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2289 lines
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2289 lines
98 KiB
HTML
<html>
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<head>
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<title>MIT-BIH Arrhythmia Database Directory (Records)</title>
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</head>
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<body bgcolor="#FFFFFF">
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<a href="mitdbdir.htm"><h1 align=center>MIT-BIH Arrhythmia Database Directory
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</h1></a>
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<p>
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<b>Next:</b> <a href="tables.htm">Tables</a>
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<b>Up:</b> <a href="mitdbdir.htm#toc">Contents</a>
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<b>Previous:</b> <a href="intro.htm">Introduction</a>
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<h1>Records in the MIT-BIH Arrhythmia Database</h1>
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<p>
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This section contains notes and statistics that describe the contents of
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each record.
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The leads used for the upper and lower signals are given for each record
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immediately following the record number.
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Beat counts are given for the first five minutes of each record and
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the remainder of the record (the EC38-defined ``learning'' and ``test''
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periods, respectively).
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Note that the totals include two types of non-beats (blocked APCs and
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ventricular flutter waves) for those few records in which they occur.
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The total duration of each record is 30 minutes and 5.556 seconds; durations
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noted below are rounded to the nearest second, and may not sum to exactly
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30:06 because of accumulated rounding error.
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Heart rates are given in beats per minute measured over 3 R-R intervals.
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<p>
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Following the statistical summary and notes for each record are links to points
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of interest in each case. You may follow these links to view the signals and
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annotations using <strong>WAVE</strong>. To do so successfully, you must have
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configured your browser to use <tt>wavescript</tt> as a helper application, as
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described in <i><a href="/physiotools/wug/wave-web.htm">WAVE and the
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Web</a></i> (in the <i><a href="/physiotools/wug/">WAVE User's Guide</a></i>).
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<p>
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Follow the links in this table to go directly to any record:
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<table>
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<tr>
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<td><a href="#100">100</a>
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<td><a href="#104">104</a>
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<td><a href="#108">108</a>
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<td><a href="#113">113</a>
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<td><a href="#117">117</a>
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<td><a href="#122">122</a>
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<td><a href="#201">201</a>
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<td><a href="#207">207</a>
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<td><a href="#212">212</a>
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<td><a href="#217">217</a>
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<td><a href="#222">222</a>
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<td><a href="#231">231</a></tr>
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<tr>
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<td><a href="#101">101</a>
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<td><a href="#105">105</a>
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<td><a href="#109">109</a>
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<td><a href="#114">114</a>
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<td><a href="#118">118</a>
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<td><a href="#123">123</a>
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<td><a href="#202">202</a>
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<td><a href="#208">208</a>
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<td><a href="#213">213</a>
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<td><a href="#219">219</a>
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<td><a href="#223">223</a>
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<td><a href="#232">232</a></tr>
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<tr>
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<td><a href="#102">102</a>
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<td><a href="#106">106</a>
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<td><a href="#111">111</a>
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<td><a href="#115">115</a>
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<td><a href="#119">119</a>
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<td><a href="#124">124</a>
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<td><a href="#203">203</a>
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<td><a href="#209">209</a>
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<td><a href="#214">214</a>
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<td><a href="#220">220</a>
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<td><a href="#228">228</a>
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<td><a href="#233">233</a></tr>
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<tr>
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<td><a href="#103">103</a>
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<td><a href="#107">107</a>
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<td><a href="#112">112</a>
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<td><a href="#116">116</a>
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<td><a href="#121">121</a>
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<td><a href="#200">200</a>
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<td><a href="#205">205</a>
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<td><a href="#210">210</a>
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<td><a href="#215">215</a>
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<td><a href="#221">221</a>
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<td><a href="#230">230</a>
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<td><a href="#234">234</a></tr>
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</table>
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<hr>
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<h2><a name="100">Record 100</a> (MLII, V5; male, age 69)</h2>
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<p>
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<i>Medications:</i> Aldomet, Inderal<br>
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<p><table>
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<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
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<tr align=right><td>Normal</td><td>367</td><td>1872</td><td>2239</td></tr>
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<tr align=right><td>APC</td><td>4</td><td>29</td><td>33</td></tr>
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<tr align=right><td>PVC</td><td>-</td><td>1</td><td>1</td></tr>
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<tr align=right><td>Total</td><td>371</td><td>1902</td><td>2273</td></tr>
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</table>
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<p><i>Supraventricular ectopy</i><br>
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<ul><li> 33 isolated beats
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</ul>
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<p><table>
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<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Normal sinus rhythm</td><td align=center>70-89</td><td align=right>1</td><td align=right> 30:06</td></tr>
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</table>
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<p><table>
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<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Both clean</td><td align=right>1</td><td align=right> 30:06</td></tr>
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</table>
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<h3>Points of interest:</h3>
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<a href="samples/1001103.xws">11:03</a> Normal sinus rhythm<br>
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<a href="samples/1002513.xws">25:13</a> PVC<br>
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<a href="samples/1002609.xws">26:09</a> APCs<br>
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<a href="samples/1002755.xws">27:55</a> Normal sinus rhythm<br>
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<hr>
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<h2><a name="101">Record 101</a> (MLII, V1; female, age 75)</h2>
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<p>
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<i>Medications:</i> Diapres<br>
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<p><table>
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<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
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<tr align=right><td>Normal</td><td>342</td><td>1518</td><td>1860</td></tr>
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<tr align=right><td>APC</td><td>-</td><td>3</td><td>3</td></tr>
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<tr align=right><td>Unclassifiable</td><td>-</td><td>2</td><td>2</td></tr>
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<tr align=right><td>Total</td><td>342</td><td>1523</td><td>1865</td></tr>
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</table>
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<p><i>Supraventricular ectopy</i><br>
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<ul><li> 3 isolated beats
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</ul>
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<p><table>
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<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Normal sinus rhythm</td><td align=center>55-79</td><td align=right>1</td><td align=right> 30:06</td></tr>
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</table>
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<p><table>
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<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Both clean</td><td align=right>3</td><td align=right> 30:01</td></tr>
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<tr><td>Upper noisy</td><td align=right>1</td><td align=right> 0:04</td></tr>
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<tr><td>Unreadable</td><td align=right>1</td><td align=right> 0:01</td></tr>
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</table>
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<h3>Points of interest:</h3>
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<a href="samples/1010134.xws">1:34</a> Normal sinus rhythm<br>
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<a href="samples/1010148.xws">1:48</a> Noise<br>
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<a href="samples/1010513.xws">5:13</a> Noise/artifact<br>
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<a href="samples/1010954.xws">9:54</a> APC<br>
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<a href="samples/1012432.xws">24:32</a> APC<br>
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<hr>
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<h2><a name="102">Record 102</a> (V5, V2; female, age 84)</h2>
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<p>
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<i>Medications:</i> Digoxin<br>
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<p><table>
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<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
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<tr align=right><td>Normal</td><td>98</td><td>1</td><td>99</td></tr>
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<tr align=right><td>PVC</td><td>1</td><td>3</td><td>4</td></tr>
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<tr align=right><td>Paced</td><td>243</td><td>1785</td><td>2028</td></tr>
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<tr align=right><td>Pacemaker fusion</td><td>24</td><td>32</td><td>56</td></tr>
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<tr align=right><td>Total</td><td>366</td><td>1821</td><td>2187</td></tr>
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</table>
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<p><i>Ventricular ectopy</i><br>
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<ul><li> 4 isolated beats
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</ul>
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<p><table>
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<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Normal sinus rhythm</td><td align=center>72-78</td><td align=right>2</td><td align=right> 1:22</td></tr>
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<tr><td>Paced rhythm</td><td align=center>68-78</td><td align=right>3</td><td align=right> 28:44</td></tr>
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</table>
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<p><table>
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<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Both clean</td><td align=right>1</td><td align=right> 30:06</td></tr>
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</table>
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<p><dl><dt>Notes:</dt>
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<dd>The rhythm is paced with a demand pacemaker. The PVCs are multiform.
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</dd></dl>
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<h3>Points of interest:</h3>
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<a href="samples/1020055.xws">0:55</a> Paced rhythm<br>
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<a href="samples/1020112.xws">1:12</a> Transition from paced to normal sinus rhythm<br>
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<a href="samples/1020128.xws">1:28</a> PVC<br>
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<a href="samples/1020230.xws">2:30</a> Normal sinus rhythm<br>
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<a href="samples/1020451.xws">4:51</a> Pacemaker fusion beats<br>
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<a href="samples/1020935.xws">9:35</a> PVC<br>
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<a href="samples/1021612.xws">16:12</a> Paced rhythm<br>
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<hr>
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<h2><a name="103">Record 103</a> (MLII, V2; male, age not recorded)</h2>
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<p>
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<i>Medications:</i> Diapres, Xyloprim<br>
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<p><table>
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<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
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<tr align=right><td>Normal</td><td>355</td><td>1727</td><td>2082</td></tr>
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<tr align=right><td>APC</td><td>-</td><td>2</td><td>2</td></tr>
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<tr align=right><td>Total</td><td>355</td><td>1729</td><td>2084</td></tr>
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</table>
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<p><i>Supraventricular ectopy</i><br>
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<ul><li> 2 isolated beats
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</ul>
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<p><table>
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<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Normal sinus rhythm</td><td align=center>62-92</td><td align=right>1</td><td align=right> 30:06</td></tr>
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</table>
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<p><table>
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<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Both clean</td><td align=right>4</td><td align=right> 22:01</td></tr>
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<tr><td>Upper noisy</td><td align=right>1</td><td align=right> 0:09</td></tr>
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<tr><td>Lower noisy</td><td align=right>2</td><td align=right> 7:56</td></tr>
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</table>
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<h3>Points of interest:</h3>
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<a href="samples/1030109.xws">1:09</a> Normal sinus rhythm<br>
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<a href="samples/1031721.xws">17:21</a> Normal sinus rhythm<br>
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<a href="samples/1031915.xws">19:15</a> APC, noise in lower signal<br>
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<a href="samples/1032213.xws">22:13</a> Noise in lower signal<br>
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<a href="samples/1032333.xws">23:33</a> Noise in lower signal<br>
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<a href="samples/1032858.xws">28:58</a> Noise in lower signal<br>
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<hr>
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<h2><a name="104">Record 104</a> (V5, V2; female, age 66)</h2>
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<p>
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<i>Medications:</i> Digoxin, Pronestyl<br>
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<p><table>
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<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
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<tr align=right><td>Normal</td><td>65</td><td>98</td><td>163</td></tr>
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<tr align=right><td>PVC</td><td>1</td><td>1</td><td>2</td></tr>
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<tr align=right><td>Paced</td><td>197</td><td>1183</td><td>1380</td></tr>
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<tr align=right><td>Pacemaker fusion</td><td>104</td><td>562</td><td>666</td></tr>
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<tr align=right><td>Unclassifiable</td><td>5</td><td>13</td><td>18</td></tr>
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<tr align=right><td>Total</td><td>372</td><td>1857</td><td>2229</td></tr>
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</table>
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<p><i>Ventricular ectopy</i><br>
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<ul><li> 2 isolated beats
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</ul>
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<p><table>
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<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Normal sinus rhythm</td><td align=center>69-82</td><td align=right>22</td><td align=right> 3:52</td></tr>
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<tr><td>Paced rhythm</td><td align=center>70-78</td><td align=right>23</td><td align=right> 26:13</td></tr>
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</table>
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<p><table>
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<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Both clean</td><td align=right>13</td><td align=right> 26:46</td></tr>
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<tr><td>Upper noisy</td><td align=right>5</td><td align=right> 0:24</td></tr>
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<tr><td>Lower noisy</td><td align=right>8</td><td align=right> 0:46</td></tr>
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<tr><td>Both noisy</td><td align=right>12</td><td align=right> 2:09</td></tr>
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</table>
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<p><dl><dt>Notes:</dt>
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<dd>The rate of paced rhythm is close to that of the underlying sinus rhythm,
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resulting in many pacemaker fusion beats. The PVCs are multiform. Several
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bursts of muscle noise occur, but the signals are generally of good quality.
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</dd></dl>
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<h3>Points of interest:</h3>
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<a href="samples/1040342.xws">3:42</a> PVC<br>
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<a href="samples/1040513.xws">5:13</a> Noise<br>
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<a href="samples/1040552.xws">5:52</a> Transition from paced to normal sinus rhythm<br>
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<a href="samples/1040617.xws">6:17</a> Noise<br>
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<a href="samples/1040822.xws">8:22</a> Noise in lower signal<br>
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<a href="samples/1042651.xws">26:51</a> Paced, normal, and pacemaker fusion beats<br>
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<a href="samples/1042910.xws">29:10</a> Paced, normal, and pacemaker fusion beats<br>
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<hr>
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<h2><a name="105">Record 105</a> (MLII, V1; female, age 73)</h2>
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<p>
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<i>Medications:</i> Digoxin, Nitropaste, Pronestyl<br>
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<p><table>
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<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
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<tr align=right><td>Normal</td><td>405</td><td>2121</td><td>2526</td></tr>
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<tr align=right><td>PVC</td><td>12</td><td>29</td><td>41</td></tr>
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<tr align=right><td>Unclassifiable</td><td>-</td><td>5</td><td>5</td></tr>
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<tr align=right><td>Total</td><td>417</td><td>2155</td><td>2572</td></tr>
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</table>
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<p><i>Ventricular ectopy</i><br>
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<ul><li> 41 isolated beats
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</ul>
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<p><table>
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<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Normal sinus rhythm</td><td align=center>78-102</td><td align=right>1</td><td align=right> 30:06</td></tr>
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</table>
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<p><table>
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<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Both clean</td><td align=right>31</td><td align=right> 22:18</td></tr>
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<tr><td>Upper noisy</td><td align=right>3</td><td align=right> 0:10</td></tr>
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<tr><td>Lower noisy</td><td align=right>28</td><td align=right> 3:27</td></tr>
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<tr><td>Both noisy</td><td align=right>23</td><td align=right> 4:06</td></tr>
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<tr><td>Unreadable</td><td align=right>4</td><td align=right> 0:04</td></tr>
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</table>
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<p><dl><dt>Notes:</dt>
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<dd>The PVCs are uniform. The predominant feature of this tape is
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high-grade noise and artifact.
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</dd></dl>
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<h3>Points of interest:</h3>
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<a href="samples/1050527.xws">5:27</a> Artifact<br>
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<a href="samples/1050757.xws">7:57</a> PVC<br>
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<a href="samples/1051516.xws">15:16</a> Normal sinus rhythm<br>
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<a href="samples/1051752.xws">17:52</a> Artifacts<br>
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<a href="samples/1052202.xws">22:02</a> Noise<br>
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<a href="samples/1052645.xws">26:45</a> PVC<br>
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<a href="samples/1052727.xws">27:27</a> Noise<br>
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<a href="samples/1052808.xws">28:08</a> Noise<br>
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<a href="samples/1052907.xws">29:07</a> Noise<br>
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<hr>
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<h2><a name="106">Record 106</a> (MLII, V1; female, age 24)</h2>
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<p>
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<i>Medications:</i> Inderal<br>
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<p><table>
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<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
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<tr align=right><td>Normal</td><td>271</td><td>1236</td><td>1507</td></tr>
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<tr align=right><td>PVC</td><td>60</td><td>460</td><td>520</td></tr>
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<tr align=right><td>Total</td><td>331</td><td>1696</td><td>2027</td></tr>
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</table>
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<p><i>Ventricular ectopy</i><br>
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<ul><li> 327 isolated beats
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<li> 95 couplets
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<li> 1 run of 3 beats
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</ul>
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<p><table>
|
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<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>49-87</td><td align=right>21</td><td align=right> 22:36</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>55-103</td><td align=right>18</td><td align=right> 7:15</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>57-90</td><td align=right>1</td><td align=right> 0:13</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>121</td><td align=right>1</td><td align=right> 0:02</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>15</td><td align=right> 16:25</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>15</td><td align=right> 13:41</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are multiform.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1060019.xws">0:19</a> Normal sinus rhythm, noise in lower signal<br>
|
|
<a href="samples/1060137.xws">1:37</a> Ventricular couplets<br>
|
|
<a href="samples/1060253.xws">2:53</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/1060423.xws">4:23</a> PVC<br>
|
|
<a href="samples/1060757.xws">7:57</a> Noise in lower signal<br>
|
|
<a href="samples/1061052.xws">10:52</a> Noise in lower signal<br>
|
|
<a href="samples/1061227.xws">12:27</a> Ventricular bigeminy (two types)<br>
|
|
<a href="samples/1061617.xws">16:17</a> Multiform PVCs, ventricular couplet<br>
|
|
<a href="samples/1062513.xws">25:13</a> Ventricular couplet<br>
|
|
<a href="samples/1062552.xws">25:52</a> Ventricular couplets<br>
|
|
|
|
<hr>
|
|
<h2><a name="107">Record 107</a> (MLII, V1; male, age 63)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>PVC</td><td>2</td><td>57</td><td>59</td></tr>
|
|
<tr align=right><td>Paced</td><td>351</td><td>1727</td><td>2078</td></tr>
|
|
<tr align=right><td>Total</td><td>353</td><td>1784</td><td>2137</td></tr>
|
|
</table>
|
|
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 59 isolated beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Paced rhythm</td><td align=center>68-82</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>2</td><td align=right> 30:04</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>1</td><td align=right> 0:02</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>Complete heart block is present. The PVCs are multiform.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1070044.xws">0:44</a> Paced rhythm<br>
|
|
<a href="samples/1071230.xws">12:30</a> PVC<br>
|
|
<a href="samples/1071954.xws">19:54</a> PVC<br>
|
|
<a href="samples/1072038.xws">20:38</a> Noise<br>
|
|
<a href="samples/1072552.xws">25:52</a> PVC<br>
|
|
|
|
<hr>
|
|
<h2><a name="108">Record 108</a> (MLII, V1; female, age 87)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Quinaglute<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>279</td><td>1460</td><td>1740</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>4</td><td>4</td></tr>
|
|
<tr align=right><td>PVC</td><td>4</td><td>13</td><td>17</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>-</td><td>2</td><td>2</td></tr>
|
|
<tr align=right><td>Junctional escape</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Blocked APC</td><td>2</td><td>9</td><td>11</td></tr>
|
|
<tr align=right><td>Total</td><td>285</td><td>1489</td><td>1774</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 4 isolated beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 15 isolated beats
|
|
<li> 2 couplets
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>44-78</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>19</td><td align=right> 24:05</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>3</td><td align=right> 0:16</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>12</td><td align=right> 2:45</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>8</td><td align=right> 3:01</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>There is borderline first degree AV block and sinus arrhythmia. The
|
|
PVCs are multiform. The lower channel exhibits considerable noise and
|
|
baseline shifts.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1080022.xws">0:22</a> PVC, blocked APC, noise<br>
|
|
<a href="samples/1080451.xws">4:51</a> Interpolated PVC<br>
|
|
<a href="samples/1080741.xws">7:41</a> Axis shift<br>
|
|
<a href="samples/1080813.xws">8:13</a> PVC, blocked APC, fusion PVC<br>
|
|
<a href="samples/1081055.xws">10:55</a> Sinus arrhythmia<br>
|
|
<a href="samples/1081808.xws">18:08</a> Fusion PVC-PVC couplet<br>
|
|
<a href="samples/1082005.xws">20:05</a> Junctional escape beat<br>
|
|
<a href="samples/1082420.xws">24:20</a> Blocked APC, APCs<br>
|
|
<a href="samples/1082810.xws">28:10</a> Noise<br>
|
|
<a href="samples/1082900.xws">29:00</a> Noise<br>
|
|
|
|
<hr>
|
|
<h2><a name="109">Record 109</a> (MLII, V1; male, age 64)</h2>
|
|
<p>
|
|
<i>Medications:</i> Quinidine<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Left BBB</td><td>425</td><td>2067</td><td>2492</td></tr>
|
|
<tr align=right><td>PVC</td><td>6</td><td>32</td><td>38</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>2</td><td>-</td><td>2</td></tr>
|
|
<tr align=right><td>Total</td><td>433</td><td>2099</td><td>2532</td></tr>
|
|
</table>
|
|
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 40 isolated beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>77-101</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>2</td><td align=right> 29:52</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>1</td><td align=right> 0:14</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>There is first degree AV block. The PVCs are multiform.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1090013.xws">0:13</a> Fusion PVC<br>
|
|
<a href="samples/1090128.xws">1:28</a> PVC<br>
|
|
<a href="samples/1090336.xws">3:36</a> Normal sinus rhythm with left bundle branch block<br>
|
|
<a href="samples/1090446.xws">4:46</a> PVC<br>
|
|
<a href="samples/1090527.xws">5:27</a> Noise<br>
|
|
<a href="samples/1091401.xws">14:01</a> PVC<br>
|
|
<a href="samples/1091713.xws">17:13</a> PVC<br>
|
|
<a href="samples/1091921.xws">19:21</a> PVC<br>
|
|
<a href="samples/1092609.xws">26:09</a> Noise<br>
|
|
<a href="samples/1092803.xws">28:03</a> PVC<br>
|
|
<a href="samples/1092828.xws">28:28</a> Normal sinus rhythm with left bundle branch block<br>
|
|
<a href="samples/1092910.xws">29:10</a> PVC<br>
|
|
|
|
<hr>
|
|
<h2><a name="111">Record 111</a> (MLII, V1; female, age 47)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Lasix<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Left BBB</td><td>348</td><td>1775</td><td>2123</td></tr>
|
|
<tr align=right><td>PVC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Total</td><td>348</td><td>1776</td><td>2124</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>64-82</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>5</td><td align=right> 29:47</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>1</td><td align=right> 0:07</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>3</td><td align=right> 0:11</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>There is first degree AV block. There are short bursts of both baseline
|
|
shifts and muscle noise, but in general, the quality is excellent.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1110025.xws">0:25</a> Normal sinus rhythm, first degree AVB<br>
|
|
<a href="samples/1110241.xws">2:41</a> Baseline shift noise<br>
|
|
<a href="samples/1110352.xws">3:52</a> Noise<br>
|
|
<a href="samples/1110404.xws">4:04</a> Axis shift (in upper signal)<br>
|
|
<a href="samples/1110831.xws">8:31</a> PVC<br>
|
|
<a href="samples/1111153.xws">11:53</a> Axis shift<br>
|
|
<a href="samples/1111541.xws">15:41</a> Noise<br>
|
|
<a href="samples/1111954.xws">19:54</a> Noise<br>
|
|
<a href="samples/1112702.xws">27:02</a> Noise<br>
|
|
|
|
<hr>
|
|
<h2><a name="112">Record 112</a> (MLII, V1; male, age 54)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Pronestyl<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>428</td><td>2109</td><td>2537</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>2</td><td>2</td></tr>
|
|
<tr align=right><td>Total</td><td>428</td><td>2111</td><td>2539</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 2 isolated beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>74-91</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>6</td><td align=right> 29:11</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>2</td><td align=right> 0:21</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>3</td><td align=right> 0:33</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>There is S-T segment depression in the upper channel.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1121140.xws">11:40</a> APC<br>
|
|
<a href="samples/1121230.xws">12:30</a> Axis shift<br>
|
|
<a href="samples/1121249.xws">12:49</a> APC, noise<br>
|
|
|
|
<hr>
|
|
<h2><a name="113">Record 113</a> (MLII, V1; female, age 24)</h2>
|
|
<p>
|
|
<i>Medications:</i> None<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>288</td><td>1501</td><td>1789</td></tr>
|
|
<tr align=right><td>Aberrated APC</td><td>1</td><td>5</td><td>6</td></tr>
|
|
<tr align=right><td>Total</td><td>289</td><td>1506</td><td>1795</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 6 isolated beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>48-87</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The variation in the rate of normal sinus rhythm is possibly due to a
|
|
wandering atrial pacemaker.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1130420.xws">4:20</a> Moderate baseline wander<br>
|
|
<a href="samples/1130822.xws">8:22</a> Aberrated APC<br>
|
|
<a href="samples/1131148.xws">11:48</a> Sinus arrhythmia with variation in P-wave morphology<br>
|
|
<a href="samples/1131227.xws">12:27</a> Sinus arrhythmia<br>
|
|
<a href="samples/1132210.xws">22:10</a> Aberrated APC<br>
|
|
<a href="samples/1132901.xws">29:01</a> Sinus arrhythmia<br>
|
|
|
|
<hr>
|
|
<h2><a name="114">Record 114</a> (V5, MLII; female, age 72)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>261</td><td>1559</td><td>1820</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>10</td><td>10</td></tr>
|
|
<tr align=right><td>Junctional premature</td><td>1</td><td>1</td><td>2</td></tr>
|
|
<tr align=right><td>PVC</td><td>13</td><td>30</td><td>43</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>-</td><td>4</td><td>4</td></tr>
|
|
<tr align=right><td>Total</td><td>275</td><td>1604</td><td>1879</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 7 isolated beats
|
|
<li> 1 run of 5 beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 45 isolated beats
|
|
<li> 1 couplet
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>51-82</td><td align=right>2</td><td align=right> 30:01</td></tr>
|
|
<tr><td>SVTA</td><td align=center>102-122</td><td align=right>1</td><td align=right> 0:05</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>4</td><td align=right> 29:18</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>4</td><td align=right> 0:47</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are uniform.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1140000.xws">0:00</a> Normal sinus rhythm<br>
|
|
<a href="samples/1140120.xws">1:20</a> PVC<br>
|
|
<a href="samples/1140339.xws">3:39</a> PVC<br>
|
|
<a href="samples/1140356.xws">3:56</a> Late-cycle PVC<br>
|
|
<a href="samples/1140435.xws">4:35</a> Late-cycle PVC<br>
|
|
<a href="samples/1140536.xws">5:36</a> Ventricular couplet<br>
|
|
<a href="samples/1140831.xws">8:31</a> PVCs<br>
|
|
<a href="samples/1140926.xws">9:26</a> PVC, muscle noise<br>
|
|
<a href="samples/1141137.xws">11:37</a> SVTA, PVC, junctional premature beat<br>
|
|
<a href="samples/1142002.xws">20:02</a> Noise<br>
|
|
<a href="samples/1142929.xws">29:29</a> Baseline artifact<br>
|
|
|
|
<hr>
|
|
<h2><a name="115">Record 115</a> (MLII, V1; female, age 39)</h2>
|
|
<p>
|
|
<i>Medications:</i> None<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>316</td><td>1637</td><td>1953</td></tr>
|
|
<tr align=right><td>Total</td><td>316</td><td>1637</td><td>1953</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>50-84</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>2</td><td align=right> 29:56</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>1</td><td align=right> 0:09</td></tr>
|
|
</table>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1150055.xws">0:55</a> Normal sinus rhythm<br>
|
|
<a href="samples/1150322.xws">3:22</a> Sinus arrhythmia<br>
|
|
<a href="samples/1151552.xws">15:52</a> Baseline wander in lower signal<br>
|
|
<a href="samples/1152128.xws">21:28</a> Noise in lower signal<br>
|
|
<a href="samples/1152705.xws">27:05</a> Artifacts in lower signal<br>
|
|
<a href="samples/1152842.xws">28:42</a> Normal sinus rhythm<br>
|
|
|
|
<hr>
|
|
<h2><a name="116">Record 116</a> (MLII, V1; male, age 68)</h2>
|
|
<p>
|
|
<i>Medications:</i> None<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>384</td><td>1918</td><td>2302</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>PVC</td><td>11</td><td>98</td><td>109</td></tr>
|
|
<tr align=right><td>Total</td><td>395</td><td>2017</td><td>2412</td></tr>
|
|
</table>
|
|
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 105 isolated beats
|
|
<li> 2 couplets
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>74-86</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>5</td><td align=right> 29:41</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>4</td><td align=right> 0:25</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>There are two PVC forms.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1160044.xws">0:44</a> Normal sinus rhythm<br>
|
|
<a href="samples/1160131.xws">1:31</a> PVCs<br>
|
|
<a href="samples/1161000.xws">10:00</a> Ventricular couplet<br>
|
|
<a href="samples/1161232.xws">12:32</a> PVC<br>
|
|
<a href="samples/1161637.xws">16:37</a> Noise, saturation in upper signal<br>
|
|
<a href="samples/1162308.xws">23:08</a> Noise, saturation in upper signal<br>
|
|
<a href="samples/1162547.xws">25:47</a> Ventricular couplet<br>
|
|
|
|
<hr>
|
|
<h2><a name="117">Record 117 (MLII, V2; male, age 69)</h2>
|
|
<p>
|
|
<i>Medications:</i> None<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>251</td><td>1283</td><td>1534</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Total</td><td>251</td><td>1284</td><td>1535</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>48-66</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>2</td><td align=right> 29:55</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>1</td><td align=right> 0:01</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>1</td><td align=right> 0:09</td></tr>
|
|
</table>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1170356.xws">3:56</a> Normal sinus rhythm<br>
|
|
<a href="samples/1171158.xws">11:58</a> Noise, APC<br>
|
|
<a href="samples/1172227.xws">22:27</a> Normal sinus rhythm<br>
|
|
|
|
<hr>
|
|
<h2><a name="118">Record 118</a> (MLII, V1; male, age 69)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Norpace<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Right BBB</td><td>349</td><td>1817</td><td>2166</td></tr>
|
|
<tr align=right><td>APC</td><td>10</td><td>86</td><td>96</td></tr>
|
|
<tr align=right><td>PVC</td><td>3</td><td>13</td><td>16</td></tr>
|
|
<tr align=right><td>Blocked APC</td><td>3</td><td>7</td><td>10</td></tr>
|
|
<tr align=right><td>Total</td><td>365</td><td>1923</td><td>2288</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 94 isolated beats
|
|
<li> 1 couplet
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 16 isolated beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>54-91</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>7</td><td align=right> 29:32</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>2</td><td align=right> 0:07</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>2</td><td align=right> 0:10</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>2</td><td align=right> 0:18</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are multiform.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1180339.xws">3:39</a> PVC<br>
|
|
<a href="samples/1180831.xws">8:31</a> Noise<br>
|
|
<a href="samples/1180923.xws">9:23</a> PVC<br>
|
|
<a href="samples/1181347.xws">13:47</a> Blocked APC<br>
|
|
<a href="samples/1182232.xws">22:32</a> APC, blocked APC, PVC<br>
|
|
<a href="samples/1182325.xws">23:25</a> APCs<br>
|
|
<a href="samples/1182541.xws">25:41</a> PVC, APC<br>
|
|
<a href="samples/1182623.xws">26:23</a> PVCs<br>
|
|
<a href="samples/1182648.xws">26:48</a> Noise<br>
|
|
<a href="samples/1182858.xws">28:58</a> Atrial couplet<br>
|
|
<a href="samples/1182953.xws">29:53</a> APCs<br>
|
|
|
|
<hr>
|
|
<h2><a name="119">Record 119</a> (MLII, V1; female, age 51)</h2>
|
|
<p>
|
|
<i>Medications:</i> Pronestyl<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>246</td><td>1297</td><td>1543</td></tr>
|
|
<tr align=right><td>PVC</td><td>80</td><td>364</td><td>444</td></tr>
|
|
<tr align=right><td>Total</td><td>326</td><td>1661</td><td>1987</td></tr>
|
|
</table>
|
|
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 444 isolated beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>61-84</td><td align=right>49</td><td align=right> 22:36</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>52-91</td><td align=right>37</td><td align=right> 3:55</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>56-77</td><td align=right>17</td><td align=right> 3:34</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>3</td><td align=right> 29:35</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>2</td><td align=right> 0:30</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are uniform.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1190155.xws">1:55</a> PVC<br>
|
|
<a href="samples/1190238.xws">2:38</a> Ventricular trigeminy<br>
|
|
<a href="samples/1190451.xws">4:51</a> Ventricular bigeminy<br>
|
|
<a href="samples/1190842.xws">8:42</a> Normal sinus rhythm<br>
|
|
<a href="samples/1192005.xws">20:05</a> Noise<br>
|
|
<a href="samples/1192533.xws">25:33</a> Noise<br>
|
|
|
|
<hr>
|
|
<h2><a name="121">Record 121</a> (MLII, V1; female, age 83)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Isordil, Nitropaste<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>303</td><td>1558</td><td>1861</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>PVC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Total</td><td>303</td><td>1560</td><td>1863</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>55-83</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>6</td><td align=right> 29:09</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>3</td><td align=right> 0:16</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>3</td><td align=right> 0:39</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>1</td><td align=right> 0:01</td></tr>
|
|
</table>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1210106.xws">1:06</a> Normal sinus rhythm<br>
|
|
<a href="samples/1210333.xws">3:33</a> Noise in lower signal<br>
|
|
<a href="samples/1211648.xws">16:48</a> APC, PVC<br>
|
|
<a href="samples/1212432.xws">24:32</a> Noise<br>
|
|
<a href="samples/1212601.xws">26:01</a> Noise<br>
|
|
|
|
<hr>
|
|
<h2><a name="122">Record 122</a> (MLII, V1; male, age 51)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Lasix, Pronestyl<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>422</td><td>2054</td><td>2476</td></tr>
|
|
<tr align=right><td>Total</td><td>422</td><td>2054</td><td>2476</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>67-97</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The lower channel has low-amplitude high-frequency noise throughout.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1220109.xws">1:09</a> Noise in lower signal<br>
|
|
<a href="samples/1221347.xws">13:47</a> Normal sinus rhythm<br>
|
|
<a href="samples/1222825.xws">28:25</a> Normal sinus rhythm<br>
|
|
|
|
<hr>
|
|
<h2><a name="123">Record 123</a> (MLII, V5; female, age 63)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Inderal<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>249</td><td>1266</td><td>1515</td></tr>
|
|
<tr align=right><td>PVC</td><td>-</td><td>3</td><td>3</td></tr>
|
|
<tr align=right><td>Total</td><td>249</td><td>1269</td><td>1518</td></tr>
|
|
</table>
|
|
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 3 isolated beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>41-65</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are uniform and interpolated.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1232210.xws">22:10</a> Sinus arrhythmia<br>
|
|
<a href="samples/1232511.xws">25:11</a> Interpolated PVC<br>
|
|
<a href="samples/1232741.xws">27:41</a> Interpolated PVC<br>
|
|
<a href="samples/1232836.xws">28:36</a> Sinus arrhythmia<br>
|
|
|
|
<hr>
|
|
<h2><a name="124">Record 124</a> (MLII, V4; male, age 77)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Isordil, Quinidine<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Right BBB</td><td>238</td><td>1293</td><td>1531</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>2</td><td>2</td></tr>
|
|
<tr align=right><td>Junctional premature</td><td>14</td><td>15</td><td>29</td></tr>
|
|
<tr align=right><td>PVC</td><td>-</td><td>47</td><td>47</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>-</td><td>5</td><td>5</td></tr>
|
|
<tr align=right><td>Junctional escape</td><td>-</td><td>5</td><td>5</td></tr>
|
|
<tr align=right><td>Total</td><td>252</td><td>1367</td><td>1619</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 2 isolated beats
|
|
<li> 1 run of 3 beats
|
|
<li> 2 runs of 6 beats
|
|
<li> 1 run of 14 beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 18 isolated beats
|
|
<li> 1 run of 6 beats
|
|
<li> 1 run of 8 beats
|
|
<li> 1 run of 20 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>47-64</td><td align=right>6</td><td align=right> 28:36</td></tr>
|
|
<tr><td>Nodal (junctional) rhythm</td><td align=center>56-64</td><td align=right>2</td><td align=right> 0:30</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>51-59</td><td align=right>2</td><td align=right> 0:22</td></tr>
|
|
<tr><td>Idioventricular rhythm</td><td align=center>53-61</td><td align=right>3</td><td align=right> 0:37</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>2</td><td align=right> 29:53</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>1</td><td align=right> 0:13</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are multiform. The junctional escape beats follow PVCs.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/1240443.xws">4:43</a> Accelerated junctional rhythm<br>
|
|
<a href="samples/1240509.xws">5:09</a> Accelerated idioventricular rhythm, 20 beats<br>
|
|
<a href="samples/1240521.xws">5:21</a> Accelerated idioventricular rhythm (continued from previous strip)<br>
|
|
<a href="samples/1240905.xws">9:05</a> Noise in lower signal<br>
|
|
<a href="samples/1241027.xws">10:27</a> Accelerated idioventricular rhythm<br>
|
|
<a href="samples/1241738.xws">17:38</a> Accelerated idioventricular rhythm<br>
|
|
<a href="samples/1242013.xws">20:13</a> APC<br>
|
|
<a href="samples/1242322.xws">23:22</a> Ventricular trigeminy<br>
|
|
<a href="samples/1242603.xws">26:03</a> PVC<br>
|
|
<a href="samples/1242741.xws">27:41</a> PVC, junctional escape beats<br>
|
|
|
|
<hr>
|
|
<h2><a name="200">Record 200</a> (MLII, V1; male, age 64)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Quinidine<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>305</td><td>1438</td><td>1743</td></tr>
|
|
<tr align=right><td>APC</td><td>2</td><td>28</td><td>30</td></tr>
|
|
<tr align=right><td>PVC</td><td>126</td><td>700</td><td>826</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>-</td><td>2</td><td>2</td></tr>
|
|
<tr align=right><td>Total</td><td>433</td><td>2168</td><td>2601</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 28 isolated beats
|
|
<li> 1 couplet
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 721 isolated beats
|
|
<li> 42 couplets
|
|
<li> 5 runs of 3 beats
|
|
<li> 2 runs of 4 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>69-111</td><td align=right>70</td><td align=right> 15:58</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>60-108</td><td align=right>71</td><td align=right> 13:52</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>90-141</td><td align=right>7</td><td align=right> 0:15</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>14</td><td align=right> 21:44</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>6</td><td align=right> 0:44</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>16</td><td align=right> 6:36</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>8</td><td align=right> 1:02</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>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.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2000142.xws">1:42</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2000538.xws">5:38</a> Noise<br>
|
|
<a href="samples/2001814.xws">18:14</a> Ventricular tachycardia, 4 beats<br>
|
|
<a href="samples/2002052.xws">20:52</a> Noise<br>
|
|
<a href="samples/2002449.xws">24:49</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2002612.xws">26:12</a> Ventricular couplets<br>
|
|
<a href="samples/2002831.xws">28:31</a> Ventricular couplet<br>
|
|
<a href="samples/2002901.xws">29:01</a> APC, ventricular bigeminy<br>
|
|
<a href="samples/2002918.xws">29:18</a> APC, PVC<br>
|
|
<a href="samples/2002951.xws">29:51</a> PVCs<br>
|
|
|
|
<hr>
|
|
<h2><a name="201">Record 201</a> (MLII, V1; male, age 68)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Hydrochlorthiazide, Inderal, KCl<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>440</td><td>1185</td><td>1625</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>30</td><td>30</td></tr>
|
|
<tr align=right><td>Aberrated APC</td><td>2</td><td>95</td><td>97</td></tr>
|
|
<tr align=right><td>Junctional premature</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>PVC</td><td>-</td><td>198</td><td>198</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>-</td><td>2</td><td>2</td></tr>
|
|
<tr align=right><td>Junctional escape</td><td>-</td><td>10</td><td>10</td></tr>
|
|
<tr align=right><td>Blocked APC</td><td>-</td><td>37</td><td>37</td></tr>
|
|
<tr align=right><td>Total</td><td>442</td><td>1558</td><td>2000</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 79 isolated beats
|
|
<li> 23 couplets
|
|
<li> 1 run of 3 beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 200 isolated beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>31-61</td><td align=right>16</td><td align=right> 12:57</td></tr>
|
|
<tr><td>SVTA</td><td align=center>124</td><td align=right>1</td><td align=right> 0:02</td></tr>
|
|
<tr><td>Atrial fibrillation</td><td align=center>56-149</td><td align=right>3</td><td align=right> 10:06</td></tr>
|
|
<tr><td>Nodal (junctional) rhythm</td><td align=center>37-60</td><td align=right>3</td><td align=right> 0:24</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>49-56</td><td align=right>12</td><td align=right> 6:37</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>2</td><td align=right> 30:00</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>1</td><td align=right> 0:02</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>1</td><td align=right> 0:01</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>1</td><td align=right> 0:02</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are uniform and late-cycle. Junctional escape beats occur following
|
|
episodes of ventricular trigeminy.
|
|
</dd></dl>
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2010000.xws">0:00</a> Atrial fibrillation<br>
|
|
<a href="samples/2010615.xws">6:15</a> Transition from atrial fibrillation to nodal rhythm<br>
|
|
<a href="samples/2010752.xws">7:52</a> Onset of atrial fibrillation with aberrated beats<br>
|
|
<a href="samples/2010853.xws">8:53</a> Blocked APCs<br>
|
|
<a href="samples/2011814.xws">18:14</a> Noise<br>
|
|
<a href="samples/2012016.xws">20:16</a> PVCs, atrial couplet<br>
|
|
<a href="samples/2012233.xws">22:33</a> Ventricular trigeminy<br>
|
|
<a href="samples/2012350.xws">23:50</a> Normal sinus rhythm<br>
|
|
<a href="samples/2012415.xws">24:15</a> Aberrated atrial couplet, fusion PVC<br>
|
|
<a href="samples/2012519.xws">25:19</a> Aberrated atrial couplets with right and left bundle branch block<br>
|
|
<a href="samples/2012620.xws">26:20</a> Supraventricular tachyarrhythmia with aberration, 3 beats<br>
|
|
<a href="samples/2012803.xws">28:03</a> Atrial fibrillation with aberration<br>
|
|
|
|
<hr>
|
|
<h2><a name="202">Record 202</a> (MLII, V1; male, age 68)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Hydrochlorthiazide, Inderal, KCl<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>261</td><td>1800</td><td>2061</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>36</td><td>36</td></tr>
|
|
<tr align=right><td>Aberrated APC</td><td>-</td><td>19</td><td>19</td></tr>
|
|
<tr align=right><td>PVC</td><td>4</td><td>15</td><td>19</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Total</td><td>265</td><td>1871</td><td>2136</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 26 isolated beats
|
|
<li> 13 couplets
|
|
<li> 1 run of 3 beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 20 isolated beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>49-69</td><td align=right>3</td><td align=right> 19:31</td></tr>
|
|
<tr><td>Atrial flutter</td><td align=center>101-143</td><td align=right>1</td><td align=right> 0:48</td></tr>
|
|
<tr><td>Atrial fibrillation</td><td align=center>60-148</td><td align=right>4</td><td align=right> 9:46</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are uniform and late-cycle. This record was taken from the same
|
|
analog tape as record 201.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2021016.xws">10:16</a> Normal sinus rhythm, PVCs<br>
|
|
<a href="samples/2021224.xws">12:24</a> APCs, PVC<br>
|
|
<a href="samples/2021241.xws">12:41</a> Aberrated APCs, PVC<br>
|
|
<a href="samples/2021822.xws">18:22</a> Normal sinus rhythm, bradycardia<br>
|
|
<a href="samples/2021845.xws">18:45</a> Aberrated APCs<br>
|
|
<a href="samples/2021859.xws">18:59</a> Onset of atrial fibrillation with aberrated beats<br>
|
|
<a href="samples/2022110.xws">21:10</a> Atrial fibrillation, PVC<br>
|
|
<a href="samples/2022126.xws">21:26</a> End of atrial fibrillation<br>
|
|
<a href="samples/2022213.xws">22:13</a> Atrial fibrillation, aberrated beats<br>
|
|
<a href="samples/2022558.xws">25:58</a> Atrial flutter with 2:1 conduction<br>
|
|
<a href="samples/2022755.xws">27:55</a> Atrial fibrillation, aberrated beat<br>
|
|
<a href="samples/2022935.xws">29:35</a> Atrial fibrillation<br>
|
|
|
|
<hr>
|
|
<h2><a name="203">Record 203</a> (MLII, V1; male, age 43)</h2>
|
|
<p>
|
|
<i>Medications:</i> Coumadin, Digoxin, Heparin, Hygroton, Lasix<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>426</td><td>2103</td><td>2529</td></tr>
|
|
<tr align=right><td>Aberrated APC</td><td>2</td><td>-</td><td>2</td></tr>
|
|
<tr align=right><td>PVC</td><td>71</td><td>373</td><td>444</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Unclassifiable</td><td>-</td><td>4</td><td>4</td></tr>
|
|
<tr align=right><td>Total</td><td>499</td><td>2481</td><td>2980</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 2 isolated beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 238 isolated beats
|
|
<li> 64 couplets
|
|
<li> 13 runs of 3 beats
|
|
<li> 6 runs of 4 beats
|
|
<li> 1 run of 7 beats
|
|
<li> 1 run of 9 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>63-173</td><td align=right>1</td><td align=right> 2:43</td></tr>
|
|
<tr><td>Atrial flutter</td><td align=center>61-180</td><td align=right>2</td><td align=right> 5:14</td></tr>
|
|
<tr><td>Atrial fibrillation</td><td align=center>54-180</td><td align=right>20</td><td align=right> 21:32</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>100-116</td><td align=right>1</td><td align=right> 0:04</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>124-189</td><td align=right>21</td><td align=right> 0:33</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>21</td><td align=right> 24:28</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>20</td><td align=right> 3:17</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>7</td><td align=right> 1:49</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>8</td><td align=right> 0:30</td></tr>
|
|
<tr><td>Unreadable</td><td align=right>1</td><td align=right> 0:02</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>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!
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2030500.xws">5:00</a> Ventricular tachycardia, 4 beats and 9 beats<br>
|
|
<a href="samples/2031314.xws">13:14</a> Atrial fibrillation, ventricular couplets<br>
|
|
<a href="samples/2031502.xws">15:02</a> Noise<br>
|
|
<a href="samples/2032202.xws">22:02</a> Ventricular couplet, PVCs<br>
|
|
<a href="samples/2032325.xws">23:25</a> Noise<br>
|
|
<a href="samples/2032404.xws">24:04</a> PVCs<br>
|
|
<a href="samples/2032446.xws">24:46</a> Noise<br>
|
|
<a href="samples/2032639.xws">26:39</a> Ventricular tachycardia, 7 beats<br>
|
|
<a href="samples/2032651.xws">26:51</a> Ventricular couplet, PVCs<br>
|
|
<a href="samples/2032715.xws">27:15</a> Ventricular tachycardia, 3 beats<br>
|
|
|
|
<hr>
|
|
<h2><a name="205">Record 205</a> (MLII, V1; male, age 59)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Quinaglute<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>448</td><td>2123</td><td>2571</td></tr>
|
|
<tr align=right><td>APC</td><td>1</td><td>2</td><td>3</td></tr>
|
|
<tr align=right><td>PVC</td><td>6</td><td>65</td><td>71</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>-</td><td>11</td><td>11</td></tr>
|
|
<tr align=right><td>Total</td><td>455</td><td>2201</td><td>2656</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 3 isolated beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 33 isolated beats
|
|
<li> 2 runs of 3 beats
|
|
<li> 1 run of 8 beats
|
|
<li> 1 run of 10 beats
|
|
<li> 1 run of 12 beats
|
|
<li> 1 run of 13 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>80-99</td><td align=right>7</td><td align=right> 29:43</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>79-216</td><td align=right>6</td><td align=right> 0:23</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>2</td><td align=right> 29:43</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>1</td><td align=right> 0:23</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are of two forms, one of which is much more common than the other.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2050457.xws">4:57</a> Ventricular tachycardia, 8 beats and 10 beats<br>
|
|
<a href="samples/2051454.xws">14:54</a> Noise in lower signal<br>
|
|
<a href="samples/2051522.xws">15:22</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2051603.xws">16:03</a> PVC<br>
|
|
<a href="samples/2051615.xws">16:15</a> Fusion PVCs<br>
|
|
<a href="samples/2051957.xws">19:57</a> PVC, APC<br>
|
|
<a href="samples/2052418.xws">24:18</a> Ventricular tachycardia, 12 beats, start of VR, 13 beats<br>
|
|
<a href="samples/2052430.xws">24:30</a> End of VR, 3-beat VT (continued from previous strip)<br>
|
|
<a href="samples/2052757.xws">27:57</a> PVCs<br>
|
|
|
|
<hr>
|
|
<h2><a name="207">Record 207</a> (MLII, V1; female, age 89)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Quinaglute<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Left BBB</td><td>81</td><td>1376</td><td>1457</td></tr>
|
|
<tr align=right><td>Right BBB</td><td>86</td><td>-</td><td>86</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>107</td><td>107</td></tr>
|
|
<tr align=right><td>PVC</td><td>101</td><td>4</td><td>105</td></tr>
|
|
<tr align=right><td>Ventricular flutter wave</td><td>132</td><td>340</td><td>472</td></tr>
|
|
<tr align=right><td>Ventricular escape</td><td>-</td><td>105</td><td>105</td></tr>
|
|
<tr align=right><td>Total</td><td>400</td><td>1932</td><td>2332</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 1 isolated beat
|
|
<li> 1 couplet
|
|
<li> 1 run of 104 beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 89 isolated beats
|
|
<li> 5 couplets
|
|
<li> 2 runs of 3 beats
|
|
<li> 1 run of 12 beats
|
|
<li> 1 run of 16 beats
|
|
<li> 1 run of 28 beats
|
|
<li> 1 run of 36 beats
|
|
<li> 1 run of 40 beats
|
|
<li> 1 run of 445 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>57-90</td><td align=right>10</td><td align=right> 22:20</td></tr>
|
|
<tr><td>SVTA</td><td align=center>108-130</td><td align=right>1</td><td align=right> 0:52</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>49-83</td><td align=right>4</td><td align=right> 2:38</td></tr>
|
|
<tr><td>Idioventricular rhythm</td><td align=center>29-71</td><td align=right>1</td><td align=right> 1:49</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>118-119</td><td align=right>2</td><td align=right> 0:03</td></tr>
|
|
<tr><td>Ventricular flutter</td><td align=center>143-358</td><td align=right>6</td><td align=right> 2:24</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>8</td><td align=right> 28:59</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>4</td><td align=right> 0:22</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>3</td><td align=right> 0:25</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>1</td><td align=right> 0:19</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>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.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2070000.xws">0:00</a> Ventricular bigeminy with right bundle branch block<br>
|
|
<a href="samples/2070033.xws">0:33</a> Ventricular couplet, ventricular tachycardia, ventricular flutter<br>
|
|
<a href="samples/2070045.xws">0:45</a> Ventricular flutter (continued from previous strip)<br>
|
|
<a href="samples/2070057.xws">0:57</a> Ventricular flutter, VT (continued from previous strip)<br>
|
|
<a href="samples/2070128.xws">1:28</a> Normal sinus rhythm with first degree AV block<br>
|
|
<a href="samples/2070207.xws">2:07</a> Ventricular couplet, left and right bundle branch block<br>
|
|
<a href="samples/2070241.xws">2:41</a> Ventricular bigeminy with right bundle branch block<br>
|
|
<a href="samples/2070425.xws">4:25</a> Ventricular couplet, ventricular flutter<br>
|
|
<a href="samples/2070519.xws">5:19</a> Noise<br>
|
|
<a href="samples/2070656.xws">6:56</a> Noise<br>
|
|
<a href="samples/2071735.xws">17:35</a> Normal sinus rhythm with first degree AV block<br>
|
|
<a href="samples/2072536.xws">25:36</a> Ventricular bigeminy with LBBB, ventricular flutter<br>
|
|
<a href="samples/2072610.xws">26:10</a> Ventricular flutter<br>
|
|
<a href="samples/2072714.xws">27:14</a> End of ventricular flutter<br>
|
|
<a href="samples/2072910.xws">29:10</a> Atrial couplet, SVTA (104 beats, to end of record)<br>
|
|
|
|
<hr>
|
|
<h2><a name="208">Record 208</a> (MLII, V1; female, age 23)</h2>
|
|
<p>
|
|
<i>Medications:</i> None<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>278</td><td>1308</td><td>1586</td></tr>
|
|
<tr align=right><td>SVPC</td><td>-</td><td>2</td><td>2</td></tr>
|
|
<tr align=right><td>PVC</td><td>168</td><td>824</td><td>992</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>72</td><td>301</td><td>373</td></tr>
|
|
<tr align=right><td>Unclassifiable</td><td>-</td><td>2</td><td>2</td></tr>
|
|
<tr align=right><td>Total</td><td>518</td><td>2437</td><td>2955</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 2 isolated beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 422 isolated beats
|
|
<li> 461 couplets
|
|
<li> 7 runs of 3 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>91-134</td><td align=right>27</td><td align=right> 24:43</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>79-129</td><td align=right>26</td><td align=right> 5:22</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>8</td><td align=right> 24:46</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>8</td><td align=right> 4:14</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>8</td><td align=right> 1:02</td></tr>
|
|
<tr><td>Unreadable</td><td align=right>1</td><td align=right> 0:03</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>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.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2081457.xws">14:57</a> Noise/artifact<br>
|
|
<a href="samples/2081702.xws">17:02</a> Ventricular couplets<br>
|
|
<a href="samples/2081910.xws">19:10</a> Ventricular trigeminy<br>
|
|
<a href="samples/2082106.xws">21:06</a> Noise<br>
|
|
<a href="samples/2082300.xws">23:00</a> Noise<br>
|
|
<a href="samples/2082808.xws">28:08</a> Ventricular triplet<br>
|
|
<a href="samples/2082858.xws">28:58</a> Ventricular couplets, isolated PVCs<br>
|
|
<a href="samples/2082937.xws">29:37</a> Ventricular triplet<br>
|
|
|
|
<hr>
|
|
<h2><a name="209">Record 209</a> (MLII, V1; male, age 62)</h2>
|
|
<p>
|
|
<i>Medications:</i> Aldomet, Hydrodiuril, Inderal<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>475</td><td>2146</td><td>2621</td></tr>
|
|
<tr align=right><td>APC</td><td>11</td><td>372</td><td>383</td></tr>
|
|
<tr align=right><td>PVC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Total</td><td>486</td><td>2519</td><td>3005</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 119 isolated beats
|
|
<li> 2 couplets
|
|
<li> 1 run of 4 beats
|
|
<li> 1 run of 6 beats
|
|
<li> 1 run of 7 beats
|
|
<li> 1 run of 13 beats
|
|
<li> 1 run of 14 beats
|
|
<li> 1 run of 19 beats
|
|
<li> 1 run of 25 beats
|
|
<li> 1 run of 40 beats
|
|
<li> 1 run of 58 beats
|
|
<li> 1 run of 74 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>82-116</td><td align=right>11</td><td align=right> 28:23</td></tr>
|
|
<tr><td>SVTA</td><td align=center>106-171</td><td align=right>10</td><td align=right> 1:42</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>10</td><td align=right> 23:21</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>10</td><td align=right> 6:44</td></tr>
|
|
</table>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2090047.xws">0:47</a> APC<br>
|
|
<a href="samples/2090550.xws">5:50</a> Noise<br>
|
|
<a href="samples/2091257.xws">12:57</a> PVC<br>
|
|
<a href="samples/2091421.xws">14:21</a> SVTA, 14 beats<br>
|
|
<a href="samples/2092325.xws">23:25</a> APCs<br>
|
|
<a href="samples/2092817.xws">28:17</a> Noise, APC<br>
|
|
<a href="samples/2092833.xws">28:33</a> SVTA, 4 beats, 13 beats<br>
|
|
<a href="samples/2092910.xws">29:10</a> SVTA, 6 beats<br>
|
|
|
|
<hr>
|
|
<h2><a name="210">Record 210</a> (MLII, V1; male, age 89)</h2>
|
|
<p>
|
|
<i>Medications:</i> None<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>413</td><td>2010</td><td>2423</td></tr>
|
|
<tr align=right><td>Aberrated APC</td><td>2</td><td>20</td><td>22</td></tr>
|
|
<tr align=right><td>PVC</td><td>30</td><td>164</td><td>194</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>1</td><td>9</td><td>10</td></tr>
|
|
<tr align=right><td>Ventricular escape</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Total</td><td>446</td><td>2204</td><td>2650</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 20 isolated beats
|
|
<li> 1 couplet
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 163 isolated beats
|
|
<li> 13 couplets
|
|
<li> 1 run of 4 beats
|
|
<li> 2 runs of 6 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Atrial fibrillation</td><td align=center>63-158</td><td align=right>9</td><td align=right> 29:30</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>69-109</td><td align=right>5</td><td align=right> 0:23</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>85-114</td><td align=right>1</td><td align=right> 0:07</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>103-161</td><td align=right>2</td><td align=right> 0:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>6</td><td align=right> 29:16</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>3</td><td align=right> 0:05</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>3</td><td align=right> 0:14</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>5</td><td align=right> 0:30</td></tr>
|
|
<tr><td>Unreadable</td><td align=right>1</td><td align=right> 0:01</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are multiform.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2100347.xws">3:47</a> Noise<br>
|
|
<a href="samples/2100656.xws">6:56</a> Ventricular tachycardia, 6 beats<br>
|
|
<a href="samples/2101314.xws">13:14</a> Ventricular couplets<br>
|
|
<a href="samples/2101555.xws">15:55</a> Noise<br>
|
|
<a href="samples/2101732.xws">17:32</a> Aberrated beat<br>
|
|
<a href="samples/2101757.xws">17:57</a> Ventricular tachycardia, 6 beats<br>
|
|
<a href="samples/2102033.xws">20:33</a> PVCs<br>
|
|
<a href="samples/2102915.xws">29:15</a> PVCs, aberrated beat, ventricular escape beat, fusion PVC<br>
|
|
|
|
<hr>
|
|
<h2><a name="212">Record 212</a> (MLII, V1; female, age 32)</h2>
|
|
<p>
|
|
<i>Medications:</i> None<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>129</td><td>794</td><td>923</td></tr>
|
|
<tr align=right><td>Right BBB</td><td>334</td><td>1491</td><td>1825</td></tr>
|
|
<tr align=right><td>Total</td><td>463</td><td>2285</td><td>2748</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>63-108</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>7</td><td align=right> 29:41</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>3</td><td align=right> 0:10</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>4</td><td align=right> 0:15</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>There is rate-related right bundle branch block which appears when the heart
|
|
rate exceeds approximately 90 bpm.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2120005.xws">0:05</a> Normal sinus rhythm with right bundle branch block<br>
|
|
<a href="samples/2121842.xws">18:42</a> Noise<br>
|
|
<a href="samples/2122421.xws">24:21</a> End of RBBB in normal sinus rhythm as heart rate decreases<br>
|
|
<a href="samples/2122438.xws">24:38</a> Sinus arrhythmia<br>
|
|
<a href="samples/2122645.xws">26:45</a> Noise<br>
|
|
<a href="samples/2122846.xws">28:46</a> Start of RBBB in normal sinus rhythm as heart rate increases<br>
|
|
|
|
<hr>
|
|
<h2><a name="213">Record 213</a> (MLII, V1; male, age 61)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>432</td><td>2209</td><td>2641</td></tr>
|
|
<tr align=right><td>APC</td><td>1</td><td>24</td><td>25</td></tr>
|
|
<tr align=right><td>Aberrated APC</td><td>-</td><td>3</td><td>3</td></tr>
|
|
<tr align=right><td>PVC</td><td>25</td><td>195</td><td>220</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>93</td><td>269</td><td>362</td></tr>
|
|
<tr align=right><td>Total</td><td>551</td><td>2700</td><td>3251</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 26 isolated beats
|
|
<li> 1 couplet
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 560 isolated beats
|
|
<li> 4 couplets
|
|
<li> 3 runs of 3 beats
|
|
<li> 1 run of 5 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>101-113</td><td align=right>22</td><td align=right> 29:01</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>102-116</td><td align=right>19</td><td align=right> 1:00</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>110-117</td><td align=right>2</td><td align=right> 0:04</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>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.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2130339.xws">3:39</a> Fusion PVC couplet<br>
|
|
<a href="samples/2131448.xws">14:48</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2131505.xws">15:05</a> Fusion PVC/PVC couplet<br>
|
|
<a href="samples/2131538.xws">15:38</a> APC<br>
|
|
<a href="samples/2131730.xws">17:30</a> Ventricular tachycardia, 4 beats<br>
|
|
<a href="samples/2131755.xws">17:55</a> PVCs, fusion PVCs, APC<br>
|
|
<a href="samples/2132443.xws">24:43</a> Fusion PVC, PVCs, aberrated APC<br>
|
|
<a href="samples/2132558.xws">25:58</a> Aberrated atrial couplet<br>
|
|
<a href="samples/2132651.xws">26:51</a> Ventricular bigeminy<br>
|
|
<a href="samples/2132856.xws">28:56</a> Fusion PVCs, PVC<br>
|
|
|
|
<hr>
|
|
<h2><a name="214">Record 214</a> (MLII, V1; male, age 53)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Dilantin<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Left BBB</td><td>339</td><td>1664</td><td>2003</td></tr>
|
|
<tr align=right><td>PVC</td><td>44</td><td>212</td><td>256</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Unclassifiable</td><td>-</td><td>2</td><td>2</td></tr>
|
|
<tr align=right><td>Total</td><td>383</td><td>1879</td><td>2262</td></tr>
|
|
</table>
|
|
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 233 isolated beats
|
|
<li> 9 couplets
|
|
<li> 2 runs of 3 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>49-92</td><td align=right>13</td><td align=right> 28:53</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>71-87</td><td align=right>10</td><td align=right> 1:08</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>126-150</td><td align=right>2</td><td align=right> 0:05</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>2</td><td align=right> 29:59</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>2</td><td align=right> 0:02</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>1</td><td align=right> 0:04</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are multiform. There are two episodes of artifactual amplitude
|
|
decrease and one occurrence of tape slippage.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2140030.xws">0:30</a> Normal sinus rhythm with left bundle branch block, PVC<br>
|
|
<a href="samples/2140221.xws">2:21</a> Multiform PVCs<br>
|
|
<a href="samples/2140235.xws">2:35</a> Ventricular couplet<br>
|
|
<a href="samples/2140325.xws">3:25</a> Artifactual amplitude changes<br>
|
|
<a href="samples/2140356.xws">3:56</a> Ventricular couplet<br>
|
|
<a href="samples/2140508.xws">5:08</a> Tape slippage<br>
|
|
<a href="samples/2140538.xws">5:38</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2141353.xws">13:53</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2142317.xws">23:17</a> Ventricular couplet<br>
|
|
<a href="samples/2142752.xws">27:52</a> PVC/fusion PVC couplet<br>
|
|
|
|
<hr>
|
|
<h2><a name="215">Record 215</a> (MLII, V1; male, age 81)</h2>
|
|
<p>
|
|
<i>Medications:</i> None<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>534</td><td>2661</td><td>3195</td></tr>
|
|
<tr align=right><td>APC</td><td>1</td><td>2</td><td>3</td></tr>
|
|
<tr align=right><td>PVC</td><td>33</td><td>131</td><td>164</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Total</td><td>568</td><td>2795</td><td>3363</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 3 isolated beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 120 isolated beats
|
|
<li> 18 couplets
|
|
<li> 3 runs of 3 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>81-124</td><td align=right>3</td><td align=right> 30:03</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>174-177</td><td align=right>2</td><td align=right> 0:02</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>14</td><td align=right> 29:18</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>1</td><td align=right> 0:00</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>14</td><td align=right> 0:39</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>2</td><td align=right> 0:09</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are multiform. There are two very short occurrences of tape slippage
|
|
(each less than one second in duration).
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2150255.xws">2:55</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2150311.xws">3:11</a> Noise, ventricular couplet<br>
|
|
<a href="samples/2150946.xws">9:46</a> PVC, APC<br>
|
|
<a href="samples/2151558.xws">15:58</a> PVC<br>
|
|
<a href="samples/2152025.xws">20:25</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2152216.xws">22:16</a> Tape slippage<br>
|
|
<a href="samples/2152457.xws">24:57</a> Ventricular couplet<br>
|
|
<a href="samples/2152730.xws">27:30</a> Ventricular triplet<br>
|
|
<a href="samples/2152757.xws">27:57</a> Noise in lower signal<br>
|
|
<a href="samples/2152942.xws">29:42</a> Tape slippage, ventricular couplet<br>
|
|
|
|
<hr>
|
|
<h2><a name="217">Record 217</a> (MLII, V1; male, age 65)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Lasix, Quinidine<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>9</td><td>235</td><td>244</td></tr>
|
|
<tr align=right><td>PVC</td><td>22</td><td>140</td><td>162</td></tr>
|
|
<tr align=right><td>Paced</td><td>301</td><td>1241</td><td>1542</td></tr>
|
|
<tr align=right><td>Pacemaker fusion</td><td>31</td><td>229</td><td>260</td></tr>
|
|
<tr align=right><td>Total</td><td>363</td><td>1845</td><td>2208</td></tr>
|
|
</table>
|
|
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 143 isolated beats
|
|
<li> 8 couplets
|
|
<li> 1 run of 3 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Atrial fibrillation</td><td align=center>69-103</td><td align=right>24</td><td align=right> 4:12</td></tr>
|
|
<tr><td>Paced rhythm</td><td align=center>65-76</td><td align=right>33</td><td align=right> 25:10</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>68-91</td><td align=right>9</td><td align=right> 0:42</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>103</td><td align=right>1</td><td align=right> 0:02</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>3</td><td align=right> 30:00</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>2</td><td align=right> 0:05</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are multiform.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2170000.xws">0:00</a> Paced rhythm, pacemaker fusion beat<br>
|
|
<a href="samples/2170033.xws">0:33</a> PVC<br>
|
|
<a href="samples/2170123.xws">1:23</a> PVCs, pacemaker fusion beats<br>
|
|
<a href="samples/2170418.xws">4:18</a> Paced beats, pacemaker fusion beats, normal beats, PVCs<br>
|
|
<a href="samples/2170612.xws">6:12</a> Ventricular couplet<br>
|
|
<a href="samples/2170651.xws">6:51</a> Ventricular couplet<br>
|
|
<a href="samples/2170705.xws">7:05</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2171227.xws">12:27</a> Ventricular bigeminy with paced beats<br>
|
|
<a href="samples/2171401.xws">14:01</a> Noise<br>
|
|
<a href="samples/2171530.xws">15:30</a> Atrial fibrillation<br>
|
|
<a href="samples/2171656.xws">16:56</a> Ventricular couplet<br>
|
|
<a href="samples/2172227.xws">22:27</a> Atrial fibrillation<br>
|
|
|
|
<hr>
|
|
<h2><a name="219">Record 219</a> (MLII, V1; male, age not recorded)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>367</td><td>1715</td><td>2082</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>7</td><td>7</td></tr>
|
|
<tr align=right><td>PVC</td><td>13</td><td>51</td><td>64</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>1</td><td>-</td><td>1</td></tr>
|
|
<tr align=right><td>Blocked APC</td><td>-</td><td>133</td><td>133</td></tr>
|
|
<tr align=right><td>Total</td><td>381</td><td>1906</td><td>2287</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 7 isolated beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 65 isolated beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>38-75</td><td align=right>8</td><td align=right> 6:01</td></tr>
|
|
<tr><td>Atrial fibrillation</td><td align=center>51-103</td><td align=right>10</td><td align=right> 23:47</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>71-88</td><td align=right>2</td><td align=right> 0:08</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>74-94</td><td align=right>1</td><td align=right> 0:10</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>Following some conversions from atrial fibrillation to normal sinus
|
|
rhythm are pauses up to 3 seconds in duration. The PVCs are multiform.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2190249.xws">2:49</a> Fusion PVC<br>
|
|
<a href="samples/2190508.xws">5:08</a> APC<br>
|
|
<a href="samples/2190522.xws">5:22</a> Onset of atrial fibrillation<br>
|
|
<a href="samples/2191350.xws">13:50</a> End of atrial fibrillation, conversion pause, APC, blocked APC<br>
|
|
<a href="samples/2191900.xws">19:00</a> End of atrial fibrillation<br>
|
|
<a href="samples/2191957.xws">19:57</a> Normal sinus rhythm, blocked APCs<br>
|
|
<a href="samples/2192211.xws">22:11</a> End of atrial fibrillation, conversion pause, blocked APCs<br>
|
|
<a href="samples/2192243.xws">22:43</a> Blocked APCs<br>
|
|
<a href="samples/2192443.xws">24:43</a> PVC<br>
|
|
<a href="samples/2192609.xws">26:09</a> Atrial fibrillation<br>
|
|
<a href="samples/2192855.xws">28:55</a> Atrial fibrillation, PVCs<br>
|
|
|
|
<hr>
|
|
<h2><a name="220">Record 220</a> (MLII, V1; female, age 87)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>353</td><td>1601</td><td>1954</td></tr>
|
|
<tr align=right><td>APC</td><td>1</td><td>93</td><td>94</td></tr>
|
|
<tr align=right><td>Total</td><td>354</td><td>1694</td><td>2048</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 38 isolated beats
|
|
<li> 13 couplets
|
|
<li> 6 runs of 3 beats
|
|
<li> 3 runs of 4 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>58-74</td><td align=right>9</td><td align=right> 29:50</td></tr>
|
|
<tr><td>SVTA</td><td align=center>113-150</td><td align=right>8</td><td align=right> 0:16</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>3</td><td align=right> 29:58</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>2</td><td align=right> 0:08</td></tr>
|
|
</table>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2200646.xws">6:46</a> SVTA (3 runs)<br>
|
|
<a href="samples/2201041.xws">10:41</a> SVTA (2 runs)<br>
|
|
<a href="samples/2201810.xws">18:10</a> Atrial couplets<br>
|
|
<a href="samples/2202029.xws">20:29</a> SVTA, atrial couplets<br>
|
|
<a href="samples/2202358.xws">23:58</a> Noise in lower signal<br>
|
|
<a href="samples/2202544.xws">25:44</a> Atrial couplet<br>
|
|
<a href="samples/2202940.xws">29:40</a> APC<br>
|
|
|
|
<hr>
|
|
<h2><a name="221">Record 221</a> (MLII, V1; male, age 83)</h2>
|
|
<p>
|
|
<i>Medications:</i> Hydrochlorthiazide, Lasix<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>327</td><td>1704</td><td>2031</td></tr>
|
|
<tr align=right><td>PVC</td><td>80</td><td>316</td><td>396</td></tr>
|
|
<tr align=right><td>Total</td><td>407</td><td>2020</td><td>2427</td></tr>
|
|
</table>
|
|
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 384 isolated beats
|
|
<li> 3 couplets
|
|
<li> 2 runs of 3 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Atrial fibrillation</td><td align=center>47-110</td><td align=right>12</td><td align=right> 29:17</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>88-101</td><td align=right>1</td><td align=right> 0:03</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>69-92</td><td align=right>8</td><td align=right> 0:42</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>122-130</td><td align=right>2</td><td align=right> 0:04</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>7</td><td align=right> 29:48</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>1</td><td align=right> 0:04</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>5</td><td align=right> 0:14</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are multiform, but one form is much more common than the others.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2210000.xws">0:00</a> Atrial fibrillation, PVCs<br>
|
|
<a href="samples/2210243.xws">2:43</a> Ventricular couplet<br>
|
|
<a href="samples/2211300.xws">13:00</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2211356.xws">13:56</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2211749.xws">17:49</a> Ventricular couplet<br>
|
|
<a href="samples/2211912.xws">19:12</a> PVCs<br>
|
|
<a href="samples/2211942.xws">19:42</a> Noise<br>
|
|
<a href="samples/2212044.xws">20:44</a> Ventricular couplet<br>
|
|
|
|
<hr>
|
|
<h2><a name="222">Record 222</a> (MLII, V1; female, age 84)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Quinidine<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>367</td><td>1695</td><td>2062</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>208</td><td>208</td></tr>
|
|
<tr align=right><td>Junctional premature</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Junctional escape</td><td>-</td><td>212</td><td>212</td></tr>
|
|
<tr align=right><td>Total</td><td>367</td><td>2116</td><td>2483</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 147 isolated beats
|
|
<li> 21 couplets
|
|
<li> 4 runs of 3 beats
|
|
<li> 2 runs of 4 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>49-84</td><td align=right>32</td><td align=right> 15:57</td></tr>
|
|
<tr><td>Atrial bigeminy</td><td align=center>57-98</td><td align=right>3</td><td align=right> 1:28</td></tr>
|
|
<tr><td>SVTA</td><td align=center>121-148</td><td align=right>4</td><td align=right> 0:08</td></tr>
|
|
<tr><td>Atrial flutter</td><td align=center>123-148</td><td align=right>42</td><td align=right> 7:03</td></tr>
|
|
<tr><td>Atrial fibrillation</td><td align=center>69-163</td><td align=right>24</td><td align=right> 1:44</td></tr>
|
|
<tr><td>Nodal (junctional) rhythm</td><td align=center>47-122</td><td align=right>31</td><td align=right> 3:45</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>8</td><td align=right> 29:10</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>3</td><td align=right> 0:08</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>1</td><td align=right> 0:05</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>4</td><td align=right> 0:42</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>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.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2220645.xws">6:45</a> Normal sinus rhythm<br>
|
|
<a href="samples/2221732.xws">17:32</a> Atrial fibrillation<br>
|
|
<a href="samples/2221948.xws">19:48</a> Atrial couplet<br>
|
|
<a href="samples/2222007.xws">20:07</a> Atrial bigeminy<br>
|
|
<a href="samples/2222232.xws">22:32</a> Paroxysmal atrial flutter, nodal rhythm<br>
|
|
<a href="samples/2222443.xws">24:43</a> Noise<br>
|
|
<a href="samples/2222543.xws">25:43</a> End of atrial flutter, nodal rhythm, normal sinus rhythm<br>
|
|
<a href="samples/2222609.xws">26:09</a> Paroxysmal atrial flutter, nodal rhythm<br>
|
|
|
|
<hr>
|
|
<h2><a name="223">Record 223</a> (MLII, V1; male, age 73)</h2>
|
|
<p>
|
|
<i>Medications:</i> None<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>373</td><td>1656</td><td>2029</td></tr>
|
|
<tr align=right><td>APC</td><td>7</td><td>65</td><td>72</td></tr>
|
|
<tr align=right><td>Aberrated APC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>PVC</td><td>18</td><td>455</td><td>473</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>6</td><td>8</td><td>14</td></tr>
|
|
<tr align=right><td>Atrial escape</td><td>2</td><td>14</td><td>16</td></tr>
|
|
<tr align=right><td>Total</td><td>406</td><td>2199</td><td>2605</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 57 isolated beats
|
|
<li> 8 couplets
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 252 isolated beats
|
|
<li> 27 couplets
|
|
<li> 4 runs of 3 beats
|
|
<li> 1 run of 5 beats
|
|
<li> 1 run of 67 beats
|
|
<li> 1 run of 97 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>75-94</td><td align=right>11</td><td align=right> 23:23</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>74-106</td><td align=right>7</td><td align=right> 4:19</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>67-92</td><td align=right>3</td><td align=right> 0:38</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>76-118</td><td align=right>7</td><td align=right> 1:46</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>5</td><td align=right> 28:41</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>5</td><td align=right> 1:20</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>1</td><td align=right> 0:05</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are multiform. The two longest episodes of ventricular tachycardia
|
|
are slow (100 to 105 bpm) and bidirectional.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2230935.xws">9:35</a> Bidirectional ventricular tachycardia<br>
|
|
<a href="samples/2231235.xws">12:35</a> Noise in lower signal<br>
|
|
<a href="samples/2231339.xws">13:39</a> Atrial couplet<br>
|
|
<a href="samples/2231351.xws">13:51</a> Ventricular bigeminy<br>
|
|
<a href="samples/2231721.xws">17:21</a> Bidirectional ventricular tachycardia<br>
|
|
<a href="samples/2231755.xws">17:55</a> End of ventricular tachycardia<br>
|
|
<a href="samples/2231907.xws">19:07</a> APC, ventricular couplet, atrial escape beat, aberrated APC<br>
|
|
<a href="samples/2232358.xws">23:58</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2232547.xws">25:47</a> Ventricular tachycardia, 5 beats<br>
|
|
<a href="samples/2232916.xws">29:16</a> APCs, atrial escape beat, ventricular couplets<br>
|
|
<a href="samples/2232951.xws">29:51</a> Multiform ventricular couplets<br>
|
|
|
|
<hr>
|
|
<h2><a name="228">Record 228</a> (MLII, V1; female, age 80)</h2>
|
|
<p>
|
|
<i>Medications:</i> Digoxin, Norpace<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>290</td><td>1398</td><td>1688</td></tr>
|
|
<tr align=right><td>APC</td><td>-</td><td>3</td><td>3</td></tr>
|
|
<tr align=right><td>PVC</td><td>60</td><td>302</td><td>362</td></tr>
|
|
<tr align=right><td>Total</td><td>350</td><td>1703</td><td>2053</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 3 isolated beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 360 isolated beats
|
|
<li> 1 couplet
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>54-80</td><td align=right>21</td><td align=right> 24:17</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>50-88</td><td align=right>20</td><td align=right> 5:48</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>11</td><td align=right> 28:25</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>10</td><td align=right> 1:40</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>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.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2280019.xws">0:19</a> Ventricular bigeminy<br>
|
|
<a href="samples/2280038.xws">0:38</a> Artifacts<br>
|
|
<a href="samples/2280050.xws">0:50</a> PVC, ventricular couplet<br>
|
|
<a href="samples/2280435.xws">4:35</a> Noise, PVCs<br>
|
|
<a href="samples/2281918.xws">19:18</a> PVC, APC<br>
|
|
<a href="samples/2282008.xws">20:08</a> Baseline noise<br>
|
|
<a href="samples/2282137.xws">21:37</a> Tape slippage<br>
|
|
<a href="samples/2282149.xws">21:49</a> Tape slippage<br>
|
|
<a href="samples/2282642.xws">26:42</a> Ventricular bigeminy<br>
|
|
|
|
<hr>
|
|
<h2><a name="230">Record 230</a> (MLII, V1; male, age 32)</h2>
|
|
<p>
|
|
<i>Medications:</i> Dilantin<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>397</td><td>1858</td><td>2255</td></tr>
|
|
<tr align=right><td>PVC</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Total</td><td>397</td><td>1859</td><td>2256</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>63-99</td><td align=right>104</td><td align=right> 17:45</td></tr>
|
|
<tr><td>Pre-excitation (WPW)</td><td align=center>59-93</td><td align=right>103</td><td align=right> 12:21</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>2</td><td align=right> 30:03</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>1</td><td align=right> 0:03</td></tr>
|
|
</table>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2300000.xws">0:00</a> Onset of pre-excitation<br>
|
|
<a href="samples/2300012.xws">0:12</a> End of pre-excitation (continued from previous strip)<br>
|
|
<a href="samples/2300511.xws">5:11</a> WPW<br>
|
|
<a href="samples/2300926.xws">9:26</a> Normal sinus rhythm<br>
|
|
<a href="samples/2302904.xws">29:04</a> PVC<br>
|
|
|
|
<hr>
|
|
<h2><a name="231">Record 231</a> (MLII, V1; female, age 72)</h2>
|
|
<p>
|
|
<i>Medications:</i> None<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>12</td><td>302</td><td>314</td></tr>
|
|
<tr align=right><td>Right BBB</td><td>278</td><td>976</td><td>1254</td></tr>
|
|
<tr align=right><td>APC</td><td>1</td><td>-</td><td>1</td></tr>
|
|
<tr align=right><td>PVC</td><td>2</td><td>-</td><td>2</td></tr>
|
|
<tr align=right><td>Blocked APC</td><td>2</td><td>-</td><td>2</td></tr>
|
|
<tr align=right><td>Total</td><td>295</td><td>1278</td><td>1573</td></tr>
|
|
</table>
|
|
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 1 couplet
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>49-69</td><td align=right>6</td><td align=right> 18:26</td></tr>
|
|
<tr><td>2° heart block</td><td align=center>34-38</td><td align=right>5</td><td align=right> 11:40</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>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.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2310002.xws">0:02</a> Normal sinus rhythm, Mobitz II block, right bundle branch block<br>
|
|
<a href="samples/2310224.xws">2:24</a> Blocked APCs, APC, ventricular couplet<br>
|
|
<a href="samples/2312011.xws">20:11</a> 2:1 heart block with right bundle branch block<br>
|
|
<a href="samples/2312110.xws">21:10</a> Onset of 2:1 heart block<br>
|
|
<a href="samples/2312322.xws">23:22</a> Transition from 2:1 block with normal conduction to NSR with RBBB<br>
|
|
|
|
<hr>
|
|
<h2><a name="232">Record 232</a> (MLII, V1; female, age 76)</h2>
|
|
<p>
|
|
<i>Medications:</i> Aldomet, Inderal<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Right BBB</td><td>80</td><td>317</td><td>397</td></tr>
|
|
<tr align=right><td>APC</td><td>215</td><td>1167</td><td>1382</td></tr>
|
|
<tr align=right><td>Junctional escape</td><td>-</td><td>1</td><td>1</td></tr>
|
|
<tr align=right><td>Total</td><td>295</td><td>1485</td><td>1780</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 18 isolated beats
|
|
<li> 82 couplets
|
|
<li> 27 runs of 3 beats
|
|
<li> 32 runs of 4 beats
|
|
<li> 17 runs of 5 beats
|
|
<li> 25 runs of 6 beats
|
|
<li> 13 runs of 7 beats
|
|
<li> 13 runs of 8 beats
|
|
<li> 9 runs of 9 beats
|
|
<li> 15 runs of 10 beats
|
|
<li> 11 runs of 11 beats
|
|
<li> 4 runs of 12 beats
|
|
<li> 4 runs of 13 beats
|
|
<li> 2 runs of 14 beats
|
|
<li> 3 runs of 15 beats
|
|
<li> 1 run of 36 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Sinus bradycardia</td><td align=center>24-28</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>14</td><td align=right> 26:38</td></tr>
|
|
<tr><td>Upper noisy</td><td align=right>6</td><td align=right> 1:24</td></tr>
|
|
<tr><td>Lower noisy</td><td align=right>10</td><td align=right> 1:14</td></tr>
|
|
<tr><td>Both noisy</td><td align=right>6</td><td align=right> 0:49</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>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.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2320058.xws">0:58</a> Noise<br>
|
|
<a href="samples/2320151.xws">1:51</a> Atrial couplets<br>
|
|
<a href="samples/2321151.xws">11:51</a> Noise<br>
|
|
<a href="samples/2321306.xws">13:06</a> Atrial couplets<br>
|
|
<a href="samples/2321509.xws">15:09</a> Short runs of SVTA<br>
|
|
<a href="samples/2321817.xws">18:17</a> SVTA, pause<br>
|
|
<a href="samples/2322231.xws">22:31</a> Pauses<br>
|
|
<a href="samples/2322247.xws">22:47</a> Pauses<br>
|
|
<a href="samples/2322320.xws">23:20</a> Pauses<br>
|
|
<a href="samples/2322334.xws">23:34</a> Pause<br>
|
|
<a href="samples/2322353.xws">23:53</a> Sinus bradycardia<br>
|
|
|
|
<hr>
|
|
<h2><a name="233">Record 233</a> (MLII, V1; male, age 57)</h2>
|
|
<p>
|
|
<i>Medications:</i> Dilantin<br>
|
|
<p><table>
|
|
<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
|
|
<tr align=right><td>Normal</td><td>371</td><td>1859</td><td>2230</td></tr>
|
|
<tr align=right><td>APC</td><td>3</td><td>4</td><td>7</td></tr>
|
|
<tr align=right><td>PVC</td><td>139</td><td>692</td><td>831</td></tr>
|
|
<tr align=right><td>Fusion PVC</td><td>5</td><td>6</td><td>11</td></tr>
|
|
<tr align=right><td>Total</td><td>518</td><td>2561</td><td>3079</td></tr>
|
|
</table>
|
|
|
|
<p><i>Supraventricular ectopy</i><br>
|
|
<ul><li> 7 isolated beats
|
|
</ul>
|
|
<p><i>Ventricular ectopy</i><br>
|
|
<ul><li> 704 isolated beats
|
|
<li> 60 couplets
|
|
<li> 6 runs of 3 beats
|
|
</ul>
|
|
<p><table>
|
|
<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Normal sinus rhythm</td><td align=center>98-110</td><td align=right>36</td><td align=right> 28:03</td></tr>
|
|
<tr><td>Ventricular bigeminy</td><td align=center>88-122</td><td align=right>28</td><td align=right> 1:48</td></tr>
|
|
<tr><td>Ventricular trigeminy</td><td align=center>106-122</td><td align=right>1</td><td align=right> 0:04</td></tr>
|
|
<tr><td>Ventricular tachycardia</td><td align=center>120-141</td><td align=right>6</td><td align=right> 0:11</td></tr>
|
|
</table>
|
|
|
|
<p><table>
|
|
<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
|
|
<tr><td>Both clean</td><td align=right>1</td><td align=right> 30:06</td></tr>
|
|
</table>
|
|
|
|
<p><dl><dt>Notes:</dt>
|
|
<dd>The PVCs are multiform.
|
|
</dd></dl>
|
|
|
|
<h3>Points of interest:</h3>
|
|
<a href="samples/2330011.xws">0:11</a> APCs, PVCs<br>
|
|
<a href="samples/2330025.xws">0:25</a> Ventricular tachycardia, 3 beats<br>
|
|
<a href="samples/2330218.xws">2:18</a> Ventricular bigeminy<br>
|
|
<a href="samples/2330243.xws">2:43</a> Fusion PVC/PVC couplet<br>
|
|
<a href="samples/2330339.xws">3:39</a> Ventricular couplets<br>
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<a href="samples/2330502.xws">5:02</a> Transient amplitude decrease on upper signal<br>
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<a href="samples/2330943.xws">9:43</a> Ventricular tachycardia, 3 beats<br>
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<a href="samples/2331620.xws">16:20</a> PVCs, ventricular couplet<br>
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<a href="samples/2331802.xws">18:02</a> PVCs, APC<br>
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<a href="samples/2332223.xws">22:23</a> Ventricular tachycardia, 2 runs of 3 beats, ventricular couplets<br>
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<hr>
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<h2><a name="234">Record 234</a> (MLII, V1; female, age 56)</h2>
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<p>
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<i>Medications:</i> None<br>
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<p><table>
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<tr><th>Beats</th><th>Before 5:00</th><th>After 5:00</th><th>Total</th></tr>
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<tr align=right><td>Normal</td><td>462</td><td>2238</td><td>2700</td></tr>
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<tr align=right><td>Junctional premature</td><td>-</td><td>50</td><td>50</td></tr>
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<tr align=right><td>PVC</td><td>-</td><td>3</td><td>3</td></tr>
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<tr align=right><td>Total</td><td>462</td><td>2291</td><td>2753</td></tr>
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</table>
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<p><i>Supraventricular ectopy</i><br>
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<ul><li> 1 run of 50 beats
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</ul>
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<p><i>Ventricular ectopy</i><br>
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<ul><li> 3 isolated beats
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</ul>
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<p><table>
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<tr><th>Rhythm</th><th>Rate</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Normal sinus rhythm</td><td align=center>84-99</td><td align=right>2</td><td align=right> 29:40</td></tr>
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<tr><td>SVTA</td><td align=center>91-147</td><td align=right>1</td><td align=right> 0:26</td></tr>
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</table>
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<p><table>
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<tr><th>Signal quality</th><th>Episodes</th><th>Duration</th></tr>
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<tr><td>Both clean</td><td align=right>4</td><td align=right> 28:40</td></tr>
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<tr><td>Lower noisy</td><td align=right>4</td><td align=right> 1:18</td></tr>
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<tr><td>Both noisy</td><td align=right>1</td><td align=right> 0:07</td></tr>
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</table>
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<p><dl><dt>Notes:</dt>
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<dd>The PVCs are uniform.
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</dd></dl>
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<h3>Points of interest:</h3>
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<a href="samples/2340016.xws">0:16</a> Normal sinus rhythm<br>
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<a href="samples/2340637.xws">6:37</a> Noise<br>
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<a href="samples/2341401.xws">14:01</a> Onset of junctional tachycardia<br>
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<a href="samples/2341426.xws">14:26</a> End of junctional tachycardia<br>
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<a href="samples/2341702.xws">17:02</a> PVC<br>
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<a href="samples/2342126.xws">21:26</a> PVC<br>
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<a href="samples/2342317.xws">23:17</a> Noise<br>
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<HR>
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<P><ADDRESS>
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<I><A HREF="mailto:george@mit.edu">George B. Moody (<tt>george@mit.edu</tt>)</A></ADDRESS></I><BR>
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24 May 1997 (revised 24 June 2010)
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</body>
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</html>
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