Recording Start Date DMS-SERVICE LLC PO BOX 3921 Stateline, NV. 89449 Phone: (866) 374-0105 HOLTER ECG REPORT SUMMARY Fax: (800) 441-3437 Recording Start Time 12/22/2008 17:04 Patient Name: Frey Evan Di: 444-44-4444 ‘Address: _ SAMPLE HOLTER REPORT ‘Age: 40year DOB: 9/12/1965 Sex: Male Pacemaker: _None Weight: 220 Ib Height: 78 in ‘Supervising Referring Physician or Physician: Thomas Jones MD Facility: Mark Smith MD Indications: Chest Pain Medications: HEART RATE VENTRICULAR ECTOPY HEART RATE VARIABILITY Minimum HR nteraiz: 52 bpm at 23:31|VE Tota 3 |soNn.24 Hou 20 Neomum He ite: 128 Ep at 400 V-Par Tot 47 SDA index 8 Pverage HR-o4 Hours T7 bpm V-Rin Toa {2 SONN index % Minin Hour 68 bpm a1 2500 Longest V-Run 8 beats at 04:13 MSD: 21 Maximum Hi Houty 31 bom sa-b0|MoxmumrR'V-Run: gg bone st O41 | BNNC 2 Anayzed Beats ‘3590, Minmum Ht V-Aun {8 bbm at O18 | Speeta Power.26 Hour papa aearrniee S9|Ve's pe 1000pe Hour Je Mn Spectral Power Hour eae ECG Monitoring Period: 14 hours 49 minute Ventricular R on T: WA ae ee oe 3913.6 ST SEGMENT ANALYSIS SUPRAVENTRICULAR ECTOPY PAUSES Tot ST Minds CHT 22 SVE Total 7 | pauses m Excess of 25 se: | Tota ST Minutes C2 40/ SVE Par Tat Max Pause Nia Tota ST Minutes C3 0 sv-Run out 0 art Max Abs. ST Depression: 3.7 at 04:05@CH 1 |Longest SV-Run NIA Max ar: 455 ms (Ch. 2) Max Abs. ST Elevation: +07 at 04:08@CH 2 Maximum HR SV-Run: NYA |Max are "467 ms Max ST Episode Minutes st 401) SVE per 1000}per nor ‘ii Time ofMex OT: a 17.06, HR 88 bpm Max HR in St Episode 126, Tota Avera Bests tales a tial FbvFuter ane SIGNIFICANT ECG EVENTS tas oa 7 ev viva eS HA pwebihid p debelededdodedadeded S Jb tanhhih Ay Aah * bleach f ey ty ta ae van Lenotiral romctea Wrans trac ies aR ans ows oe = ae Lt do | WAU |e Lf ft Md IVAN RPARRA A He ’ I MAMA Ady Ym) 9 oo wo Heo i yy yy TV inti |! ST Segment Mousa Aa Rates CONCLUSIONS The average heart rate was 77. The minimum heart rate was 52 at 23:31. The maximum heart rate was 128 at 04:06, Pauses greater than 2.5 seconds were 0. Ventricular ectopy was 83, with 12 V-Runs and 17V-Palts, ‘Ventricular Bigeminy events were 0 and Ventricular Trigeminy events were 1. Supraventricular éctopy was 7, with 0 SV-Runs, Supraventricular Bigeminy events were 0 and Supraventiicular Trigeminy events were 0,_ Total A-Fib(Fiu) were 0 Minute 0 Seconds. ST. episode minutes totaled 24. The maximum Absolute ST change was -3.7 and occurred at 04:05. The patient pressed the ‘symptom event button 1 timies on the Holter recorder, — Physician Signature: Page 1 ‘Copyright 1994-2010, Rights Rosowed. Vrson: 4.0075 Physician NustRviow Data Pit: 7/30/2012 13:41:24 2012| | 12/22/2008 Frey Evan 24 Hour Trends Report k E | r IubebatalobL blade Maximum Heart Rate 128 {_t_t | Minimum Heart Rate 52 Heart Rate (Max/Avg/Min) ex Azote elcknsonogeyy-— Olea ST Deviation : “nt Ppl dl LL LL CHI 2 cH aveonae ST e197 wn Hart Rate i= Variability i= ‘SDNN 80 L ie abe ti Bafta tases Spectral B ome : 2204.4 = Danenallolotunn 2d! spsaal Por VE Beats ‘= dabddayyryyryr Ley fal pero I abl et svebeas > Beas Leon a - SV-Run Event pause perHour Pause oa gus ee ee iis | open [Rt Rat | ve Levsnl vt | P| sven] vay | wr | ane 4704) 4365, 73, 65/96 s196 0010 |-0a-0 oo, @ © 0 1 0 0 © 0 0 6 0 woo) seat 80) 68) 94/71 242050) 020020] 00, © 0 0 o 0 0 © 9 0 oo © 1800| 4588, 77 72| 85| 49 2408-0] 02|—0—|02|0— 00} © 0 of o 0 of © 0 0 0 0 2090| 4768 79, 67/ 96| 70 27200 ]|.03|0—|.04(0—) oo} 0 0 0| 0 0| 0| 0 of o | 0 2100) 4050 7, 72 94/62 20838, 0/06 0 06 0) 00, 0 0 0 0 0| 0 0 o o oF o 2200) 4468 75, 66) 98, 99 19295( 0050060) 00, 0 0 0 o 0 0 0 of o oF Oo 2300) 4082) G8 63) 73 G3 39/0) 02/0020) 9, 0 0 0 o 0 0 0 0 oo o o e00| 4363] 73| 70| 79| 37 e010 |01|Co—|01|Co] 00] © © of o of of o© of 0 of o 00] a4s0| 74| ¢9| e2| so 1082/0 J|+01|—0—| ooo 00| @ © of a of of @ of o of o 200/ 4505 75 72| @4| 41 7™m48| 0] 05| 0 04/0 | 00, 0 0 0 9 9 © © o 9 o 0 300, 478 78 73, 90| st 216561 3 | 0915/43) 0) 00, 0 0 0 0 0 0 © 0 0 0 o 400 | 5423 91 75/126) 92 225MM] 371520; 0} 00 w w 56 0 o 0 0 0 4 0 500| 47s1| o0| 73| 94| 59 195550] 05|-0— i060] 00 © 0 0, o 0] 0| © 0 0 of oo e00| 4035] 77| 73| e5| 93 2183/0] 05|—0—]05|0— | 0o| © 0 of o of of 0 of 0 of o 700| 3887, 90, 76| 93| 55 242570 05/006 0) 00, 0 0 0 0 0 0 © 0 0 0 o 800, ONANAINA) 0 NAO] 00,0] 00/0100, 0 0 0 o 0 o 0 o o 0 0 900, 0 .NANAINA| 0 NAO] 00/0] 00/0} 009, 0 0 0 o 0 o 0 o 0 0 0 1000/0 NANA|NA| 0 NAO] 00/0] 00/0 00, 0 0 0| 0 0 0 © 0 0 o 0 1t00/ 0/WA/NA|NA| 0 NA|-0—] 00/0) oa|—0— 00 © o of o 0, of o oF o of o 1200/0 NANA|NA| 0 NA| 0] 00/0 | 00/0} 00, 0 o 0 o 0 0 o o o o 0 1200/0 NA NANA) 0 NA(-O] 00/0] 00/0) 00, © o 0 o 0 o o o o@ o 0 1400/0 NANANA| 0 NA| 0] 00/0] 00/000, © o 0 o o o © o @ o 0 1500| o|walnalwa| o nal0—]| 00|—0—| oa|o— 00] © o of ao of of o of o of o 4800) O.NANAWA) @ NA, 0) 00\ 0 j\00/ 0} 00 0 0 o ao 0 0 © o o o o 1700) O.NAWAWA) 9 WAL 0) 00/0 j\00/ 0) 00 0 0 0 o 0 0 © o o o o Tok: 68502 77 6 125 a) MONA 2237/1020, 0 7 0 0 Pave? “Goprign 1904-2010, AN Rigs Rosowea. Voor 4 0075 Prystian Nos Rovow Dats Patiod 7302012 194125 201212/22/2008 Frey Evan Absolute ST Analysis| “Mak STDeenson 0405, iN att Saal Ltt Mal ae 4 otal ST Minutes(Absokte) z2@cH 1 ‘Toul St Epeodes{abeluto) tech Max Abs. ST Depression 37@6H 1 Max Abs. ST Eovaton(ST Pon) +0.5@90H 1 $57 me STanayse Citera, tm change n ST&d aoe Pages “Gopyrigh 1984-2010, AN Rigs Rosowed_ Vorabr 40075 Physician Nos Rovow Dats Prtiod TS02012 134720 201212/22/2008 Frey Evan fe : Reet ‘La Vad e| A bl Max QTe: 17:16 4 f f oem te = ——— 7 cere = > 490 ms... 0.00% ABN* ‘Range (ms) | <350 | 350-370 | 370-390 | 380-410 | 410-430 | 430-450 | 450-470 | 470-490 | 490-510 | > 510 Max QT @ 17:06 455 ms oS ee ean eee ar 012% | 1595% | 43.80% 411K | 601% 0.00% | 0.00% 0.00% 0.00% | 0.00% Normal Range QTc: 360 to 450 ms are ar cut cH2 HR are cH? cH3 HR are or cH3 EOSREBEEEQEUwosds EUGEUSUSSEE vests BESREBEEESEE .y ‘Comments Physician Signature: Poge 4 ‘Copyright 1994-2010, A Rights Reserved. Version 4.0075 Pysicin Must Review Data Print: 7902012 19:41:27 201212/22/2008 Frey Evan Heart Rate Variabi Report ‘SPECTRAL POWER 24 HOURS: AWAKE: 04:15 - 22:30 ASLEEP: 22:30 - 04:15 Lo ‘SON: 80 Lo ‘SONN:71 Lo ‘SDN: 86 'SDANN Index: 61 mMSSD: 22 IMSSD: 19 80 ‘SON index: 46 i NSO: 3 i NSO: 2 IMSSD: 21 H 60 NNSO: 2 60), 60 40. 40. 40. 20 20 20 ° = 05 00 01 02 03 04 03} Power 2204.4 VLF:I119.7 LF:647.5 HF:108.9 | Powor2045.2 VLF:1149.0_LF753.4 HF:113.0_ Powor 1838.7 VLFi10643 LF:403.8 H:103.9 ° — ° —_—_ 00 «601 02 03 04 05 00 O01 O02 O38 © TIME DOMAIN ALL HEART RATES ALL HEART RATES ALL HEART RATES Tine, 2a Hees WANE 04 1S 93.590 ASLEEP eDao OTS 23500 2200 a 1600 U 2800 ¥ 1760 U 1290 a a a 2100 #1320 A 980 t 1400 t ea0 t 640 i i i 1 00 1 a0 1 x20 y 0 ye y 0 @ ‘300 600 900 | 1200' 1500 1800 @ ‘300 600 "900 | 1200' 1500 1800 @ 300 600 "960 1200’ 1500’ 1800] © 200,190, 67, 50 40. 33 © 200.190, 67 4033 © 200,190 67. 50 40. 33 RR iniervals RR niBtva PR Rinisrvals SON: 80 ‘SON. 71 ‘SDN: 86 HEART RATE RELATED HRV pated oa ner Mehmet SMinQTY HEART RATE ‘SDNN 0 70 0 0 140- 169 0 0 110-139 0 5 80 - 109 49 250 50-79 161 0 <=49 0 PATIENT RISK (*) : 24 HOUR SDNN 80 ° HIGH RISK 50) 50 t MEDIUM RISK. 4 100) 100 LOW RISK 150) 150 81 5 ‘SPECTRAL POWER TOTAL POWER VERY LOW FREQUENCY LOW FREQUENCY HIGH FREQUENCY 0.000t0.0.500 Hz 2204.4 | 0.00710.0.040Hz 1119.7 | 0.040 to 0.150 Hz 6475 | 0.15010 0.401 Hz 108.9 TIMEDOMAIN Total Qualified Mean ‘SDANN ‘SDN Beats Beats RR SDNN INDEX INDEX r™ssD pNNSO Time # # (msec) (msec) (msec) (Sec) (Sec) (%) Time: 24 Hours 68643 67883 TAS Ai aa i a e Pages ‘Copyrht 1994-2010, ARights Resor. Version: 4.0075 Physician MustRviow Data Pit: 7/30/2012 13:41:28 201212/22/2008 Frey Evan HRV - Poincare Plot oo Pet ts ota ont dP ts ei Pe ea ent ~ \A al eng Sapa ES] 24s 3 Powe rah ‘Actual Normal Totol Power: 2204.4 _750-12000 UF Powers 1119.7 400-1750 UF Power 6475 300-1750. HF Power, 108.9 80-120, LPF Ratio: 50:1 13 SSDNN: a0 10280 pNNSO: 2 % Sympaihote: 42% % PoraSympathotc: Ratio SP 16251 Reference Power 3060.4 PostMed@30-min 2255.8 Post Med@t-hour 22720 Post Med@2-hows 2363.8 Post Med@hours 3453.0 Post Mede@e-hours 2165.6 ousaag Pages ‘Copyright 1994-2010, ARightsRosorved. Version: 4.0075 Physician MustRviow Data Pit: 7/30/2012 13:41:29 2012ecording Start Date 12/22/2008 Frey Evan 1.0x 1.0x 1.0xof 10mm/mv 25mm/sec} Hi 64 67 64 63 & zn eb 71 & + 937 882 929 945, 7 12 835, \[ Vo Watt en EOE SE HR 58 56 48 50 59 5 ms. 1031 054 1109 1226 118; 1015, 10, Be a J \ eV SV dle aS ( > J| v= vo ee oaatl4 lis i bom LT HR, 111 | 108 112 | 109 | 108 , 109 | 108 9; 108 | 106 | 106 | 108 | 111 | 109 ms} 539, 554 531 546 554 546 554 546, 54 562 562 554 339 546 i ad | pn AJ p ks [J ee AY A N A A [nl (or vl i | i | | [= /\. \ VAN \ \ \ \ \ \ \ Aes pa yf Sa RAE Se 1:05:27 ST ment ST -3.7mm Channel: 1 (olde boli. MTT TILT ILAT IDL dsb dele bd elle telddadetdaeladddaedbd ple Page 7 Copyright 1994-2010, All Rights Reserved. Version: 4.0075.Physician Must Review Data _ Printed: 7/30/2012 13:41:30 2012ecording Start Date 12/22/2008 Frey Evan 1.0x 1.0x 1.0xof 10mm/mv 25mm/sec} ee ee ee ee ie \ Lf LE pad pel pall PY rnd pty A WU TUE UA MAUI Ap NA iad | ty | | o4'o6-41! oe e Y AshrladaebbbddtalsoetudbddM sable dsstbdeldddsdst dallas plead dag lldsbl DlLeleLleL dolled tel AeLlel dll, Leela tabled obade blot dally HR 137 76 | 123 134 134 137 125 128 125 118 65. 130 134 88 ms. 437 789 43 a x x M4 ” 4 ry ‘\ 914 ae Y ‘A. \ f\ AVS ‘ VEU UAE EGE IWMI { Ae Esa bee feo | | | Ey { f\ at ne f\ VOWS AVIVA PAINE \ 2 ate NIE | a la A v\ W\ MeN ji doyplary ebay bleddlelpdeb blo ALU ULL-LELLLLLLLLLLL 76 3 5 78 7B} 789 796 765 765 757 fe r BA AA SAAS AN \— \ \ /\ \ VA \ \ \ A\ 7 vo vie nibs AE IIT Page 8 Copyright 1994-2010, All Rights Reserved. Version: 4.0075.Physician Must Review Data _ Printed: 7/30/2012 13:41:32 201212/22/2008 Frey Evan 1.0x 1.0x 1.0xof5mm/mv — 12.5mm/sec| HRB 939798 8B 8B, 9 go \ms609| 601] 617]. 601) 609] 609] 601]. 601 (oor woke up|froi/nightmar HR 9898 10198 ms 609| 609| 593/601 102101. 463 402.401 585| 593) 578] 593) Joqaee 4 le Up) fron nighttm: 102 jns585 € Up from nightmafe HR 108 106 105 109 105 106 105. 103 105. 106, 108 106 108. 106 106 108 106 108 106 108 103 105 108 106, 106 105 111 Page 9 Copyright 1994-2010, All Rights Reserved. Version: 4.0075.Physician Must Review Data _ Printed: 7/30/2012 13:41:33 201212/22/2008 Frey Evan SAECG Report Time. 40 -250HZ Is 1.0mm/uV 30HZ 60HZ 90HZ 120HZ 150HZ 180HZ [ | 40 -250HZ 225mmis i 1.0mm/uv 2 G0HZ 90HZ 120HZ 150HZ 180HZ AM AN Sd | a ae A ; N dae Hi a | 3rnv 2mv | Amv , | om ! hoa ont\a } QHZ 30HZ GOHZ 90HZ 120HZ 150HZ 180HZ VAN \ Step COMMON Duration(ms) RMS Voltages (uV) Filter : 40-250Hz Std QRS 77, Last 40ms 194 Cycle : 511, Total QRS 83 SD of Noise 0.20 uv LAS<40 uV 19 Page 10 Copyright 1994-2010, All Rights Reserved. Version: 4.0075.Physician Must Review Data Printed: 7/30/2012 13:41:34 201212/22/2008 Frey Evan VCG Report] Frontal Plane (X - Y) Xx P SN 150mm/mv mo x ~ 2, 25mm/s *40mmimv 25mm/mv Pay Horizontal Plane (X - Z) Y P \ - 150mm/my ae i 25mm/s 10mm/mv 25mm/mv Right Saggital Plane (Z - Y) Zz 150mm/mv ui . no o- eA 25mm/s 10mm/mv 25mm/mv 25mmimv Page 11 Copyright 1994-2010, All Rights Reserved. Version: 4.0075.Physician Must Review Data Printed: 7/30/2012 13:41:36 2012,12/22/2008 Frey Evan Sleep Apnea 24-Hour Trends} oe ee eee ra —e ae om e — eee a ae eanr RATE (Max/Avg/Min) SSUES, iy lnben tao! Aaya Shi lA ht * ‘oxveonn 71 “| wear conn _ 86 _ ‘| ta “| ony as, 2 worracen 19 mssD HOURS Apong 3 2 TT Te ae ll ul | Cu im ‘ si i 5 ‘el li al oi MATT LJ ULLMAN mT ut les ;PUBLISHED MEDICAL REFERENCES /AIDIN] SDNN: DAY SON, n NIGHT SDNN, 86 ‘aor 180) AIDIN] NORM. 1210-8 Page 12 ‘Copyright 1994-2010, Rights Resor. Version: 4.0075 Physician NustRviow Data Pit: 7/30/2012 13:41:38 2012{12/22/2008 Frey Evan Full Disclosure UNGALHLLALan ip oneNuts Helndaddbeabld, 08 ils Itbdelbdshddddlded dbl ped bldrd dl oabbd bblaldobdabt bb tdabldlbd bbb debdobrbbelL LLL ddrLbbb bb eas cao HHL Lee SALLE TLS E TLL LU TnMee Maite Wabaeddabbobddabddebbd, ere COU ACG ALAA LA CCLLAAEEE ALES outs “hhh Hii th ii AML 0412 ST Ee Mob daebldLdebdabbalbLeebdeLLadabbadslbbaleb eb sbabbsb ede leashed es HLLLLULLLLLLL LS HAL LULA UAALLLL ove HALL UH ALLL CLL HALAL Hosea UNA NANI TANI W RAN ANN IER WNATANR ANN KNNRIANYIET KANN RN ARIAT TTNNT Mb hbld 17 Avid Labbe phd SoA Ea nisdtttiwauaciganitcts deb : SE \ oan | f ca tt wat m ACCU ee UA AH A LA a COMME GL LLL eT PLELUGALGLUUbbULGPUULLLLLGLULT LALA ToL Le Ce LPR bLLL bb p25 aaldabilt Ltd) dt ibdat Lda cs co LLL HAH MA Ey sb ony iol sobbdebded Jebdebddobaad-da Abeta debab taeda dal dsdedablsbteedeobel bdo dddebddoh deol 0428 TTLMMLULcoeUuobdabluvestubautcenniosuGgdtresiuustiadderciiate4and Jas uuucUSeadctd onan bbb ddebddeblsbb deel baebsebaltob dsl odebletdedab-bddbbdsh deeb ob tebdooblableblpbMebtalebddebdatablehb Lab Ldebdebdold. ose Mab db bb bLd dbl dLb bbb bbb LLL Lb dbdbb or HELLO nee oA Leb Lb Lb dLbdbdbbddbdebLLb dd Ldeb LL NTN PTPAVTIII 444144. CAEL oer HELE OE om eas HHL TULLE HA FETA a nc LLL AAU COi 36 J UGLCLULELL Et Lp oa fC CCOe CECE A ALLL. uiddisitttt ye HLL ATSEAPTYERTENENUSENNSBRDONWSNRE ERD 0439 someNeeEATNINUNRHLY YN CANNITEOEDYNNS JUL OO SELL “ALCL LLL, HULL eae LLL HALLE oat Wd Leb Lb dtbelbbdotd-bddletddebda etd tated Ltd dattebddd tL did. ee HELL HH ooo HULLAC EEL EROS Ao POACEAE ee mo GALT AL HPeCEAPM PLUEUCTLAL LECCE HELLO CLE gt PECL CCL CCE CLE oo toa HHA CEEEEERL RELATE COLLECT EEL news EDGE HELE we HELLELLLA LA AEE AL ie tect CUMELCUP ELLA Cece Lente tbat cee SECC LLL} mes AULA LACE CUTE YRRNIURRSUYYNWMHM ERY SRDNNNYNVERHRRDWOINNEDLINNNTUNY NWN SONY SNS VER ENE SENAY EN) PEACE JUL er per CEPA CLUCOCC CCC CCPC EEA OCU CSCC CULL CLLOR Ld eas HELLO SEC Lb tab. 0457 SoeaVNVNTSRNNNNNW HNN FRNA NNTANEETRNNNW WNUK MOEN NOH ORWINYITON NINN INV NINN RNIN YIN) orse HLL LECCE OCCU CELE EECCA CLC ose HELLO OO Page 13 ‘Copyriht 1994-2010, A Rights Rosowed. Vorson: 4.0075 Physician MustRviow Data Pit: 7/30/2012 13:41:38 2012 RE oeoe Fareretere ua 101s 108 was ans 15s 28- 1184 104. sors m4 105 - or. 110- 104. 04s 1004 9 0 wor 000 04s 4 y005 m4 6 5 105 yyussseeeeerenesses aa 2yeeaeeas