. Cokroaminoto No. 98, Bondowoso, Indonesia, Phone: 0332-423800

25,00 mm/sec 10,0 mm/mV

BTL CardioPoint 2.22.15757.0, DIAG 1.7.15395.0, ECG:071D-B-02615

BTL CardioPoint - Stress Test

Page: 5

SUWITO MR

RS. Mitra Medika Bondowoso

ID 019479, Born: 23/06/1949(Male 67), 67 kg, 170 cm

Test Date: 11/10/2016 20:11:09

Time: R 02:55 - RECOVERY

Load: 1,0MET, HR: 103bpm, BP: 180/100

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6
Filter: 0,07 Spline - 90 Adapt, ~50 [Hz]
RS. Mitra Medika, Jl. HOS. Cokroaminoto No. 98, Bondowoso, Indonesia, Phone: 0332-423800

25,00 mm/sec 10,0 mm/mV

BTL CardioPoint 2.22.15757.0, DIAG 1.7.15395.0, ECG:071D-B-02615

BTL CardioPoint - Stress Test

Page: 6

SUWITO MR

RS. Mitra Medika Bondowoso

ID 019479, Born: 23/06/1949(Male 67), 67 kg, 170 cm

Test Date: 11/10/2016 20:11:09
Load:

1,4MET

Load:

4,6MET

Load:

4,6MET

Load:

2,1MET

Load:

1,4MET

Load:

1,0MET

HR:

96bpm

HR:

132bpm

HR:

142bpm

HR:

141bpm

HR:

132bpm

HR:

103bpm

BP:

160/90

BP:

BP:

180/100

BP:

180/100

BP:

180/100

BP:

180/100

Phase:

P 00:39

Phase:

Phase:

E 02:31

Phase:

R 00:20

Phase:

R 01:03

Phase:

R 03:04

Stage:

Reference

Stage:

Stage:

E 1 peak

Stage:

RECOVERY

Stage:

RECOVERY

Stage:

RECOVERY

STL: 0,17mV
STS: -10,03mV/s
J+: 74ms

STL: 0,14mV
STS: 0,00mV/s
J+: 57ms

STL: -1,19mV
STS: -8,18mV/s
J+: 74ms

II

STL: -0,89mV
STS: -4,00mV/s
J+: 57ms

STL: -1,36mV
STS: -5,89mV/s
J+: 74ms

STL: 0,79mV
STS: -5,89mV/s
J+: 74ms

STL: 0,57mV
STS: 1,62mV/s
J+: 57ms

STL: -1,24mV
STS: -3,32mV/s
J+: 74ms

aVF

STL: -0,97mV
STS: -3,44mV/s
J+: 57ms

aVF

STL: 0,04mV
STS: -4,33mV/s
J+: 59ms

STL: 0,06mV
STS: 1,17mV/s
J+: 53ms

STL: -0,10mV
STS: 1,33mV/s
J+: 52ms

STL: 0,05mV
STS: -2,88mV/s
J+: 77ms

aVR

STL: 0,03mV
STS: -0,72mV/s
J+: 59ms

aVL

STL: -0,12mV
STS: 1,39mV/s
J+: 53ms

aVF

STL: -0,08mV
STS: 0,00mV/s
J+: 77ms

III

aVR

aVL

aVF

STL: -0,07mV
STS: 1,44mV/s
J+: 59ms

STL: 0,05mV
STS: -6,87mV/s
J+: 53ms

STL: -0,05mV
STS: -0,17mV/s
J+: 52ms

STL: -0,10mV
STS: 0,26mV/s
J+: 77ms

II

III

aVR

aVL

STL: -0,07mV
STS: 1,75mV/s
J+: 59ms

STL: -0,09mV
STS: -2,02mV/s
J+: 53ms

STL: 0,19mV
STS: -6,51mV/s
J+: 52ms

STL: -0,01mV
STS: 0,13mV/s
J+: 77ms

II

III

aVR

aVL

STL: -0,10mV
STS: 3,44mV/s
J+: 53ms

STL: -0,02mV
STS: -1,33mV/s
J+: 52ms

STL: 0,39mV
STS: -0,26mV/s
J+: 57ms

STL: 0,00mV
STS: 0,67mV/s
J+: 59ms

II

III

aVR

aVL

STL: -0,19mV
STS: 1,88mV/s
J+: 52ms

STL: -1,03mV
STS: -3,71mV/s
J+: 57ms

STL: 0,50mV
STS: -7,69mV/s
J+: 74ms

STL: 0,01mV
STS: 3,44mV/s
J+: 53ms

II

III

aVR

STL: -0,17mV
STS: 0,76mV/s
J+: 52ms

II

III

E 00:18

STL: 0,04mV
STS: 0,00mV/s
J+: 77ms

aVL

STL: -0,07mV
STS: 1,56mV/s
J+: 59ms

aVF

STL: -0,09mV
STS: 0,13mV/s
J+: 77ms

aVF

25 mm/sec 10 mm/mV
RS. Mitra Medika, Jl. HOS. Cokroaminoto No. 98, Bondowoso, Indonesia, Phone: 0332-423800

BTL CardioPoint 2.22.15757.0, DIAG 1.7.15395.0, ECG:071D-B-02615

BTL CardioPoint - Stress Test

Page: 7

SUWITO MR

RS. Mitra Medika Bondowoso

ID 019479, Born: 23/06/1949(Male 67), 67 kg, 170 cm

Test Date: 11/10/2016 20:11:09
Load:

1,4MET

Load:

4,6MET

Load:

4,6MET

Load:

2,1MET

Load:

1,4MET

Load:

1,0MET

HR:

96bpm

HR:

132bpm

HR:

142bpm

HR:

141bpm

HR:

132bpm

HR:

103bpm

BP:

160/90

BP:

BP:

180/100

BP:

180/100

BP:

180/100

BP:

180/100

Phase:

P 00:39

Phase:

Phase:

E 02:31

Phase:

R 00:20

Phase:

R 01:03

Phase:

R 03:04

Stage:

Reference

Stage:

Stage:

E 1 peak

Stage:

RECOVERY

Stage:

RECOVERY

Stage:

RECOVERY

STL: 1,24mV
STS: 3,32mV/s
J+: 74ms

V1

STL: 0,72mV
STS: 4,00mV/s
J+: 57ms

V1

STL: 2,31mV
STS: 5,89mV/s
J+: 74ms

V2

STL: 1,38mV
STS: 6,19mV/s
J+: 57ms

STL: 1,48mV
STS: 5,62mV/s
J+: 74ms

STL: -1,12mV
STS: -3,44mV/s
J+: 74ms

STL: -0,81mV
STS: -3,57mV/s
J+: 57ms

STL: -1,11mV
STS: -4,16mV/s
J+: 74ms

V6

STL: -1,01mV
STS: -7,69mV/s
J+: 57ms

V6

STL: -0,05mV
STS: 2,41mV/s
J+: 59ms

STL: -0,15mV
STS: 1,82mV/s
J+: 53ms

STL: -0,02mV
STS: 1,01mV/s
J+: 52ms

STL: -0,04mV
STS: 0,81mV/s
J+: 77ms

V4

STL: -0,09mV
STS: 1,88mV/s
J+: 59ms

V5

STL: -0,13mV
STS: 0,67mV/s
J+: 53ms

V6

STL: 0,12mV
STS: 1,56mV/s
J+: 77ms

V3

V4

V5

V6

STL: 0,15mV
STS: 4,70mV/s
J+: 59ms

STL: -0,12mV
STS: 3,09mV/s
J+: 53ms

STL: -0,20mV
STS: 1,06mV/s
J+: 52ms

STL: 0,12mV
STS: 0,86mV/s
J+: 77ms

V2

V3

V4

V5

STL: 0,17mV
STS: 3,57mV/s
J+: 59ms

STL: 0,10mV
STS: 4,91mV/s
J+: 53ms

STL: -0,13mV
STS: 4,00mV/s
J+: 52ms

STL: 0,10mV
STS: 0,22mV/s
J+: 77ms

V1

V2

V3

V4

V5

STL: 0,10mV
STS: 2,78mV/s
J+: 53ms

STL: 0,08mV
STS: 6,51mV/s
J+: 52ms

STL: -0,37mV
STS: 0,31mV/s
J+: 57ms

STL: 0,10mV
STS: 1,27mV/s
J+: 59ms

V1

V2

V3

V4

V5

STL: 0,12mV
STS: 5,36mV/s
J+: 52ms

STL: 0,49mV
STS: 5,36mV/s
J+: 57ms

STL: -0,60mV
STS: 0,26mV/s
J+: 74ms

STL: 0,06mV
STS: 0,72mV/s
J+: 53ms

V1

V2

V3

V4

STL: 0,13mV
STS: 1,75mV/s
J+: 52ms

V1

V2

V3

E 00:18

STL: -0,06mV
STS: 0,62mV/s
J+: 77ms

V5

STL: -0,08mV
STS: 0,91mV/s
J+: 59ms

V6

STL: -0,07mV
STS: 0,04mV/s
J+: 77ms

V6

25 mm/sec 10 mm/mV
RS. Mitra Medika, Jl. HOS. Cokroaminoto No. 98, Bondowoso, Indonesia, Phone: 0332-423800

BTL CardioPoint 2.22.15757.0, DIAG 1.7.15395.0, ECG:071D-B-02615

BTL CardioPoint - Stress Test

Page: 8

SUWITO MR

RS. Mitra Medika Bondowoso

ID 019479, Born: 23/06/1949(Male 67), 67 kg, 170 cm

Test Date: 11/10/2016 20:11:09

Stage

Time

Reference

P 00:44
E 01:31
E 02:31
R 00:20
R 01:05
R 03:05

E 1 peak
RECOVERY
RECOVERY
RECOVERY

km/h
0,8
2,7
2,7
0,8
0,8
0,0

Load
%
0,0
10,0
10,0
10,0
0,0
0,0

MET
1,4
4,6
4,6
2,1
1,4
1,0

HR
bpm
96
132
142
141
132
103

BP
mmhg
160/90
-

180/100
180/100
180/100
180/100

RS. Mitra Medika, Jl. HOS. Cokroaminoto No. 98, Bondowoso, Indonesia, Phone: 0332-423800

SpO2
%
-

ST Level [ mV ], J+: 1/8RR

aVL aVF
V1
V2

II

III

aVR

V3

V4

V5

V6

0,17

-1,19

-1,36

0,50

0,79

-1,24

1,24

0,14

-0,89

-1,03

0,39

0,57

-0,97

0,72

2,31

1,48

-0,60

-1,12

-1,11

1,38

0,49

-0,37

-0,81

-1,01

-0,17

-0,19

-0,02

0,19

-0,05

-0,10

0,13

0,12

0,08

-0,13

-0,20

-0,02

0,01

-0,10

-0,09

0,05

0,06

-0,12

0,06

0,10

0,10

-0,12

-0,15

-0,13

0,00

-0,07

-0,07

0,04

-0,01

-0,10

-0,08

0,05

0,03

-0,07

0,10

0,17

0,15

-0,05

-0,09

-0,08

0,04

-0,09

0,10

0,12

0,12

-0,04

-0,06

-0,07

BTL CardioPoint 2.22.15757.0, DIAG 1.7.15395.0, ECG:071D-B-02615

BTL CardioPoint - Stress Test

Page: 9