In this power point we will go over what monitors are what, how to identify

what recordings are patient activated versus auto triggered. We will also

discuss cutting and labeling rules.

Calibration Boxes

Calibration boxes will be seen in both Heartrak Looping monitors and

Heartrak Handheld monitors. The are found in the beginning of each

recording to help identify the starting and ending of recordings, as well as it

allows you to see where you are in a grouping of recordings.

If you use a filter ‘Baseline Normalization’ when cutting or editing recordings it

may distort the way the calibration boxes looks.

You will see similar looking boxes with other monitors, however; they are not

calibration boxes and will be explained with each device.

This calibration box

symbolizes the first

recording of what could be

several recordings off a

handheld monitor.

These calibration boxes

symbolize the end of first

recording and the start of

the second recording off a

looping monitor.

90 seconds Pre - Activation 30 seconds Post - Activation

Heartrak Smart Looping Monitors

Auto - Trigger Patient Activated

Heartrak 2-200

In the beginning of each

recording you will see

calibration box(es) to let

you know what number

recording you are on.

There is no “Pre-

Activation,” so there is a

Universal Symbol for

Record in the beginning.

The time and date stamp

will be found in the

beginning of the

recording.

Heartrak Smart 97 w/ a Screen

Auto - Trigger Patient Activated

This monitor does not have calibration boxes in the middle, nor does it have “Trigger Marks” like

the other Heartrak Looping monitors. Instead we identify whether it is Patient Activated or Auto

Trigger from the beginning of each recording (as seen below). As you can see the two are very

similar. The only thing that is different is the Auto Trigger has (1) extra spike in the beginning.

To decipher between Pre Activation and Post Activation with in the recordings on this monitor

you will look for the “universal symbol for record.” This has been seen twice already: directly

attached to Heartrak smart Looping Trigger marks and the beginning of the Handheld

recordings; after the calibration box. See below.

Universal Symbol for Record

King of HeartsLike the Heartak 97 w/ a Screen, the King of Hearts monitor does not have calibration

boxes in the middle, nor does it have “Trigger Marks.” Instead we identify whether it is

Patient Activated or Auto Trigger from the beginning of each recording (as seen below).

As you can see the two are very similar. The only thing that is different is the Auto Trigger

has (2) boxes in the beginning and Patient has one box.

To decipher between Pre Activation and Post Activation with in the recordings on this

monitor you will look for the “universal symbol for record.” This has been seen twice

already: directly attached to Heartrak smart Looping Trigger marks and the beginning of

the Handheld recordings; after the calibration box.

Note: The boxes in the beginning are NOT calibration boxes.

Auto - Trigger Patient Activated

King of Hearts ExpressLike the other King of Hearts monitor, this king of hearts does not have calibration boxes

in the middle, nor does it have “Trigger Marks.” Instead we identify whether it is Patient

Activated or Auto Trigger from the beginning of each recording (as seen below). As you

can see the two are very similar. The only thing that is different is the Auto Trigger has (2)

boxes in the beginning and Patient has one box.

To decipher between Pre Activation and Post Activation with in the recordings on this

monitor you will look for the “universal symbol for record.” This has been seen twice

already: directly attached to Heartrak smart Looping Trigger marks and the beginning of

the Handheld recordings; after the calibration box.

Note: The boxes in the beginning are NOT calibration boxes. Also, there isn’t a big gap

between recordings.

Patient Activated Auto Trigger

Ask yourself questions about the recordings

1. Are all of your recordings patient activated?

If so, cut the first recording. Change the Strip

Description to PATIENT EKG STRIP and save it

as Additional.

Cut the rest of the recordings in a sequential order. Each remaining recording should be

saved as a new event. Check the new event box first, then change your Strip Description to

PATIENT EKG STRIP. Before saving, select Patient under the activation type.

Cutting / Labeling Rules

2. Do you have any auto trigger recordings?

If yes, the first step would be to check the doctors office to rule out the fact

That it maybe a special account. ( Dr. Muhommad Jammour )

• If it is one of the special accounts, follow the same steps listed in rule

number 1. However, when you are saving new events make sure to properly

select an activation type.

• If all of your recordings are auto but they are not a special account, no

cutting or saving is needed.

3. Do you have a mixture of patient activated recordings and auto

trigger recordings but, it is not a special account?

If yes, cut all of the patient activated recordings out individually in a

sequential order. Save them each as new events, change the Strip

Description to PATEINT EKG STRIP and select Patient under the

Activation type.

Cardiostation will not allow you to exit the screen after cutting unless you dominantly

name/label the recording. To do this, Click on the ECG tab at the top of your screen

and select Patient Activation or Auto-Trigger. Rules are as followed below.

If your recordings are all patient activated choose Patient Activation.

If your recordings are all Auto-Triggered choose Auto-Trigger.

If your recordings are a mixture of patient, and auto activated choose Auto-trigger.

After these steps, go into each individual recording and

document symptoms, activity, date and time. When finished and

if needed, include your initials and a “/” symbol. Ex. MZ/