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ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent 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. This means 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 if followed 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 on Day 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 VT lasting 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 diagnosis and management of their patients. We are unable to provide advice directly to patients. If you would like to discuss this report further, please do not hesitate to call me on 0345 521 2992 or email [email protected]. Kind Regards Sharon Hayden Copyright © 2020 Technomed Ltd Report ID: 7w5YGB7w Page 1 of 14

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Page 1: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Copyright © 2020 Technomed LtdReport ID: 7w5YGB7w Page 1 of 14

Page 2: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by

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.

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 1 of 13Page 2 of 14

Page 3: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

Technomed Limited T/A ECG On-DemandBlack Barn, Sheephurst LaneMarden, Kent TN12 9NS, UK Powered by

Cardiologs

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 2 of 13Page 3 of 14

Page 4: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 3 of 13Page 4 of 14

Page 5: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 4 of 13Page 5 of 14

Page 6: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 5 of 13Page 6 of 14

Page 7: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 6 of 13Page 7 of 14

Page 8: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 7 of 13Page 8 of 14

Page 9: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 8 of 13Page 9 of 14

Page 10: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 9 of 13Page 10 of 14

Page 11: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 10 of 13Page 11 of 14

Page 12: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 11 of 13Page 12 of 14

Page 13: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 12 of 13Page 13 of 14

Page 14: Details Cardiology Advice Red Report - ECG On-Demand€¦ · ECG On-Demand Black Barn, Cornwells Farm Sheephurst Lane, Marden Kent TN12 9NS 7 Day Holter Analysis Details Patient Name:

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

Report ID: 7w5YGB7w ©2019 Cardiologs Technologies Page 13 of 13Page 14 of 14