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ECG On-DemandBlack Barn, Cornwells Farm
Sheephurst Lane, MardenKent
TN12 9NS
7 Day Holter Analysis
Details
Patient Name: Test Date:
Patient Number: Job Number:
Patient D.O.B.: 25/11/1942 (77 Years) Referring Site:
26/03/2020 12:41:33
N/A
Cardiology Advice
Serious ECG abnormality observed. On the basis of available information and ECG, urgent action is required. Thismeans urgent discussion with cardiologist and/or referral to hospital.
8.5 sec episode of VT. Fastest 193 bpm.
Red
Report
7d Holter recording intended. 4 days 19 hrs of analysable data with 15.5% noise burden.
Sinus rhythm with a prolonged diurnal episode ( 5hrs 57 mins) of atrial fibrillation ( 5.14% burden) with rapid ventricular response. The termination of this episode iffollowed by a junctional rhythm before sinus rhythm resumes. Very frequent atrial and occasional ventricular ectopy observed.
Minimum sinus rate 57 bpm on Day 2 / 07:06:01 am ( during sinus rhythm) and 106 bpm on Day 2 / 6.07 pm ( during arrhythmia), maximum sinus rate 197 bpm onDay 2 / 01:09:40 pm ( during arrhythmia) and 143 bpm on Day 2 / 9.44 am ( during sinus rhythm), average rate 86 bpm.Normal variation in heart rate seen across the recording period.61705 PACs ( 10.25% burden): 58686 isolated beats, 1171 couplets, triplets, salvos - longest lasting six beats and episodes of SVT - longest lasting 16 beats.1649 multifocal PVCs ( 0.27% burden): 1592 isolated beats ( including fusion beats), eight couplets, five triplets, one salvo lasting five beats and one episode of VTlasting 21 beats ( max. 193 bpm).
No patient diary was returned. No symptoms were reported.
Reporter
Sharon Hayden
Cardiac Physiologist
ECG On-Demand
03/04/2020 15:41:07
This service is intended to assist healthcare professionals in the diagnosisand management of their patients. We are unable to provide advice directlyto patients.
If you would like to discuss this report further, please do not hesitate to callme on 0345 521 2992 or email [email protected].
Kind Regards
Sharon Hayden
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Cardiologs
MetricsDuration of RecordingTotal monitoring time 7d 00h 00mTotal time analysed 4d 19h 50mStart 03/26/2020, 12:41 pmHeart RateMax 03/27/2020, 01:09:40 pm 197 bpmMin 03/27/2020, 07:06:01 am 57 bpmAvg 86 bpmPremature Supraventricular ComplexesPSVC 61705 (10.25 %)Couplets 1171 (0.39 %)Premature Ventricular ComplexesPVC 1649 (0.27 %)No. of morphologies 7Couplets 8 (< 0.01 %)Bigeminy beats ––Trigeminy beats ––Patient EventsCount ––NoiseBurden 15.5%
EpisodesPauseCount ––Longest RR ––Atrioventricular blockType ––Atrial Fibrillation / FlutterBurden 5.1%Longest episode 5h 57mMax HR 197 bpmVentricular TachycardiaCount 7Longest episode 21 beatsOther Supraventricular TachycardiaCount 169Longest episode 16 beats
Heart Rate TrendThe duration plotted may have been adjusted from the total monitoring duration.
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Cardiologs
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
Max HR03/27/2020, 09:44:34 am HR: 143 bpm
03/27/2020, 01:09:40 pm HR: 197 bpm
Min HR03/27/2020, 07:06:01 am HR: 57 bpm
03/27/2020, 06:07:31 pm HR: 106 bpm
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
Sinus03/26/2020, 06:21:55 pm HR: 90 bpm
03/27/2020, 07:21:17 pm HR: 82 bpm
03/28/2020, 06:12:28 am HR: 64 bpm
03/29/2020, 12:15:19 pm HR: 97 bpm
03/30/2020, 09:25:20 pm HR: 75 bpm
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
Sinus03/31/2020, 02:06:33 am HR: 66 bpm
04/01/2020, 05:17:15 am HR: 70 bpm
Afib / Flutter03/27/2020, 12:26:23 pm HR: 197 bpm
Duration: 5h 57m
03/27/2020, 01:01:43 pm HR: 197 bpmDuration: 5h 57m
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
Afib / Flutter03/27/2020, 01:09:40 pm HR: 197 bpm
Duration: 5h 57m
Fastest AFib
03/27/2020, 02:28:26 pm HR: 197 bpmDuration: 5h 57m
03/27/2020, 03:44:51 pm HR: 197 bpmDuration: 5h 57m
03/27/2020, 05:29:35 pm HR: 197 bpmDuration: 5h 57m
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
Afib / Flutter03/27/2020, 06:23:25 pm HR: 197 bpm
Duration: 5h 57m
Termination of AF followed by junctional rhythm.
Other SVT03/26/2020, 10:36:21 pm HR: 131 bpm
Duration: 16 beats
03/27/2020, 07:16:18 am HR: 95 bpmDuration: 3 beats
03/27/2020, 10:01:04 am HR: 186 bpmDuration: 4 beats
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
Other SVT03/27/2020, 07:35:13 pm HR: 163 bpm
Duration: 10 beats
03/27/2020, 08:27:27 pm HR: 136 bpmDuration: 7 beats
03/28/2020, 06:32:12 am HR: 124 bpmDuration: 15 beats
03/29/2020, 12:49:15 am HR: 125 bpmDuration: 3 beats
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
Other SVT03/29/2020, 10:17:39 am HR: 196 bpm
Duration: 6 beats
03/30/2020, 08:10:32 am HR: 137 bpmDuration: 9 beats
03/31/2020, 12:01:07 am HR: 111 bpmDuration: 5 beats
04/01/2020, 12:56:33 am HR: 120 bpmDuration: 4 beats
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
VT03/27/2020, 12:52:55 pm HR: 202 bpm
Duration: 3 beats
03/28/2020, 02:46:08 am HR: 160 bpmDuration: 21 beats
03/30/2020, 07:20:05 pm HR: 168 bpmDuration: 3 beats
03/30/2020, 09:51:45 pm HR: 169 bpmDuration: 5 beats
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
PSVC03/28/2020, 02:26:27 am Count in morphology: 36084
03/28/2020, 11:41:32 pm Count in morphology: 18024
Supraventricular Couplet03/26/2020, 11:17:50 pm
03/27/2020, 11:52:27 am
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
PVC03/27/2020, 02:48:03 pm Count in morphology: 61
03/28/2020, 02:46:10 am Count in morphology: 21
03/28/2020, 01:27:17 pm Count in morphology: 161
03/29/2020, 05:07:03 pm Count in morphology: 4
Fusion beat.
03/30/2020, 08:13:31 am Count in morphology: 1386
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Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by
Cardiologs
PVC03/30/2020, 07:20:05 pm Count in morphology: 12
03/30/2020, 09:51:46 pm Count in morphology: 8
Ventricular Couplet03/27/2020, 03:02:48 pm
03/29/2020, 07:58:52 pm
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