Full Report Holter Lorena M 1-23-13

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 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:
Date:
ID:
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.
ID:
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 )
11:06:31 ( 30 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
ID:
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
Symptoms
Comments

| 265 | 476 |226|
726
|
707
ID:
|
695
667

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
Patient Event
25mm/sec

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

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
Patient Event
25mm/sec

679
|
699
|
675
ID:
640
617
605

| 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
Patient Event
25mm/sec
ID:
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
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
10:00:26
(107 BPM)
Ch1
Ch2
Ch3
13:34:36
(86 BPM)
11:15:31
(83 BPM)
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3
ID:
Page 10 of 36
Condensed Sample Strips

VE - Run
55 Occurances
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
12:13:10
(104 BPM)
Ch1
Ch2
Ch3
Trigeminy
3 Occurances
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
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
10:25:50
(91 BPM)
Ch1
Ch2
Ch3
12:56:11
(97 BPM)
10:55:15
(137 BPM)
Ch1
Ch2
Ch3
Ch1
Ch2
Ch3

531 | 535 | 519 | 535
ID:
| 535
539
527

| 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
12:03:36 01/23 108 BPM
25mm/sec

|
968
|
1042
ID:
|
1054

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
13:07:04 01/23 67 BPM
25mm/sec
703

|
667
| 433 |191| 609
ID:
|
660
671

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
13:35:31 01/23 109 BPM
25mm/sec

| 433 |191| 609 |
660
ID:
671
710

|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
13:22:22 01/23 120 BPM
25mm/sec

|
695
|
695
|
703
ID:
|
667
| 433 |191|

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
13:34:36 01/23 86 BPM
25mm/sec
722

|
628
| 410 |246 |
664
ID:
|

| 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
13:28:25 01/23 128 BPM
25mm/sec

| 468 | 253 | 375 | 289 |
660
|
ID:
644
|
585
781

|
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
12:30:56 01/23 90 BPM
25mm/sec

|
644
| 453 |
773
ID:
625
609

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
25mm/sec

675
|
722
|
761
ID:
785
535
| 250 |

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
10:55:15 01/23 137 BPM
25mm/sec

804
|
750
|
902
ID:
|
863

| 394 | 421 |
640
|199| 554 |207|
843
Page 20 of 36
804
|
Ch1
Ch2
Ch3
SVE - Pair
12:56:11 01/23 97 BPM
25mm/sec
ID:
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
13:07:12 01/23 62 BPM
Minimum Heart Rate 62
25mm/sec
ID:
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
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
1
2
RR(i) / RR(i-1)
ID:
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
Minimum RR 210 ms
25mm/sec
ID:
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
ID:
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:
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.
ID:
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
16
22
10
ID:
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
Max QTc at 11:51, 576 ms
ID:
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
ID:
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.
ID:
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
ID:
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.
ID:
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)

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

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
15
20
25
30
35
40
45
50
55
60

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

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
15
20
25
30
35
40
45
50
55
60

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

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
15
20
25
30
35
40
45
50
55
60

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

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
15
20
25
30
35
40
45
50
55
60

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Midmark Diagnostics Group

1125 W. 190th Street

Requested by: Pedro Falla, MD

HEART RATE VARIABILITY

Total Beats: 22360

(1.40% of all beats)

Pause > 2.5 sec :

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni

Recording Time: 01/23/2013 10:00

Narrative / Comments Report

Printed: February 08, 2013 11:09

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni

Recording Time: 01/23/2013 10:00

Hourly Tabular Report

Pause Bigem Trigem RonT

Printed: February 08, 2013 11:09

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni

Recording Time: 01/23/2013 10:00

( 5.35% of all beats )

Average VEs per 1000 beats

( 1.40% of all beats )

Average SVEs per 1000 beats

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

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

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

Heart rate: 138 , VE : 20 beats

Heart rate: 123 , VE : 20 beats

Maximum VEs in Minute

Printed: February 08, 2013 11:09

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni

Recording Time: 01/23/2013 10:00

Patient Events/Diary Report

Printed: February 08, 2013 11:09

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni

Recording Time: 01/23/2013 10:00

10:15:18 01/23 102 BPM

10:32:13 01/23 96 BPM

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

| 386 |234| 269 | 343 |

10:53:11 01/23 156 BPM

Printed: February 08, 2013 11:09

Midmark Diagnostics Group

Midmark IQholterEX Version 8.4.1

Patient name: Lorena Morazzoni

Recording Time: 01/23/2013 10:00

11:09:43 01/23 162 BPM

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

11:29:08 01/23 132 BPM

12:02:49 01/23 155 BPM