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统计资料
Record 100 (MLII, V5; male, age 69)
Medications: Aldomet, Inderal Beats Before 5:00 After 5:00 Total
Normal 367 1872 2239
APC 4 29 33
PVC - 1 1
Total 371 1902 2273
Supraventricular ectopy
, 33 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 70-89 1 30:06 Signal quality Episodes Duration
Both clean 1 30:06
Points of interest: 11:03 Normal sinus rhythm 25:13 PVC
26:09 APCs
27:55 Normal sinus rhythm
Record 101 (MLII, V1; female, age 75)
Medications: Diapres
Beats Before 5:00 After 5:00 Total
Normal 342 1518 1860
APC - 3 3 Unclassifiable - 2 2
Total 342 1523 1865 Supraventricular ectopy
, 3 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 55-79 1 30:06 Signal quality Episodes Duration
Both clean 3 30:01
Upper noisy 1 0:04
Unreadable 1 0:01
Points of interest: 1:34 Normal sinus rhythm 1:48 Noise
5:13 Noise/artifact
9:54 APC
24:32 APC
Record 102 (V5, V2; female, age 84)
Medications: Digoxin
Beats Before 5:00 After 5:00 Total
Normal 98 1 99
PVC 1 3 4
Paced 243 1785 2028 Pacemaker fusion 24 32 56
Total 366 1821 2187 Ventricular ectopy
, 4 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 72-78 2 1:22 Paced rhythm 68-78 3 28:44 Signal quality Episodes Duration
Both clean 1 30:06
Notes:
The rhythm is paced with a demand pacemaker. The PVCs are multiform.
Points of interest: 0:55 Paced rhythm
1:12 Transition from paced to normal sinus rhythm
1:28 PVC
2:30 Normal sinus rhythm 4:51 Pacemaker fusion beats 9:35 PVC
16:12 Paced rhythm
Record 103 (MLII, V2; male, age not recorded)
Medications: Diapres, Xyloprim Beats Before 5:00 After 5:00 Total
Normal 355 1727 2082
APC - 2 2
Total 355 1729 2084
Supraventricular ectopy
, 2 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 62-92 1 30:06 Signal quality Episodes Duration
Both clean 4 22:01
Upper noisy 1 0:09
Lower noisy 2 7:56
Points of interest: 1:09 Normal sinus rhythm 17:21 Normal sinus rhythm 19:15 APC, noise in lower signal 22:13 Noise in lower signal
23:33 Noise in lower signal
28:58 Noise in lower signal
Record 104 (V5, V2; female, age 66)
Medications: Digoxin, Pronestyl
Beats Before 5:00 After 5:00 Total
Normal 65 98 163
PVC 1 1 2
Paced 197 1183 1380
Pacemaker fusion 104 562 666
Unclassifiable 5 13 18
Total 372 1857 2229
Ventricular ectopy
, 2 isolated beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 69-82 22 3:52
Paced rhythm 70-78 23 26:13
Signal quality Episodes Duration
Both clean 13 26:46
Upper noisy 5 0:24
Lower noisy 8 0:46
Both noisy 12 2:09
Notes:
The rate of paced rhythm is close to that of the underlying sinus
rhythm, resulting in many pacemaker fusion beats. The PVCs are
multiform. Several bursts of muscle noise occur, but the signals
are generally of good quality. Points of interest:
3:42 PVC
5:13 Noise
5:52 Transition from paced to normal sinus rhythm 6:17 Noise
8:22 Noise in lower signal
26:51 Paced, normal, and pacemaker fusion beats
29:10 Paced, normal, and pacemaker fusion beats
Record 105 (MLII, V1; female, age 73)
Medications: Digoxin, Nitropaste, Pronestyl
Beats Before 5:00 After 5:00 Total
Normal 405 2121 2526
PVC 12 29 41
Unclassifiable - 5 5
Total 417 2155 2572
Ventricular ectopy
, 41 isolated beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 78-102 1 30:06
Signal quality Episodes Duration
Both clean 31 22:18
Upper noisy 3 0:10
Lower noisy 28 3:27
Both noisy 23 4:06
Unreadable 4 0:04
Notes:
The PVCs are uniform. The predominant feature of this tape is
high-grade noise and artifact. Points of interest:
5:27 Artifact
7:57 PVC
15:16 Normal sinus rhythm
17:52 Artifacts
22:02 Noise
26:45 PVC
27:27 Noise
28:08 Noise
29:07 Noise
Record 106 (MLII, V1; female, age 24)
Medications: Inderal
Beats Before 5:00 After 5:00 Total
Normal 271 1236 1507
PVC 60 460 520
Total 331 1696 2027
Ventricular ectopy
, 327 isolated beats
, 95 couplets
, 1 run of 3 beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 49-87 21 22:36
Ventricular bigeminy 55-103 18 7:15
Ventricular trigeminy 57-90 1 0:13
Ventricular tachycardia 121 1 0:02
Signal quality Episodes Duration
Both clean 15 16:25
Lower noisy 15 13:41
Notes:
The PVCs are multiform. Points of interest:
0:19 Normal sinus rhythm, noise in lower signal
1:37 Ventricular couplets
2:53 Ventricular tachycardia, 3 beats 4:23 PVC
7:57 Noise in lower signal
10:52 Noise in lower signal
12:27 Ventricular bigeminy (two types) 16:17 Multiform PVCs, ventricular couplet
25:13 Ventricular couplet 25:52 Ventricular couplets
Record 107 (MLII, V1; male, age 63)
Medications: Digoxin
Beats Before 5:00 After 5:00 Total
PVC 2 57 59
Paced 351 1727 2078
Total 353 1784 2137
Ventricular ectopy
, 59 isolated beats
Rhythm Rate Episodes Duration
Paced rhythm 68-82 1 30:06
Signal quality Episodes Duration
Both clean 2 30:04
Lower noisy 1 0:02
Notes:
Complete heart block is present. The PVCs are multiform.
Points of interest: 0:44 Paced rhythm
12:30 PVC
19:54 PVC
20:38 Noise
25:52 PVC
Record 108 (MLII, V1; female, age 87)
Medications: Digoxin, Quinaglute
Beats Before 5:00 After 5:00 Total
Normal 279 1460 1740
APC - 4 4
PVC 4 13 17
Fusion PVC - 2 2 Junctional escape - 1 1
Blocked APC 2 9 11
Total 285 1489 1774 Supraventricular ectopy
, 4 isolated beats
Ventricular ectopy
, 15 isolated beats
, 2 couplets
Rhythm Rate Episodes Duration Normal sinus rhythm 44-78 1 30:06 Signal quality Episodes Duration
Both clean 19 24:05
Upper noisy 3 0:16
Lower noisy 12 2:45
Both noisy 8 3:01
Notes:
There is borderline first degree AV block and sinus arrhythmia. The
PVCs are multiform. The lower channel exhibits considerable noise
and baseline shifts. Points of interest: 0:22 PVC, blocked APC, noise 4:51 Interpolated PVC
7:41 Axis shift
8:13 PVC, blocked APC, fusion PVC
10:55 Sinus arrhythmia
18:08 Fusion PVC-PVC couplet 20:05 Junctional escape beat 24:20 Blocked APC, APCs 28:10 Noise
29:00 Noise
Record 109 (MLII, V1; male, age 64)
Medications: Quinidine
Beats Before 5:00 After 5:00 Total
Left BBB 425 2067 2492
PVC 6 32 38
Fusion PVC 2 - 2
Total 433 2099 2532
Ventricular ectopy
, 40 isolated beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 77-101 1 30:06
Signal quality Episodes Duration
Both clean 2 29:52
Lower noisy 1 0:14
Notes:
There is first degree AV block. The PVCs are multiform.
Points of interest:
0:13 Fusion PVC
1:28 PVC
3:36 Normal sinus rhythm with left bundle branch block
4:46 PVC
5:27 Noise
14:01 PVC
17:13 PVC
19:21 PVC
26:09 Noise
28:03 PVC
28:28 Normal sinus rhythm with left bundle branch block
29:10 PVC
Record 111 (MLII, V1; female, age 47)
Medications: Digoxin, Lasix Beats Before 5:00 After 5:00 Total
Left BBB 348 1775 2123
PVC - 1 1
Total 348 1776 2124
Rhythm Rate Episodes Duration Normal sinus rhythm 64-82 1 30:06 Signal quality Episodes Duration
Both clean 5 29:47
Upper noisy 1 0:07
Lower noisy 3 0:11
Notes:
There is first degree AV block. There are short bursts of both
baseline shifts and muscle noise, but in general, the quality is
excellent.
Points of interest: 0:25 Normal sinus rhythm, first degree AVB
2:41 Baseline shift noise 3:52 Noise
4:04 Axis shift (in upper signal)
8:31 PVC
11:53 Axis shift
15:41 Noise
19:54 Noise
27:02 Noise
Record 112 (MLII, V1; male, age 54)
Medications: Digoxin, Pronestyl Beats Before 5:00 After 5:00 Total
Normal 428 2109 2537
APC - 2 2
Total 428 2111 2539
Supraventricular ectopy
, 2 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 74-91 1 30:06 Signal quality Episodes Duration
Both clean 6 29:11
Upper noisy 2 0:21
Lower noisy 3 0:33
Notes:
There is S-T segment depression in the upper channel.
Points of interest: 11:40 APC
12:30 Axis shift
12:49 APC, noise
Record 113 (MLII, V1; female, age 24)
Medications: None
Beats Before 5:00 After 5:00 Total
Normal 288 1501 1789 Aberrated APC 1 5 6
Total 289 1506 1795 Supraventricular ectopy
, 6 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 48-87 1 30:06 Signal quality Episodes Duration
Both clean 1 30:06
Notes:
The variation in the rate of normal sinus rhythm is possibly due
to a wandering atrial pacemaker.
Points of interest:
4:20 Moderate baseline wander 8:22 Aberrated APC
11:48 Sinus arrhythmia with variation in P-wave morphology
12:27 Sinus arrhythmia 22:10 Aberrated APC
29:01 Sinus arrhythmia
Record 114 (V5, MLII; female, age 72)
Medications: Digoxin
Beats Before 5:00 After 5:00 Total
Normal 261 1559 1820
APC - 10 10 Junctional premature 1 1 2
PVC 13 30 43
Fusion PVC - 4 4
Total 275 1604 1879 Supraventricular ectopy
, 7 isolated beats
, 1 run of 5 beats Ventricular ectopy
, 45 isolated beats
, 1 couplet
Rhythm Rate Episodes Duration Normal sinus rhythm 51-82 2 30:01 SVTA 102-122 1 0:05 Signal quality Episodes Duration
Both clean 4 29:18
Upper noisy 4 0:47
Notes:
The PVCs are uniform. Points of interest:
0:00 Normal sinus rhythm 1:20 PVC
3:39 PVC
3:56 Late-cycle PVC
4:35 Late-cycle PVC
5:36 Ventricular couplet 8:31 PVCs
9:26 PVC, muscle noise
11:37 SVTA, PVC, junctional premature beat
20:02 Noise
29:29 Baseline artifact
Record 115 (MLII, V1; female, age 39)
Medications: None
Beats Before 5:00 After 5:00 Total
Normal 316 1637 1953
Total 316 1637 1953
Rhythm Rate Episodes Duration Normal sinus rhythm 50-84 1 30:06 Signal quality Episodes Duration
Both clean 2 29:56
Lower noisy 1 0:09
Points of interest: 0:55 Normal sinus rhythm 3:22 Sinus arrhythmia
15:52 Baseline wander in lower signal
21:28 Noise in lower signal 27:05 Artifacts in lower signal 28:42 Normal sinus rhythm
Record 116 (MLII, V1; male, age 68)
Medications: None
Beats Before 5:00 After 5:00 Total
Normal 384 1918 2302
APC - 1 1
PVC 11 98 109
Total 395 2017 2412
Ventricular ectopy
, 105 isolated beats
, 2 couplets
Rhythm Rate Episodes Duration Normal sinus rhythm 74-86 1 30:06 Signal quality Episodes Duration
Both clean 5 29:41
Upper noisy 4 0:25
Notes:
There are two PVC forms.
Points of interest: 0:44 Normal sinus rhythm 1:31 PVCs
10:00 Ventricular couplet 12:32 PVC
16:37 Noise, saturation in upper signal
23:08 Noise, saturation in upper signal
25:47 Ventricular couplet
Record 117 (MLII, V2; male, age 69)
None Medications:
Beats Before 5:00 After 5:00 Total
Normal 251 1283 1534
APC - 1 1
Total 251 1284 1535
Rhythm Rate Episodes Duration Normal sinus rhythm 48-66 1 30:06
Signal quality Episodes Duration
Both clean 2 29:55
Upper noisy 1 0:01
Both noisy 1 0:09
Points of interest: 3:56 Normal sinus rhythm 11:58 Noise, APC
22:27 Normal sinus rhythm
Record 118 (MLII, V1; male, age 69)
Digoxin, Norpace Medications:
Beats Before 5:00 After 5:00 Total Right BBB 349 1817 2166
APC 10 86 96
PVC 3 13 16 Blocked APC 3 7 10
Total 365 1923 2288 Supraventricular ectopy
, 94 isolated beats
, 1 couplet
Ventricular ectopy
, 16 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 54-91 1 30:06 Signal quality Episodes Duration
Both clean 7 29:32
Upper noisy 2 0:07
Lower noisy 2 0:10
Both noisy 2 0:18
Notes:
The PVCs are multiform.
Points of interest: 3:39 PVC
8:31 Noise
9:23 PVC
13:47 Blocked APC
22:32 APC, blocked APC, PVC 23:25 APCs
25:41 PVC, APC
26:23 PVCs
26:48 Noise
28:58 Atrial couplet 29:53 APCs
Record 119 (MLII, V1; female, age 51)
Medications: Pronestyl
Beats Before 5:00 After 5:00 Total
Normal 246 1297 1543
PVC 80 364 444
Total 326 1661 1987
Ventricular ectopy
, 444 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 61-84 49 22:36 Ventricular bigeminy 52-91 37 3:55 Ventricular trigeminy 56-77 17 3:34 Signal quality Episodes Duration
Both clean 3 29:35
Lower noisy 2 0:30
Notes:
The PVCs are uniform.
Points of interest: 1:55 PVC
2:38 Ventricular trigeminy 4:51 Ventricular bigeminy 8:42 Normal sinus rhythm 20:05 Noise
25:33 Noise
Record 121 (MLII, V1; female, age 83)
Medications: Digoxin, Isordil, Nitropaste
Beats Before 5:00 After 5:00 Total
Normal 303 1558 1861
APC - 1 1
PVC - 1 1
Total 303 1560 1863
Rhythm Rate Episodes Duration Normal sinus rhythm 55-83 1 30:06 Signal quality Episodes Duration
Both clean 6 29:09
Upper noisy 3 0:16
Lower noisy 3 0:39
Both noisy 1 0:01
Points of interest: 1:06 Normal sinus rhythm 3:33 Noise in lower signal 16:48 APC, PVC
24:32 Noise
26:01 Noise
Record 122 (MLII, V1; male, age 51)
Medications: Digoxin, Lasix, Pronestyl
Beats Before 5:00 After 5:00 Total
Normal 422 2054 2476
Total 422 2054 2476
Rhythm Rate Episodes Duration Normal sinus rhythm 67-97 1 30:06 Signal quality Episodes Duration
Both clean 1 30:06
Notes:
The lower channel has low-amplitude high-frequency noise
throughout.
Points of interest: 1:09 Noise in lower signal 13:47 Normal sinus rhythm 28:25 Normal sinus rhythm
Record 123 (MLII, V5; female, age 63)
Medications: Digoxin, Inderal Beats Before 5:00 After 5:00 Total
Normal 249 1266 1515
PVC - 3 3
Total 249 1269 1518
Ventricular ectopy
, 3 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 41-65 1 30:06 Signal quality Episodes Duration
Both clean 1 30:06
Notes:
The PVCs are uniform and interpolated.
Points of interest: 22:10 Sinus arrhythmia 25:11 Interpolated PVC 27:41 Interpolated PVC 28:36 Sinus arrhythmia
Record 124 (MLII, V4; male, age 77)
Medications: Digoxin, Isordil, Quinidine
Beats Before 5:00 After 5:00 Total
Right BBB 238 1293 1531
APC - 2 2 Junctional premature 14 15 29
PVC - 47 47
Fusion PVC - 5 5
Junctional escape - 5 5
Total 252 1367 1619 Supraventricular ectopy
, 2 isolated beats
, 1 run of 3 beats
, 2 runs of 6 beats
, 1 run of 14 beats Ventricular ectopy
, 18 isolated beats
, 1 run of 6 beats
, 1 run of 8 beats
, 1 run of 20 beats
Rhythm Rate Episodes Duration Normal sinus rhythm 47-64 6 28:36 Nodal (junctional) rhythm 56-64 2 0:30 Ventricular trigeminy 51-59 2 0:22 Idioventricular rhythm 53-61 3 0:37
Signal quality Episodes Duration
Both clean 2 29:53
Lower noisy 1 0:13
Notes:
The PVCs are multiform. The junctional escape beats follow PVCs.
Points of interest:
4:43 Accelerated junctional rhythm 5:09 Accelerated idioventricular rhythm, 20 beats
5:21 Accelerated idioventricular rhythm (continued from previous strip)
9:05 Noise in lower signal
10:27 Accelerated idioventricular rhythm 17:38 Accelerated idioventricular rhythm 20:13 APC
23:22 Ventricular trigeminy
26:03 PVC
27:41 PVC, junctional escape beats
Record 200 (MLII, V1; male, age 64)
Medications: Digoxin, Quinidine
Beats Before 5:00 After 5:00 Total
Normal 305 1438 1743
APC 2 28 30
PVC 126 700 826
Fusion PVC - 2 2
Total 433 2168 2601
Supraventricular ectopy
, 28 isolated beats
, 1 couplet
Ventricular ectopy
, 721 isolated beats
, 42 couplets
, 5 runs of 3 beats
, 2 runs of 4 beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 69-111 70 15:58
Ventricular bigeminy 60-108 71 13:52
Ventricular tachycardia 90-141 7 0:15
Signal quality Episodes Duration
Both clean 14 21:44
Upper noisy 6 0:44
Lower noisy 16 6:36
Both noisy 8 1:02
Notes:
The PVCs are multiform. There are occasional bursts of
high-frequency noise in the upper channel, and severe noise and
artifact in the lower channel. Points of interest:
1:42 Ventricular tachycardia, 3 beats 5:38 Noise
18:14 Ventricular tachycardia, 4 beats 20:52 Noise
24:49 Ventricular tachycardia, 3 beats 26:12 Ventricular couplets
28:31 Ventricular couplet
29:01 APC, ventricular bigeminy 29:18 APC, PVC
29:51 PVCs
Record 201 (MLII, V1; male, age 68)
Medications: Digoxin, Hydrochlorthiazide, Inderal, KCl
Beats Before 5:00 After 5:00 Total
Normal 440 1185 1625
APC - 30 30
Aberrated APC 2 95 97
Junctional premature - 1 1
PVC - 198 198
Fusion PVC - 2 2
Junctional escape - 10 10
Blocked APC - 37 37
Total 442 1558 2000 Supraventricular ectopy
, 79 isolated beats
, 23 couplets
, 1 run of 3 beats Ventricular ectopy
, 200 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 31-61 16 12:57 SVTA 124 1 0:02 Atrial fibrillation 56-149 3 10:06 Nodal (junctional) rhythm 37-60 3 0:24 Ventricular trigeminy 49-56 12 6:37 Signal quality Episodes Duration
Both clean 2 30:00
Upper noisy 1 0:02
Lower noisy 1 0:01
Both noisy 1 0:02
Notes:
The PVCs are uniform and late-cycle. Junctional escape beats occur
following episodes of ventricular trigeminy.
Points of interest: 0:00 Atrial fibrillation 6:15 Transition from atrial fibrillation to nodal rhythm
7:52 Onset of atrial fibrillation with aberrated beats
8:53 Blocked APCs
18:14 Noise
20:16 PVCs, atrial couplet 22:33 Ventricular trigeminy 23:50 Normal sinus rhythm 24:15 Aberrated atrial couplet, fusion PVC
25:19 Aberrated atrial couplets with right and left bundle branch block
26:20 Supraventricular tachyarrhythmia with aberration, 3 beats
28:03 Atrial fibrillation with aberration
Record 202 (MLII, V1; male, age 68) Medications: Digoxin, Hydrochlorthiazide, Inderal, KCl
Beats Before 5:00 After 5:00 Total
Normal 261 1800 2061
APC - 36 36
Aberrated APC - 19 19
PVC 4 15 19
Fusion PVC - 1 1
Total 265 1871 2136
Supraventricular ectopy
, 26 isolated beats
, 13 couplets
, 1 run of 3 beats
Ventricular ectopy
, 20 isolated beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 49-69 3 19:31
Atrial flutter 101-143 1 0:48
Atrial fibrillation 60-148 4 9:46
Signal quality Episodes Duration
Both clean 1 30:06
Notes:
The PVCs are uniform and late-cycle. This record was taken from the
same analog tape as record 201.
Points of interest:
10:16 Normal sinus rhythm, PVCs 12:24 APCs, PVC
12:41 Aberrated APCs, PVC
18:22 Normal sinus rhythm, bradycardia 18:45 Aberrated APCs
18:59 Onset of atrial fibrillation with aberrated beats
21:10 Atrial fibrillation, PVC
21:26 End of atrial fibrillation 22:13 Atrial fibrillation, aberrated beats 25:58 Atrial flutter with 2:1 conduction 27:55 Atrial fibrillation, aberrated beat 29:35 Atrial fibrillation
Record 203 (MLII, V1; male, age 43)
Coumadin, Digoxin, Heparin, Hygroton, Lasix Medications:
Beats Before 5:00 After 5:00 Total
Normal 426 2103 2529
Aberrated APC 2 - 2
PVC 71 373 444
Fusion PVC - 1 1
Unclassifiable - 4 4
Total 499 2481 2980
Supraventricular ectopy
, 2 isolated beats
Ventricular ectopy
, 238 isolated beats
, 64 couplets
, 13 runs of 3 beats
, 6 runs of 4 beats
, 1 run of 7 beats
, 1 run of 9 beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 63-173 1 2:43
Atrial flutter 61-180 2 5:14
Atrial fibrillation 54-180 20 21:32
Ventricular trigeminy 100-116 1 0:04
Ventricular tachycardia 124-189 21 0:33
Signal quality Episodes Duration
Both clean 21 24:28
Upper noisy 20 3:17
Lower noisy 7 1:49
Both noisy 8 0:30
Unreadable 1 0:02
Notes:
The PVCs are multiform. There are QRS morphology changes in the
upper channel due to axis shifts. There is considerable noise in
both channels, including muscle artifact and baseline shifts. This
is a very difficult record, even for humans! Points of interest:
5:00 Ventricular tachycardia, 4 beats and 9 beats 13:14 Atrial fibrillation, ventricular couplets 15:02 Noise
22:02 Ventricular couplet, PVCs
23:25 Noise
24:04 PVCs
24:46 Noise
26:39 Ventricular tachycardia, 7 beats
26:51 Ventricular couplet, PVCs
27:15 Ventricular tachycardia, 3 beats
Record 205 (MLII, V1; male, age 59) Medications: Digoxin, Quinaglute
Beats Before 5:00 After 5:00 Total
Normal 448 2123 2571
APC 1 2 3
PVC 6 65 71
Fusion PVC - 11 11
Total 455 2201 2656
Supraventricular ectopy
, 3 isolated beats
Ventricular ectopy
, 33 isolated beats
, 2 runs of 3 beats
, 1 run of 8 beats
, 1 run of 10 beats
, 1 run of 12 beats
, 1 run of 13 beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 80-99 7 29:43
Ventricular tachycardia 79-216 6 0:23
Signal quality Episodes Duration
Both clean 2 29:43
Lower noisy 1 0:23
Notes:
The PVCs are of two forms, one of which is much more common than
the other.
Points of interest:
4:57 Ventricular tachycardia, 8 beats and 10 beats 14:54 Noise in lower signal
15:22 Ventricular tachycardia, 3 beats 16:03 PVC
16:15 Fusion PVCs
19:57 PVC, APC
24:18 Ventricular tachycardia, 12 beats, start of VR, 13 beats
24:30 End of VR, 3-beat VT (continued from previous strip)
27:57 PVCs
Record 207 (MLII, V1; female, age 89)
Digoxin, Quinaglute Medications:
Beats Before 5:00 After 5:00 Total
Left BBB 81 1376 1457
Right BBB 86 - 86
APC - 107 107
PVC 101 4 105 Ventricular flutter wave 132 340 472
Ventricular escape - 105 105
Total 400 1932 2332 Supraventricular ectopy
, 1 isolated beat
, 1 couplet
, 1 run of 104 beats Ventricular ectopy
, 89 isolated beats
, 5 couplets
, 2 runs of 3 beats
, 1 run of 12 beats
, 1 run of 16 beats
, 1 run of 28 beats
, 1 run of 36 beats
, 1 run of 40 beats
, 1 run of 445 beats
Rhythm Rate Episodes Duration Normal sinus rhythm 57-90 10 22:20 SVTA 108-130 1 0:52 Ventricular bigeminy 49-83 4 2:38 Idioventricular rhythm 29-71 1 1:49 Ventricular tachycardia 118-119 2 0:03 Ventricular flutter 143-358 6 2:24 Signal quality Episodes Duration
Both clean 8 28:59
Upper noisy 4 0:22
Lower noisy 3 0:25
Both noisy 1 0:19
Notes:
This is an extremely difficult record. The predominant rhythm is
normal sinus with first degree AV block and left bundle branch block.
There are periods when the conduction block changes to a right
bundle branch block pattern. The PVCs are multiform.
Idioventricular rhythm appears following the longest episode of
ventricular flutter. The record ends during the episode of SVTA. Points of interest:
0:00 Ventricular bigeminy with right bundle branch block 0:33 Ventricular couplet, ventricular tachycardia, ventricular flutter 0:45 Ventricular flutter (continued from previous strip) 0:57 Ventricular flutter, VT (continued from previous strip) 1:28 Normal sinus rhythm with first degree AV block 2:07 Ventricular couplet, left and right bundle branch block 2:41 Ventricular bigeminy with right bundle branch block 4:25 Ventricular couplet, ventricular flutter
5:19 Noise
6:56 Noise
17:35 Normal sinus rhythm with first degree AV block 25:36 Ventricular bigeminy with LBBB, ventricular flutter 26:10 Ventricular flutter
27:14 End of ventricular flutter
29:10 Atrial couplet, SVTA (104 beats, to end of record)
Record 208 (MLII, V1; female, age 23) Medications: None
Beats Before 5:00 After 5:00 Total
Normal 278 1308 1586
SVPC - 2 2
PVC 168 824 992
Fusion PVC 72 301 373
Unclassifiable - 2 2
Total 518 2437 2955
Supraventricular ectopy
, 2 isolated beats
Ventricular ectopy
, 422 isolated beats
, 461 couplets
, 7 runs of 3 beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 91-134 27 24:43
Ventricular trigeminy 79-129 26 5:22
Signal quality Episodes Duration
Both clean 8 24:46
Lower noisy 8 4:14
Both noisy 8 1:02
Unreadable 1 0:03
Notes:
The PVCs are uniform. The couplets, many of which include a fusion
PVC, are often seen in a bigeminal pattern. The triplets each
consist of two PVCs and a fusion PVC. Points of interest:
14:57 Noise/artifact
17:02 Ventricular couplets
19:10 Ventricular trigeminy
21:06 Noise
23:00 Noise
28:08 Ventricular triplet
28:58 Ventricular couplets, isolated PVCs 29:37 Ventricular triplet
Record 209 (MLII, V1; male, age 62)
Medications: Aldomet, Hydrodiuril, Inderal Beats Before 5:00 After 5:00 Total
Normal 475 2146 2621
APC 11 372 383
PVC - 1 1
Total 486 2519 3005
Supraventricular ectopy
, 119 isolated beats
, 2 couplets
, 1 run of 4 beats
, 1 run of 6 beats
, 1 run of 7 beats
, 1 run of 13 beats
, 1 run of 14 beats
, 1 run of 19 beats
, 1 run of 25 beats
, 1 run of 40 beats
, 1 run of 58 beats
, 1 run of 74 beats
Rhythm Rate Episodes Duration Normal sinus rhythm 82-116 11 28:23 SVTA 106-171 10 1:42 Signal quality Episodes Duration
Both clean 10 23:21
Lower noisy 10 6:44
Points of interest: 0:47 APC
5:50 Noise
12:57 PVC
14:21 SVTA, 14 beats
23:25 APCs
28:17 Noise, APC
28:33 SVTA, 4 beats, 13 beats 29:10 SVTA, 6 beats
Record 210 (MLII, V1; male, age 89)
Medications: None
Beats Before 5:00 After 5:00 Total
Normal 413 2010 2423
Aberrated APC 2 20 22
PVC 30 164 194
Fusion PVC 1 9 10 Ventricular escape - 1 1
Total 446 2204 2650 Supraventricular ectopy
, 20 isolated beats
, 1 couplet
Ventricular ectopy
, 163 isolated beats
, 13 couplets
, 1 run of 4 beats
, 2 runs of 6 beats
Rhythm Rate Episodes Duration Atrial fibrillation 63-158 9 29:30 Ventricular bigeminy 69-109 5 0:23 Ventricular trigeminy 85-114 1 0:07 Ventricular tachycardia 103-161 2 0:06 Signal quality Episodes Duration
Both clean 6 29:16
Upper noisy 3 0:05
Lower noisy 3 0:14
Both noisy 5 0:30
Unreadable 1 0:01
Notes:
The PVCs are multiform. Points of interest: 3:47 Noise
6:56 Ventricular tachycardia, 6 beats
13:14 Ventricular couplets 15:55 Noise
17:32 Aberrated beat
17:57 Ventricular tachycardia, 6 beats
20:33 PVCs
29:15 PVCs, aberrated beat, ventricular escape beat, fusion PVC
Record 212 (MLII, V1; female, age 32) Medications: None
Beats Before 5:00 After 5:00 Total
Normal 129 794 923
Right BBB 334 1491 1825
Total 463 2285 2748
Rhythm Rate Episodes Duration
Normal sinus rhythm 63-108 1 30:06
Signal quality Episodes Duration
Both clean 7 29:41
Lower noisy 3 0:10
Both noisy 4 0:15
Notes:
There is rate-related right bundle branch block which appears when
the heart rate exceeds approximately 90 bpm. Points of interest:
0:05 Normal sinus rhythm with right bundle branch block 18:42 Noise
24:21 End of RBBB in normal sinus rhythm as heart rate decreases 24:38 Sinus arrhythmia
26:45 Noise
28:46 Start of RBBB in normal sinus rhythm as heart rate increases
Record 213 (MLII, V1; male, age 61) Medications: Digoxin
Beats Before 5:00 After 5:00 Total
Normal 432 2209 2641
APC 1 24 25
Aberrated APC - 3 3
PVC 25 195 220
Fusion PVC 93 269 362
Total 551 2700 3251
Supraventricular ectopy
, 26 isolated beats
, 1 couplet
Ventricular ectopy
, 560 isolated beats
, 4 couplets
, 3 runs of 3 beats
, 1 run of 5 beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 101-113 22 29:01
Ventricular bigeminy 102-116 19 1:00
Ventricular tachycardia 110-117 2 0:04
Signal quality Episodes Duration
Both clean 1 30:06
Notes:
The PVCs are multiform and usually late-cycle, frequently resulting
in fusion PVCs. The morphology of the fusion PVCs varies from almost
normal to almost identical to that of the PVCs.
Points of interest:
3:39 Fusion PVC couplet
14:48 Ventricular tachycardia, 3 beats 15:05 Fusion PVC/PVC couplet
15:38 APC
17:30 Ventricular tachycardia, 4 beats 17:55 PVCs, fusion PVCs, APC
24:43 Fusion PVC, PVCs, aberrated APC 25:58 Aberrated atrial couplet
26:51 Ventricular bigeminy
28:56 Fusion PVCs, PVC
Record 214 (MLII, V1; male, age 53)
Medications: Digoxin, Dilantin
Beats Before 5:00 After 5:00 Total
Left BBB 339 1664 2003
PVC 44 212 256
Fusion PVC - 1 1
Unclassifiable - 2 2
Total 383 1879 2262
Ventricular ectopy
, 233 isolated beats
, 9 couplets
, 2 runs of 3 beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 49-92 13 28:53
Ventricular trigeminy 71-87 10 1:08
Ventricular tachycardia 126-150 2 0:05
Signal quality Episodes Duration
Both clean 2 29:59
Upper noisy 2 0:02
Both noisy 1 0:04
Notes:
The PVCs are multiform. There are two episodes of artifactual
amplitude decrease and one occurrence of tape slippage.
Points of interest:
0:30 Normal sinus rhythm with left bundle branch block, PVC
2:21 Multiform PVCs
2:35 Ventricular couplet
3:25 Artifactual amplitude changes 3:56 Ventricular couplet
5:08 Tape slippage
5:38 Ventricular tachycardia, 3 beats 13:53 Ventricular tachycardia, 3 beats 23:17 Ventricular couplet
27:52 PVC/fusion PVC couplet
Record 215 (MLII, V1; male, age 81)
Medications: None
Beats Before 5:00 After 5:00 Total
Normal 534 2661 3195
APC 1 2 3
PVC 33 131 164 Fusion PVC - 1 1
Total 568 2795 3363 Supraventricular ectopy
, 3 isolated beats Ventricular ectopy
, 120 isolated beats
, 18 couplets
, 3 runs of 3 beats
Rhythm Rate Episodes Duration Normal sinus rhythm 81-124 3 30:03 Ventricular tachycardia 174-177 2 0:02 Signal quality Episodes Duration
Both clean 14 29:18
Upper noisy 1 0:00
Lower noisy 14 0:39
Both noisy 2 0:09
Notes:
The PVCs are multiform. There are two very short occurrences of tape
slippage (each less than one second in duration).
Points of interest: 2:55 Ventricular tachycardia, 3 beats
3:11 Noise, ventricular couplet 9:46 PVC, APC
15:58 PVC
20:25 Ventricular tachycardia, 3 beats
22:16 Tape slippage
24:57 Ventricular couplet 27:30 Ventricular triplet
27:57 Noise in lower signal
29:42 Tape slippage, ventricular couplet
Record 217 (MLII, V1; male, age 65)
Medications: Digoxin, Lasix, Quinidine
Beats Before 5:00 After 5:00 Total
Normal 9 235 244
PVC 22 140 162
Paced 301 1241 1542
Pacemaker fusion 31 229 260
Total 363 1845 2208
Ventricular ectopy
, 143 isolated beats
, 8 couplets
, 1 run of 3 beats
Rhythm Rate Episodes Duration
Atrial fibrillation 69-103 24 4:12
Paced rhythm 65-76 33 25:10
Ventricular bigeminy 68-91 9 0:42
Ventricular tachycardia 103 1 0:02
Signal quality Episodes Duration
Both clean 3 30:00
Upper noisy 2 0:05
Notes:
The PVCs are multiform. Points of interest:
0:00 Paced rhythm, pacemaker fusion beat 0:33 PVC
1:23 PVCs, pacemaker fusion beats 4:18 Paced beats, pacemaker fusion beats, normal beats, PVCs
6:12 Ventricular couplet
6:51 Ventricular couplet
7:05 Ventricular tachycardia, 3 beats
12:27 Ventricular bigeminy with paced beats
14:01 Noise
15:30 Atrial fibrillation
16:56 Ventricular couplet
22:27 Atrial fibrillation
Record 219 (MLII, V1; male, age not recorded)
Medications: Digoxin
Beats Before 5:00 After 5:00 Total
Normal 367 1715 2082
APC - 7 7
PVC 13 51 64
Fusion PVC 1 - 1
Blocked APC - 133 133
Total 381 1906 2287
Supraventricular ectopy
, 7 isolated beats
Ventricular ectopy
, 65 isolated beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 38-75 8 6:01
Atrial fibrillation 51-103 10 23:47
Ventricular bigeminy 71-88 2 0:08
Ventricular trigeminy 74-94 1 0:10
Signal quality Episodes Duration
Both clean 1 30:06
Notes:
Following some conversions from atrial fibrillation to normal sinus
rhythm are pauses up to 3 seconds in duration. The PVCs are
multiform.
Points of interest:
2:49 Fusion PVC
5:08 APC
5:22 Onset of atrial fibrillation 13:50 End of atrial fibrillation, conversion pause, APC, blocked APC
19:00 End of atrial fibrillation 19:57 Normal sinus rhythm, blocked APCs
22:11 End of atrial fibrillation, conversion pause, blocked APCs
22:43 Blocked APCs
24:43 PVC
26:09 Atrial fibrillation
28:55 Atrial fibrillation, PVCs
Record 220 (MLII, V1; female, age 87)
Medications: Digoxin
Beats Before 5:00 After 5:00 Total
Normal 353 1601 1954
APC 1 93 94
Total 354 1694 2048
Supraventricular ectopy
, 38 isolated beats
, 13 couplets
, 6 runs of 3 beats
, 3 runs of 4 beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 58-74 9 29:50
SVTA 113-150 8 0:16
Signal quality Episodes Duration
Both clean 3 29:58
Lower noisy 2 0:08
Points of interest:
6:46 SVTA (3 runs)
10:41 SVTA (2 runs)
18:10 Atrial couplets
20:29 SVTA, atrial couplets 23:58 Noise in lower signal 25:44 Atrial couplet
29:40 APC
Record 221 (MLII, V1; male, age 83)
Medications: Hydrochlorthiazide, Lasix Beats Before 5:00 After 5:00 Total
Normal 327 1704 2031
PVC 80 316 396
Total 407 2020 2427
Ventricular ectopy
, 384 isolated beats
, 3 couplets
, 2 runs of 3 beats
Rhythm Rate Episodes Duration Atrial fibrillation 47-110 12 29:17 Ventricular bigeminy 88-101 1 0:03 Ventricular trigeminy 69-92 8 0:42 Ventricular tachycardia 122-130 2 0:04 Signal quality Episodes Duration
Both clean 7 29:48
Upper noisy 1 0:04
Lower noisy 5 0:14
Notes:
The PVCs are multiform, but one form is much more common than the
others.
Points of interest:
0:00 Atrial fibrillation, PVCs 2:43 Ventricular couplet
13:00 Ventricular tachycardia, 3 beats 13:56 Ventricular tachycardia, 3 beats
17:49 Ventricular couplet 19:12 PVCs
19:42 Noise
20:44 Ventricular couplet
Record 222 (MLII, V1; female, age 84)
Medications: Digoxin, Quinidine
Beats Before 5:00 After 5:00 Total
Normal 367 1695 2062
APC - 208 208 Junctional premature - 1 1
Junctional escape - 212 212
Total 367 2116 2483 Supraventricular ectopy
, 147 isolated beats
, 21 couplets
, 4 runs of 3 beats
, 2 runs of 4 beats
Rhythm Rate Episodes Duration Normal sinus rhythm 49-84 32 15:57 Atrial bigeminy 57-98 3 1:28 SVTA 121-148 4 0:08 Atrial flutter 123-148 42 7:03 Atrial fibrillation 69-163 24 1:44 Nodal (junctional) rhythm 47-122 31 3:45 Signal quality Episodes Duration
Both clean 8 29:10
Upper noisy 3 0:08
Lower noisy 1 0:05
Both noisy 4 0:42
Notes:
The episodes of paroxysmal atrial flutter/fibrillation are usually
followed by nodal escape beats. There are several intervals of
high-frequency noise/artifact in both channels.
Points of interest: 6:45 Normal sinus rhythm 17:32 Atrial fibrillation 19:48 Atrial couplet
20:07 Atrial bigeminy
22:32 Paroxysmal atrial flutter, nodal rhythm
24:43 Noise
25:43 End of atrial flutter, nodal rhythm, normal sinus rhythm
26:09 Paroxysmal atrial flutter, nodal rhythm
Record 223 (MLII, V1; male, age 73)
Medications: None
Beats Before 5:00 After 5:00 Total
Normal 373 1656 2029
APC 7 65 72 Aberrated APC - 1 1
PVC 18 455 473
Fusion PVC 6 8 14 Atrial escape 2 14 16
Total 406 2199 2605 Supraventricular ectopy
, 57 isolated beats
, 8 couplets
Ventricular ectopy
, 252 isolated beats
, 27 couplets
, 4 runs of 3 beats
, 1 run of 5 beats
, 1 run of 67 beats
, 1 run of 97 beats
Rhythm Rate Episodes Duration Normal sinus rhythm 75-94 11 23:23
Ventricular bigeminy 74-106 7 4:19
Ventricular trigeminy 67-92 3 0:38
Ventricular tachycardia 76-118 7 1:46
Signal quality Episodes Duration
Both clean 5 28:41
Lower noisy 5 1:20
Both noisy 1 0:05
Notes:
The PVCs are multiform. The two longest episodes of ventricular
tachycardia are slow (100 to 105 bpm) and bidirectional.
Points of interest:
9:35 Bidirectional ventricular tachycardia 12:35 Noise in lower signal
13:39 Atrial couplet
13:51 Ventricular bigeminy
17:21 Bidirectional ventricular tachycardia 17:55 End of ventricular tachycardia 19:07 APC, ventricular couplet, atrial escape beat, aberrated APC
23:58 Ventricular tachycardia, 3 beats 25:47 Ventricular tachycardia, 5 beats 29:16 APCs, atrial escape beat, ventricular couplets
29:51 Multiform ventricular couplets
Record 228 (MLII, V1; female, age 80)
Medications: Digoxin, Norpace
Beats Before 5:00 After 5:00 Total
Normal 290 1398 1688
APC - 3 3
PVC 60 302 362
Total 350 1703 2053
Supraventricular ectopy
, 3 isolated beats
Ventricular ectopy
, 360 isolated beats
, 1 couplet
Rhythm Rate Episodes Duration Normal sinus rhythm 54-80 21 24:17 Ventricular bigeminy 50-88 20 5:48 Signal quality Episodes Duration
Both clean 11 28:25
Upper noisy 10 1:40
Notes:
There is first degree AV block. The PVCs are multiform. There are
three short occurrences of tape slippage with a maximum duration
of 2.2 seconds. Points of interest: 0:19 Ventricular bigeminy 0:38 Artifacts
0:50 PVC, ventricular couplet 4:35 Noise, PVCs
19:18 PVC, APC
20:08 Baseline noise
21:37 Tape slippage
21:49 Tape slippage
26:42 Ventricular bigeminy
Record 230 (MLII, V1; male, age 32)
Medications: Dilantin
Beats Before 5:00 After 5:00 Total
Normal 397 1858 2255
PVC - 1 1
Total 397 1859 2256
Rhythm Rate Episodes Duration Normal sinus rhythm 63-99 104 17:45 Pre-excitation (WPW) 59-93 103 12:21 Signal quality Episodes Duration
Both clean 2 30:03
Lower noisy 1 0:03
Points of interest:
0:00 Onset of pre-excitation
0:12 End of pre-excitation (continued from previous strip) 5:11 WPW
9:26 Normal sinus rhythm
29:04 PVC
Record 231 (MLII, V1; female, age 72) Medications: None
Beats Before 5:00 After 5:00 Total
Normal 12 302 314
Right BBB 278 976 1254
APC 1 - 1
PVC 2 - 2
Blocked APC 2 - 2
Total 295 1278 1573
Ventricular ectopy
, 1 couplet
Rhythm Rate Episodes Duration
Normal sinus rhythm 49-69 6 18:26
2? heart block 34-38 5 11:40
Signal quality Episodes Duration
Both clean 1 30:06
Notes:
AV conduction is quite abnormal with periods of 2:1 AV block,
examples of Mobitz II block, and right bundle branch block which
appears to be rate-related. The couplet is probably ventricular.
Points of interest:
0:02 Normal sinus rhythm, Mobitz II block, right bundle branch block
2:24 Blocked APCs, APC, ventricular couplet
20:11 2:1 heart block with right bundle branch block
21:10 Onset of 2:1 heart block 23:22 Transition from 2:1 block with normal conduction to NSR with RBBB
Record 232 (MLII, V1; female, age 76)
Medications: Aldomet, Inderal
Beats Before 5:00 After 5:00 Total
Right BBB 80 317 397
APC 215 1167 1382 Junctional escape - 1 1
Total 295 1485 1780 Supraventricular ectopy
, 18 isolated beats
, 82 couplets
, 27 runs of 3 beats
, 32 runs of 4 beats
, 17 runs of 5 beats
, 25 runs of 6 beats
, 13 runs of 7 beats
, 13 runs of 8 beats
, 9 runs of 9 beats
, 15 runs of 10 beats
, 11 runs of 11 beats
, 4 runs of 12 beats
, 4 runs of 13 beats
, 2 runs of 14 beats
, 3 runs of 15 beats
, 1 run of 36 beats
Rhythm Rate Episodes Duration
Sinus bradycardia 24-28 1 30:06
Signal quality Episodes Duration
Both clean 14 26:38
Upper noisy 6 1:24
Lower noisy 10 1:14
Both noisy 6 0:49
Notes:
The rhythm is compatible with sick sinus syndrome. There is
underlying sinus bradycardia, first degree AV block, and frequent
ectopic atrial runs at rates of 80 to 90 bpm. There are numerous
long pauses up to 6 seconds in duration.
Points of interest:
0:58 Noise
1:51 Atrial couplets
11:51 Noise
13:06 Atrial couplets
15:09 Short runs of SVTA
18:17 SVTA, pause
22:31 Pauses
22:47 Pauses
23:20 Pauses
23:34 Pause
23:53 Sinus bradycardia
Record 233 (MLII, V1; male, age 57)
Medications: Dilantin
Beats Before 5:00 After 5:00 Total
Normal 371 1859 2230
APC 3 4 7
PVC 139 692 831
Fusion PVC 5 6 11
Total 518 2561 3079
Supraventricular ectopy
, 7 isolated beats
Ventricular ectopy
, 704 isolated beats
, 60 couplets
, 6 runs of 3 beats
Rhythm Rate Episodes Duration
Normal sinus rhythm 98-110 36 28:03
Ventricular bigeminy 88-122 28 1:48
Ventricular trigeminy 106-122 1 0:04
Ventricular tachycardia 120-141 6 0:11
Signal quality Episodes Duration
Both clean 1 30:06
Notes:
The PVCs are multiform. Points of interest:
0:11 APCs, PVCs
0:25 Ventricular tachycardia, 3 beats 2:18 Ventricular bigeminy
2:43 Fusion PVC/PVC couplet
3:39 Ventricular couplets
5:02 Transient amplitude decrease on upper signal
9:43 Ventricular tachycardia, 3 beats 16:20 PVCs, ventricular couplet 18:02 PVCs, APC
22:23 Ventricular tachycardia, 2 runs of 3 beats, ventricular couplets
Record 234 (MLII, V1; female, age 56)
Medications: None
Beats Before 5:00 After 5:00 Total
Normal 462 2238 2700
Junctional premature - 50 50
PVC - 3 3
Total 462 2291 2753
Supraventricular ectopy
, 1 run of 50 beats
Ventricular ectopy
, 3 isolated beats
Rhythm Rate Episodes Duration Normal sinus rhythm 84-99 2 29:40 SVTA 91-147 1 0:26 Signal quality Episodes Duration
Both clean 4 28:40
Lower noisy 4 1:18
Both noisy 1 0:07
Notes:
The PVCs are uniform. Points of interest: 0:16 Normal sinus rhythm 6:37 Noise
14:01 Onset of junctional tachycardia
14:26 End of junctional tachycardia
17:02 PVC
21:26 PVC
23:17 Noise