9
3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Willy McKee 123123 Male 1/25/1950 (61 years) 6 ft 3 in 223 lbs Recording Details Recorded: Device: Location: 2/17/2011 2:21:27 PM CL 131568 Measurements Heart Rate: P Duration: PR Interval: QRS Duration: QT Interval: QTc Interval: P,QRS,T Axis: 80 bpm 102 ms 186 ms 100 ms 360 ms 416 ms 49°, 50°, 49° Interpretation (Unconfirmed) 004 Normal sinus rhythm 193 Anteroseptal infarction, probably old 239 Ischemic ST-T changes in posterior leads Comments: Scale: 25.0 mm/s 10.0 mm/mV 5mm/sqr. Filters: 0.05 - 150 Hz I II III aVR aVL aVF V1 V2 V3 V4 V5 V6 II Page 1 of 9 Printed: Wednesday, March 02, 2011 Data must be reviewed by a qualified physician. Copyright QRS Diagnostic ML122 Rev.6/11

ML122 Rev.6/11 - QRS Diagnosticqrsdiagnostic.com/sites/default/files/ECG/ECG Sample...3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Wi

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Page 1: ML122 Rev.6/11 - QRS Diagnosticqrsdiagnostic.com/sites/default/files/ECG/ECG Sample...3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Wi

3x4 S

imu

ltan

eo

us E

CG

Rep

ort

Pa

tie

nt

De

tail

sN

am

e:

ID:

Gen

der:

Date

of

Bir

th:

Heig

ht:

Weig

ht:

Will

y M

cKe

e123123

Male

1/2

5/1

950 (

61 y

ears

)6

ft

3 in

223 lb

s

Re

co

rdin

g D

eta

ils

Reco

rded

:D

evic

e:

Lo

ca

tio

n:

2/1

7/2

01

1 2

:21

:27

PM

CL 1

31568

Me

as

ure

me

nts

Heart

Rate

:P

Du

rati

on

:P

R I

nte

rva

l:Q

RS

Du

rati

on

:Q

T In

terv

al:

QT

c In

terv

al:

P,Q

RS

,T A

xis

:

80 b

pm

10

2 m

s1

86

ms

10

0 m

s3

60

ms

41

6 m

s4

9°,

50

°, 4

Inte

rpre

tati

on

(U

nco

nfi

rmed

)0

04

No

rma

l sin

us r

hyt

hm

19

3 A

nte

rose

pta

l in

farc

tio

n,

pro

ba

bly

old

23

9 I

sch

em

ic S

T-T

ch

an

ge

s in

po

ste

rio

r

leads

Co

mm

en

ts:

Sc

ale

: 2

5.0

mm

/s 1

0.0

mm

/mV

5m

m/s

qr.

Fil

ters

: 0

.05

- 1

50

Hz

I II III

aV

R

aV

L

aV

F

V1

V2

V3

V4

V5

V6

II

Pa

ge

1 o

f 9

Pri

nte

d:

We

dn

esd

ay,

Ma

rch

02

, 2

01

1

Da

ta m

ust

be

re

vie

we

d b

y a

qu

alif

ied

ph

ysic

ian

.

Co

pyri

gh

t Q

RS

Dia

gn

ostic

ML1

22 R

ev.6

/11

Page 2: ML122 Rev.6/11 - QRS Diagnosticqrsdiagnostic.com/sites/default/files/ECG/ECG Sample...3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Wi

3x4 S

eq

uen

tial E

CG

Rep

ort

Pa

tie

nt

De

tail

sN

am

e:

ID:

Gen

der:

Date

of

Bir

th:

Heig

ht:

Weig

ht:

Will

y M

cKe

e123123

Male

1/2

5/1

950 (

61 y

ears

)6

ft

3 in

223 lb

s

Re

co

rdin

g D

eta

ils

Reco

rded

:D

evic

e:

Lo

ca

tio

n:

2/1

7/2

01

1 2

:21

:27

PM

CL 1

31568

Me

as

ure

me

nts

Heart

Rate

:P

Du

rati

on

:P

R I

nte

rva

l:Q

RS

Du

rati

on

:Q

T In

terv

al:

QT

c In

terv

al:

P,Q

RS

,T A

xis

:

80 b

pm

10

2 m

s1

86

ms

10

0 m

s3

60

ms

41

6 m

s4

9°,

50

°, 4

Inte

rpre

tati

on

(U

nco

nfi

rmed

)0

04

No

rma

l sin

us r

hyth

m1

93

An

tero

se

pta

l in

farc

tion

, p

rob

ab

ly o

ld2

39

Isch

em

ic S

T-T

ch

an

ge

s in

po

ste

rio

r

leads

Co

mm

en

ts:

Sc

ale

: 2

5.0

mm

/s 1

0.0

mm

/mV

5m

m/s

qr.

Fil

ters

: 0

.05

- 1

50

Hz

I II III

aV

R

aV

L

aV

F

V1

V2

V3

V4

V5

V6

II

Pa

ge

2 o

f 9

Pri

nte

d:

We

dn

esd

ay,

Ma

rch

02

, 2

01

1

Da

ta m

ust

be

re

vie

we

d b

y a

qu

alif

ied

ph

ysic

ian

.

Co

pyri

gh

t Q

RS

Dia

gn

ostic

ML1

22 R

ev.6

/11

Page 3: ML122 Rev.6/11 - QRS Diagnosticqrsdiagnostic.com/sites/default/files/ECG/ECG Sample...3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Wi

6x2 E

CG

Rep

ort

Pa

tie

nt

De

tail

sN

am

e:

ID:

Gen

der:

Date

of

Bir

th:

Heig

ht:

Weig

ht:

Will

y M

cKe

e123123

Male

1/2

5/1

950 (

61 y

ears

)6

ft

3 in

223 lb

s

Re

co

rdin

g D

eta

ils

Reco

rded

:D

evic

e:

Lo

ca

tio

n:

2/1

7/2

01

1 2

:21

:27

PM

CL 1

31568

Me

as

ure

me

nts

Heart

Rate

:P

Du

rati

on

:P

R I

nte

rva

l:Q

RS

Du

rati

on

:Q

T In

terv

al:

QT

c In

terv

al:

P,Q

RS

,T A

xis

:

80 b

pm

10

2 m

s1

86

ms

10

0 m

s3

60

ms

41

6 m

s4

9°,

50

°, 4

Inte

rpre

tati

on

(U

nco

nfi

rmed

)0

04

No

rma

l sin

us r

hyt

hm

19

3 A

nte

rose

pta

l in

farc

tio

n,

pro

ba

bly

old

23

9 I

sch

em

ic S

T-T

ch

an

ge

s in

po

ste

rio

r

leads

Co

mm

en

ts:

Sc

ale

: 2

5.0

mm

/s 1

0.0

mm

/mV

5m

m/s

qr.

Fil

ters

: 0

.05

- 1

50

Hz

I II III

aV

R

aV

L

aV

F

V1

V2

V3

V4

V5

V6

Pa

ge

3 o

f 9

Pri

nte

d:

We

dn

esd

ay,

Ma

rch

02

, 2

01

1

Da

ta m

ust

be

re

vie

we

d b

y a

qu

alif

ied

ph

ysic

ian

.

Co

pyri

gh

t Q

RS

Dia

gn

ostic

ML1

22 R

ev.6

/11

Page 4: ML122 Rev.6/11 - QRS Diagnosticqrsdiagnostic.com/sites/default/files/ECG/ECG Sample...3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Wi

6x1 E

CG

Rep

ort

Pa

tie

nt

De

tail

sN

am

e:

ID:

Gen

der:

Date

of

Bir

th:

Heig

ht:

Weig

ht:

Will

y M

cKe

e123123

Male

1/2

5/1

950 (

61 y

ears

)6

ft

3 in

223 lb

s

Re

co

rdin

g D

eta

ils

Reco

rded

:D

evic

e:

Lo

ca

tio

n:

2/1

7/2

01

1 2

:21

:27

PM

CL 1

31568

Me

as

ure

me

nts

Heart

Rate

:P

Du

rati

on

:P

R I

nte

rva

l:Q

RS

Du

rati

on

:Q

T In

terv

al:

QT

c In

terv

al:

P,Q

RS

,T A

xis

:

80 b

pm

10

2 m

s1

86

ms

10

0 m

s3

60

ms

41

6 m

s4

9°,

50

°, 4

Inte

rpre

tati

on

(U

nco

nfi

rmed

)0

04

No

rma

l sin

us r

hyth

m1

93

An

tero

se

pta

l in

farc

tion

, p

rob

ab

ly o

ld2

39

Isch

em

ic S

T-T

ch

an

ge

s in

po

ste

rio

r

leads

Co

mm

en

ts:

Sc

ale

: 2

5.0

mm

/s 1

0.0

mm

/mV

5m

m/s

qr.

Fil

ters

: 0

.05

- 1

50

Hz

I II III

aV

R

aV

L

aV

F

Pa

ge

4 o

f 9

Pri

nte

d:

We

dn

esd

ay,

Ma

rch

02

, 2

01

1

Da

ta m

ust

be

re

vie

we

d b

y a

qu

alif

ied

ph

ysic

ian

.

Co

pyri

gh

t Q

RS

Dia

gn

ostic

ML1

22 R

ev.6

/11

Page 5: ML122 Rev.6/11 - QRS Diagnosticqrsdiagnostic.com/sites/default/files/ECG/ECG Sample...3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Wi

6x1 E

CG

Rep

ort

Pa

tie

nt

De

tail

sN

am

e:

ID:

Gen

der:

Date

of

Bir

th:

Heig

ht:

Weig

ht:

Will

y M

cKe

e123123

Male

1/2

5/1

950 (

61 y

ears

)6

ft

3 in

223 lb

s

Re

co

rdin

g D

eta

ils

Reco

rded

:D

evic

e:

Lo

ca

tio

n:

2/1

7/2

01

1 2

:21

:27

PM

CL 1

31568

Me

as

ure

me

nts

Heart

Rate

:P

Du

rati

on

:P

R I

nte

rva

l:Q

RS

Du

rati

on

:Q

T In

terv

al:

QT

c In

terv

al:

P,Q

RS

,T A

xis

:

80 b

pm

10

2 m

s1

86

ms

10

0 m

s3

60

ms

41

6 m

s4

9°,

50

°, 4

Inte

rpre

tati

on

(U

nco

nfi

rmed

)0

04

No

rma

l sin

us r

hyt

hm

19

3 A

nte

rose

pta

l in

farc

tio

n,

pro

ba

bly

old

23

9 I

sch

em

ic S

T-T

ch

an

ge

s in

po

ste

rio

r

leads

Co

mm

en

ts:

Sc

ale

: 2

5.0

mm

/s 1

0.0

mm

/mV

5m

m/s

qr.

Fil

ters

: 0

.05

- 1

50

Hz

V1

V2

V3

V4

V5

V6

Pa

ge

5 o

f 9

Pri

nte

d:

We

dn

esd

ay,

Ma

rch

02

, 2

01

1

Da

ta m

ust

be

re

vie

we

d b

y a

qu

alif

ied

ph

ysic

ian

.

Co

pyri

gh

t Q

RS

Dia

gn

ostic

ML1

22 R

ev.6

/11

Page 6: ML122 Rev.6/11 - QRS Diagnosticqrsdiagnostic.com/sites/default/files/ECG/ECG Sample...3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Wi

Av

era

ged

Co

mp

lexes E

CG

Rep

ort

Pa

tie

nt

De

tail

sN

am

e:

ID:

Gen

der:

Date

of

Bir

th:

Heig

ht:

Weig

ht:

Will

y M

cKe

e123123

Male

1/2

5/1

950 (

61 y

ears

)6

ft

3 in

223 lb

s

Re

co

rdin

g D

eta

ils

Reco

rded

:D

evic

e:

Lo

ca

tio

n:

2/1

7/2

01

1 2

:21

:27

PM

CL 1

31568

Me

as

ure

me

nts

Heart

Rate

:P

Du

rati

on

:P

R I

nte

rva

l:Q

RS

Du

rati

on

:Q

T In

terv

al:

QT

c In

terv

al:

P,Q

RS

,T A

xis

:

80 b

pm

10

2 m

s1

86

ms

10

0 m

s3

60

ms

41

6 m

s4

9°,

50

°, 4

Inte

rpre

tati

on

(U

nco

nfi

rmed

)0

04

No

rma

l sin

us r

hyth

m1

93

An

tero

se

pta

l in

farc

tion

, p

rob

ab

ly o

ld2

39

Isch

em

ic S

T-T

ch

an

ge

s in

po

ste

rio

r

leads

Co

mm

en

ts:

Sc

ale

: 2

5.0

mm

/s 1

0.0

mm

/mV

5m

m/s

qr.

Fil

ters

: 0

.05

- 1

50

Hz

I II III

aV

R

aV

L

aV

F

V1

V2

V3

V4

V5

V6

II

Pa

ge

6 o

f 9

Pri

nte

d:

We

dn

esd

ay,

Ma

rch

02

, 2

01

1

Da

ta m

ust

be

re

vie

we

d b

y a

qu

alif

ied

ph

ysic

ian

.

Co

pyri

gh

t Q

RS

Dia

gn

ostic

ML1

22 R

ev.6

/11

Page 7: ML122 Rev.6/11 - QRS Diagnosticqrsdiagnostic.com/sites/default/files/ECG/ECG Sample...3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Wi

EC

G M

ea

su

rem

en

ts R

ep

ort

Pa

tie

nt

De

tail

sN

am

e:

ID:

Gen

der:

Date

of

Bir

th:

Heig

ht:

Weig

ht:

Will

y M

cKe

e123123

Male

1/2

5/1

950 (

61 y

ears

)6

ft

3 in

223 lb

s

Re

co

rdin

g D

eta

ils

Reco

rded

:D

evic

e:

Lo

ca

tio

n:

2/1

7/2

01

1 2

:21

:27

PM

CL 1

31568

Me

as

ure

me

nts

Heart

Rate

:P

Du

rati

on

:P

R I

nte

rva

l:Q

RS

Du

rati

on

:Q

T In

terv

al:

QT

c In

terv

al:

P,Q

RS

,T A

xis

:

80 b

pm

10

2 m

s1

86

ms

10

0 m

s3

60

ms

41

6 m

s4

9°,

50

°, 4

Inte

rpre

tati

on

(U

nco

nfi

rmed

)0

04

No

rma

l sin

us r

hyt

hm

19

3 A

nte

rose

pta

l in

farc

tio

n,

pro

ba

bly

old

23

9 I

sch

em

ic S

T-T

ch

an

ge

s in

po

ste

rio

r

leads

Co

mm

en

ts:

| Amplitude (µV) | Slope (µV/s) | Duration (ms)

Lead Type | P+ P- Q R S R' S' J ST20 ST60 ST80 T+ T- | ST | Q R S R' S'

--------------------------------------------------------------------------------------------------------------------------------------

I rs | 65 0 0 475 -62 0 0 -5 -3 -3 24 142 0 0 - 66 30 - -

II Rs | 108 0 0 831 -122 0 0 -8 -6 -5 50 235 0 250 - 68 30 - -

III rs | 50 0 0 355 -61 0 0 -4 -4 -3 25 94 0 250 - 66 30 - -

--------------------------------------------------------------------------------------------------------------------------------------

aVR Qr | 0 -87 -653 91 0 0 0 6 4 3 -38 0 -189 0 68 30 - - -

aVL r | 0 0 0 60 0 0 0 -1 0 0 -1 0 0 -250 - 92 - - -

aVF Rs | 76 0 0 593 -92 0 0 -7 -6 -5 37 164 0 250 - 68 30 - -

--------------------------------------------------------------------------------------------------------------------------------------

V1 qr | 0 -63 -465 48 0 0 0 3 2 -1 -29 0 -136 1000 66 30 - - -

V2 Qr | 0 -74 -521 68 0 0 0 5 4 4 -31 0 -163 750 68 30 - - -

V3 Rs | 92 0 0 628 -85 0 0 -4 -7 -4 51 174 0 500 - 68 30 - -

--------------------------------------------------------------------------------------------------------------------------------------

V4 Rs | 98 0 0 726 -111 0 0 -6 -7 -5 45 208 0 500 - 68 30 - -

V5 Rs | 72 0 0 533 -82 0 0 -4 -6 -5 34 134 0 500 - 68 30 - -

V6 rs | 60 0 0 465 -76 0 0 -5 -6 -6 29 128 0 500 - 68 30 - -

--------------------------------------------------------------------------------------------------------------------------------------

Pa

ge

7 o

f 9

Pri

nte

d:

We

dn

esd

ay,

Ma

rch

02

, 2

01

1

Da

ta m

ust

be

re

vie

we

d b

y a

qu

alif

ied

ph

ysic

ian

.

Co

pyri

gh

t Q

RS

Dia

gn

ostic

ML1

22 R

ev.6

/11

Page 8: ML122 Rev.6/11 - QRS Diagnosticqrsdiagnostic.com/sites/default/files/ECG/ECG Sample...3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Wi

Av

g Z

oo

m R

ep

ort

Pa

tie

nt

De

tail

sN

am

e:

ID:

Gen

der:

Date

of

Bir

th:

Heig

ht:

Weig

ht:

Will

y M

cKe

e123123

Male

1/2

5/1

950 (

61 y

ears

)6

ft

3 in

223 lb

s

Re

co

rdin

g D

eta

ils

Reco

rded

:D

evic

e:

Lo

ca

tio

n:

2/1

7/2

01

1 2

:21

:27

PM

CL 1

31568

Me

as

ure

me

nts

Heart

Rate

:P

Du

rati

on

:P

R I

nte

rva

l:Q

RS

Du

rati

on

:Q

T In

terv

al:

QT

c In

terv

al:

P,Q

RS

,T A

xis

:

80 b

pm

10

2 m

s1

86

ms

10

0 m

s3

60

ms

41

6 m

s4

9°,

50

°, 4

Inte

rpre

tati

on

(U

nco

nfi

rmed

)0

04

No

rma

l sin

us r

hyth

m1

93

An

tero

se

pta

l in

farc

tion

, p

rob

ab

ly o

ld2

39

Isch

em

ic S

T-T

ch

an

ge

s in

po

ste

rio

r

leads

Co

mm

en

ts:

Sc

ale

: 2

5.0

mm

/s 1

0.0

mm

/mV

5m

m/s

qr.

( X

2.0

0)

Fil

ters

: 0

.05

- 1

50

Hz

102 m

s100 m

s

186 m

s360 m

s

I HR

:

80 b

pm

Q:

0 m

s, 0

µV

R:

66 m

s, 4

75 µ

VS

: 30 m

s, -

62 µ

VR

':

0 m

s, 0

µV

S':

0 m

s, 0

µV

ST

j:

-5 µ

VS

T20: -

3 µ

VS

T60: -

3 µ

VS

T80: 2

4 µ

VS

T:

0 µ

V/s

Pa

ge

8 o

f 9

Pri

nte

d:

We

dn

esd

ay,

Ma

rch

02

, 2

01

1

Da

ta m

ust

be

re

vie

we

d b

y a

qu

alif

ied

ph

ysic

ian

.

Co

pyri

gh

t Q

RS

Dia

gn

ostic

ML1

22 R

ev.6

/11

Page 9: ML122 Rev.6/11 - QRS Diagnosticqrsdiagnostic.com/sites/default/files/ECG/ECG Sample...3x4 Simultaneous ECG Report Patient Details Name: ID: Gender: Date of Birth: Height: Weight: Wi

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Will

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950 (

61 y

ears

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ft

3 in

223 lb

s

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Heart

Rate

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:Q

T In

terv

al:

QT

c In

terv

al:

P,Q

RS

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xis

:

80 b

pm

10

2 m

s1

86

ms

10

0 m

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60

ms

41

6 m

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50

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( X

2.0

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ters

: 0

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50

Hz

I HR

:

80 b

pm

Q:

0 m

s, 0

µV

R:

66 m

s, 4

75 µ

VS

: 30 m

s, -

62 µ

VR

':

0 m

s, 0

µV

S':

0 m

s, 0

µV

ST

j:

-5 µ

VS

T20: -

3 µ

VS

T60: -

3 µ

VS

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ev.6

/11

ML1

22 R

ev.6

/11