Novacor UK - 01322 660200

AMBULATORY ECG REPORT

"R.TEST Evolution"

PATIENT
Surname : XXXX
First name : XXXXXXXXX
Date of birth : xx/xx/1948 Age : 57 years old
Sex :
Reference :

PROCEDURE REPORT Report date 19/01/2006
Referring physician : Phone :
Interpreting physician :
Start of procedure date : 10/01/2006 09:14 AM Recorder N : RTM04005373
Data transmission date : 19/01/2006
Duration of recording : 151h44min

Indications :
Treatments :
Type of event Summary of events Criteria
Saved Detected
Isolated Narrow Premas 4 126 Threshold < RR - 25.0% RR
2 to 5 Narrow Premas 4 40 Threshold < RR - 25.0% RR
Narrow complex Runs 2 2 Threshold < RR - 25.0% RR
Isolated Wide Premas 0 * Threshold < RR - 25.0% RR
2 to 5 Wide Premas 0 * Threshold < RR - 25.0% RR
Wide complex Runs 0 0 Threshold < RR - 25.0% RR
Relative Pauses 0 0 Duration > 175% RR
Absolute Pauses 0 0 Duration > 2.00 s
Bradycardias 4 36 Threshold < 50 min-
Manual recordings 6
ST - - -
- : Not Programmed * : Not Significant

CONCLUSIONS
Technical Comments
Sinus rhythm with occasional and symptomatic SVEs/Junctional complexes. Short runs of SVEs.
Manual recordings show symptomatic premature beats.
Signature of physician
Page 1 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

12h 11/01 12h 12/01 12h 13/01 12h 14/01 12h 15/01 12h 16/01 12h
min-
Mean rate (min / max) : 73 min- (46 / 200)
0
50
100
150
200
250
Isolated Narrow Premas
2 to 5 Narrow Premas
Narrow complex Runs
Isolated Wide Premas
2 to 5 Wide Premas
Wide complex Runs
Relative Pauses
Absolute Pauses
Bradycardias
(mm)
ST
Page 2 Copyright NOVACOR 1995-2001 V1.12.4
Surname : XXXXXxxxxx Date of report : 19/01/2006 Novacor UK - 01322 660200
First name : xxxxx
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Scale : Y = 1 mV/division X = 20 s/line
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
(s)
Isolated Narrow Prema - 14/01/2006 03:12:41 PM - Basal rate = 111 min-
Isolated Narrow Prema - 13/01/2006 05:04:25 PM - Basal rate = 107 min-
Isolated Narrow Prema - 14/01/2006 03:12:11 PM - Basal rate = 115 min-
Isolated Narrow Prema - 12/01/2006 07:08:02 AM - Basal rate = 107 min-
2 to 5 Narrow Prema (157 min-) - 11/01/2006 07:34:22 PM - Basal rate = 73 min-
2 to 5 Narrow Prema (120 min-) - 11/01/2006 01:45:51 AM - Basal rate = 59 min-
2 to 5 Narrow Prema (120 min-) - 11/01/2006 05:05:30 AM - Basal rate = 59 min-
2 to 5 Narrow Prema (120 min-) - 12/01/2006 05:22:08 AM - Basal rate = 60 min-
Narrow Run (130 min-) - 13/01/2006 12:32:15 AM - Basal rate = 58 min-
Narrow Run (115 min-) - 16/01/2006 07:04:45 AM - Basal rate = 63 min-
Bradycardia (48 min-) - 14/01/2006 05:27:31 AM
Bradycardia (49 min-) - 11/01/2006 12:08:25 AM
Page 3 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Bradycardia (49 min-) - 11/01/2006 12:14:04 AM
Bradycardia (49 min-) - 11/01/2006 03:37:48 AM
Manual recording - 11/01/2006 05:58:50 AM
Manual recording - 11/01/2006 08:34:01 PM
Manual recording - 11/01/2006 10:59:24 PM
Manual recording - 12/01/2006 04:02:38 AM
Manual recording - 12/01/2006 08:16:04 PM
Page 4 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Manual recording - 13/01/2006 09:57:39 PM
Page 5 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Scale : Y = 1 mV/cm X = 25 mm/s
Isolated Narrow Prema - 14/01/2006 03:12:41 PM - Basal rate = 111 min-
2 to 5 Narrow Prema (120 min-) - 11/01/2006 01:45:51 AM - Basal rate = 59 min-
Narrow Run (130 min-) - 13/01/2006 12:32:15 AM - Basal rate = 58 min-
Page 6 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Bradycardia (48 min-) - 14/01/2006 05:27:31 AM
Page 7 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Manual recording - 11/01/2006 05:58:50 AM
Page 8 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Page 9 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Manual recording - 11/01/2006 08:34:01 PM
Page 10 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Page 11 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Manual recording - 11/01/2006 10:59:24 PM
Page 12 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Page 13 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Manual recording - 12/01/2006 04:02:38 AM
Page 14 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Page 15 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Manual recording - 12/01/2006 08:16:04 PM
Page 16 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Page 17 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Manual recording - 13/01/2006 09:57:39 PM
Page 18 Copyright NOVACOR 1995-2001 V1.12.4
Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200
First name :
Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM
Sex : Duration : 151h44min
Reference : Recorder N : RTM04005373 Physician :

Page 19 Copyright NOVACOR 1995-2001 V1.12.4