Download Example #5, Patch Report Heart Rate Patient Events Ectopics

Zio® Patch Report for
iRhythm Technologies, Inc.
Example #5, Patch Report
Tel: (888) 693-2401
www.zioreports.com
Date of Birth
Patient ID
Gender
Primary Indication
Enrollment Period
Analysis Time
01/01/42 (70 yrs)
1234-5678
Female
Arrhythmia (unspecified)
14 days 0 hours
13 days 13 hours
01/03/12, 01:16pm to
(after artifact removed)
Prescriber
Dr. P. Test
Managing Location
01/17/12, 01:36pm
iNCC Lincolnshire
Ventricular Tachycardia (4 beats or more)
Fastest VT (HR Range 114-129 bpm, Avg 123 bpm)
No. of Episodes:
1
None found
Heart Rate
Patient
Triggered
Event?
(± 45s)
YES NO
Pauses (3 secs or longer)
Longest Pause (7.0 secs, 9 bpm)
No. of Episodes:
Maximum HR
Minimum HR
Average HR
160 bpm
27 bpm
61 bpm
(at 04:45pm on 01/16)
(at 08:17am on 01/17)
Patient Events
5
Number of Triggered Events:
None found
4
Findings within ± 45 sec of Triggers:
Sinus Rhythm, Supraventricular Ectopic beat(s)
YES NO
Atrial Fibrillation
Fastest AF (HR Range 102-160 bpm, Avg 128 bpm)
AF Burden:
5%
Number of Diary Entries:
None found
5
Findings within ± 45 sec of Entries:
Sinus Rhythm, Supraventricular Ectopic beat(s)
YES NO
Supraventricular Tachycardia (4 beats or more)
Ectopics
Supraventricular Ectopic Counts (SVE/PACs)
Isolated
38007 3.2% Occasional
Couplet
3113 0.5% Rare
Triplet
441 0.1% Rare
None found
Ventricular Ectopic Counts (VE/PVCs)
Isolated
104 <0.1% Rare
Couplet
0
Triplet
0
AV Block (2nd° Mobitz II, 3rd°)
None found
Longest Ventricular Bigeminy Episode 0.0 secs
Longest Ventricular Trigeminy Episode 0.0 secs
Findings
Final Interpretation
Patient had a min HR of 27 bpm, max HR of 160 bpm, and avg HR of 61
bpm. Predominant underlying rhythm was Sinus Rhythm. 1 run of
Ventricular Tachycardia occurred lasting 5 beats with a max rate of 129
bpm (avg 123 bpm). Atrial Fibrillation occurred (5% burden), ranging from
67-160 bpm (avg of 96 bpm). 5 Pause(s) occurred, the longest lasting 7
secs (9 bpm). SVEs (eg PACs) were present. VEs (eg PVCs) were present.
MD notification criteria for Pauses met - notified Dr. Test on 01/30/2012 at
11:00 am CST (Tech/RN).
SIGNATURE
iRhythm Technologies, Inc., the provider of Zio® products and services,
markets Zio® in collaboration with St. Jude Medical, Inc.
© 2012 iRhythm Technologies, Inc.
Events
6am
noon
6pm
midnight
6am
noon
6pm
Days 1 & 2
HR per 20 min period:
HR
(bpm)
Max/Min
1
0
0
0
0
0
<1
0
Y
Y
6am
noon
6pm
midnight
6am
noon
Avg
Patient diary events
Patient triggered
PVT, VF, TdP
VT
SVT
Pauses
% AF burden
AV Block
SVE/PACs
VE/PVCs
Unanalyzable ECG
6pm
Days 3 & 4
0
0
0
1
0
0
<1
0
Y
Y
6am
noon
6pm
midnight
6am
noon
Patient diary events
Patient triggered
PVT, VF, TdP
VT
SVT
Pauses
% AF burden
AV Block
SVE/PACs
VE/PVCs
Unanalyzable ECG
6pm
Days 5 & 6
1
0
0
0
0
0
<1
0
Y
Y
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
Patient diary events
Patient triggered
PVT, VF, TdP
VT
SVT
Pauses
% AF burden
AV Block
SVE/PACs
VE/PVCs
Unanalyzable ECG
© 2012 iRhythm Technologies, Inc.
Page 2 of 21
6am
noon
6pm
midnight
6am
noon
6pm
Days 7 & 8
HR per 20 min period:
HR
(bpm)
Max/Min
0
1
0
0
0
0
<1
0
Y
Y
6am
noon
6pm
midnight
6am
noon
Avg
Patient diary events
Patient triggered
PVT, VF, TdP
VT
SVT
Pauses
% AF burden
AV Block
SVE/PACs
VE/PVCs
Unanalyzable ECG
6pm
Days 9 & 10
0
0
0
0
0
0
<1
0
Y
Y
6am
noon
6pm
midnight
6am
noon
Patient diary events
Patient triggered
PVT, VF, TdP
VT
SVT
Pauses
% AF burden
AV Block
SVE/PACs
VE/PVCs
Unanalyzable ECG
6pm
Days 11 & 12
2
2
0
0
0
0
<1
0
Y
Y
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
Patient diary events
Patient triggered
PVT, VF, TdP
VT
SVT
Pauses
% AF burden
AV Block
SVE/PACs
VE/PVCs
Unanalyzable ECG
© 2012 iRhythm Technologies, Inc.
Page 3 of 21
6am
noon
6pm
midnight
6am
noon
6pm
Days 13 & 14
HR per 20 min period:
HR
(bpm)
Max/Min
1
1
0
0
0
0
18
0
Y
Y
6am
noon
6pm
midnight
6am
noon
Avg
Patient diary events
Patient triggered
PVT, VF, TdP
VT
SVT
Pauses
% AF burden
AV Block
SVE/PACs
VE/PVCs
Unanalyzable ECG
6pm
Day 15
0
0
0
0
0
5
61
0
Y
Y
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
Patient diary events
Patient triggered
PVT, VF, TdP
VT
SVT
Pauses
% AF burden
AV Block
SVE/PACs
VE/PVCs
Unanalyzable ECG
© 2012 iRhythm Technologies, Inc.
Page 4 of 21
Patient
Events
Patient Triggered Events
Note: Triggered Event strips cover 45 seconds before and after the button
= Patient Triggered Marker
01/09/12
08:31:46am
Artifact, Sinus, SVE Couplet, SVE Single
None found
01/13/12
08:19:47pm
Artifact, Sinus
None found
01/14/12
12:20:56pm
Artifact, Sinus
None found
01/15/12
09:44:45am
Artifact, Sinus, SVE Couplet, SVE Single
None found
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 5 of 21
Patient Diary Entries
Notes: iRhythm cannot verify the accuracy of the patient-reported information provided below.
Patient Diary strips cover 45 seconds before and after the patient's stated diary entry time.
= Patient Triggered Markers captured within the Patient Diary ECG strip.
Date
Time
Symptoms
01/03/12
08:25pm skipped/irregular beat(s), chest pain/pressure
Duration
Activity
less than 1 min
sitting
Duration
Activity
less than 1 min
sitting
Duration
Activity
less than 1 min
sitting
Duration
Activity
between 1 and 10 mins
sitting
Findings: Artifact, Sinus, SVE Single
Date
Time
01/08/12
08:30am short of breath, chest pain/pressure, pounding,
fluttering/racing
Symptoms
Findings: Artifact, Sinus, SVE Single
Date
Time
01/13/12
08:20pm chest pain/pressure, lightheaded, pounding,
short of breath, fluttering/racing,
skipped/irregular beat(s)
Symptoms
Findings: Artifact, Sinus, SVE Single
Date
Time
01/14/12
12:20pm chest pain/pressure, pounding, short of breath,
skipped/irregular beat(s)
Symptoms
Findings: Artifact, Sinus, SVE Single
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 6 of 21
Date
Time
01/15/12
09:45am chest pain/pressure, pounding, dizziness
Symptoms
Duration
Activity
between 1 and 10 mins
washing
Findings: Artifact, Sinus, SVE Couplet, SVE Single
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 7 of 21
day (6am - 10pm)
night
unanalyzable ECG
Episode Heart Rates
VT
Ventricular Tachycardia
(4 beats or more)
Number of episodes
1
Heart
Rate
(bpm)
Average heart rate
123 bpm
Heart rate range
114-129 bpm
Note: Heart rates are calculated
using single, beat-to-beat intervals.
Heart
Rate
(bpm)
1
2
VT with Fastest Heart Rate
# Beats:
Duration:
Average:
Range:
01/05/12
5
3.3 secs
123 bpm
114-129 bpm
# Beats:
Duration:
Average:
Range:
02:23:29am
VT with Fastest Avg. Heart Rate
Pt Triggered?
YES NO
Pt Triggered?
YES NO
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 8 of 21
3
Longest VT Episode
# Beats:
Duration:
Average:
Range:
Pt Triggered?
YES NO
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 9 of 21
day (6am - 10pm)
night
unanalyzable ECG
Number of Pauses per hour
Pauses
(3 secs or longer)
Number of episodes
5
Maximum Pauses per hour
Pauses
(No./hr)
3
Maximum duration
7.0 secs (9 bpm)
Range
4.3-7.0 secs
Pauses
(No./hr)
1
2
Longest Pause
Duration:
01/17/12
7.0 secs (9 bpm)
07:02:56am
Second Longest Pause
Duration:
01/17/12
6.5 secs (9 bpm)
08:17:01am
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Pt Triggered?
YES NO
Pt Triggered?
YES NO
Page 10 of 21
3
Third Longest Pause
Duration:
01/17/12
4.9 secs (12 bpm)
07:03:03am
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Pt Triggered?
YES NO
Page 11 of 21
AF Burden & Heart Rate Averages
AF
Atrial Fibrillation
Time(hr) in
AF per day
AF
Sinus
Total AF during enrollment
5%
Time in AF
Unanalyzable Time
% AF of Analyzable ECG
0h 0m
14h 20m
0%
< 1m
1h 35m
< 1%
< 1m
0h 52m
< 1%
< 1m
0h 57m
< 1%
< 1m
0h 31m
< 1%
< 1m
0h 55m
< 1%
0h 2m
1h 4m
< 1%
Average heart rate
0h 1m
0h 38m
< 1%
96 bpm
Heart rate range
67-160 bpm
Heart Rate
(bpm)
Note: Heart rates are calculated
using a sliding window of 8 beat
intervals.
Time in AF
Unanalyzable Time
% AF of Analyzable ECG
0h 24m
0h 55m
2%
< 1m
0h 29m
< 1%
< 1m
0h 24m
< 1%
< 1m
0h 19m
< 1%
< 1m
0h 14m
< 1%
8h 29m
0h 54m
37%
8h 13m
10h 35m
61%
Heart Rate
(bpm)
1
2
AF with Fastest Heart Rate
Average:
Range:
01/16/12
128 bpm
102-160 bpm
AF with Slowest Heart Rate
Average:
Range:
01/17/12
76 bpm
67-87 bpm
04:45:41pm
07:40:51am
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Pt Triggered?
YES NO
Pt Triggered?
YES NO
Page 12 of 21
3
AF with Fastest Avg. Heart Rate
Average:
Range:
01/16/12
134 bpm
115-156 bpm
04:39:34pm
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Pt Triggered?
YES NO
Page 13 of 21
day (6am - 10pm)
night
unanalyzable ECG
Number of Beats per hour
SVEs
Supraventricular Ectopics
(PACs)
Number of isolated ectopics
38007
3.2%, Occasional
Number of couplets
SVE Beats
(No./hr)
3113
0.5%, Rare
Number of triplets
441
Daily SVEs:
Daily % SVEs:
1053
2.9%
3069
3.9%
1333
1.6%
2853
3.4%
2330
2.7%
4871
6.0%
4608
5.7%
9587
11.6%
3347
4.0%
2353
2.9%
1294
1.5%
2013
2.4%
574
0.5%
849
1.4%
0.1%, Rare
5422
6.7%
SVE Beats
(No./hr)
Daily SVEs:
Daily % SVEs:
1
Isolated SVE
01/08/12
07:25:45am
None found
2
SVE Couplet
01/04/12
04:51:07am
None found
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 14 of 21
3
SVE Triplet
01/07/12
05:04:10am
None found
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 15 of 21
day (6am - 10pm)
night
unanalyzable ECG
Number of Beats per hour
VEs
Ventricular Ectopics (PVCs)
Number of isolated ectopics
104
<0.1%, Rare
Number of couplets
VE Beats
(No./hr)
0
Number of triplets
0
Duration of Longest Bigeminy
0.0 secs
Duration of Longest Trigeminy
0.0 secs
Daily VEs:
Daily %
0
0.0%
4
<0.1%
3
<0.1%
13
<0.1%
3
<0.1%
2
<0.1%
5
<0.1%
15
<0.1%
13
<0.1%
13
<0.1%
4
<0.1%
3
<0.1%
6
<0.1%
2
<0.1%
18
<0.1%
VE Beats
(No./hr)
Daily VEs:
Daily %
1
Isolated VE Beats by Unique Morphology
9 VE beats
3 VE beats
92 VE beats
2
VE Couplet
None found
Patient: Example #5, Patch Report
VE Triplet
3
None found
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 16 of 21
4
Ventricular Bigeminy/Trigeminy
None found
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 17 of 21
Additional
Strips
1
2
3
Maximum Sinus Rate (83 bpm)
01/15/12
09:44:30am
Minimum Heart Rate (27 bpm), Junctional Escape Beats, SVE
01/17/12
08:17:15am
Sinus Rhythm (65 bpm), Paroxysmal Atrial Fibrillation (43-113 bpm), SVEs, SVE Couplets and Triplets
01/09/12
12:37:29pm
Duration: 03 m 00 s
None found
None found
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 18 of 21
4
5
6
Initiation of Atrial Fibrillation (89-128 bpm)
01/16/12
03:15:50pm
Atrial Fibrillation (80-158 bpm)
01/16/12
04:43:36pm
Atrial Fibrillation (63-110 bpm)
01/17/12
01:48:31am
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 19 of 21
7
8
Atrial Fibrillation (85-144 bpm)
01/16/12
08:25:42pm
Termination/Initiation of Atrial Fibrillation (58-97 bpm), 4.4-7.0 Second Pauses
01/17/12
07:02:47am
Patient: Example #5, Patch Report
Juntional Escape Beats
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 20 of 21
9
10
Termination of Atrial Fibrillation (53-103 bpm), 4.3 & 6.5 Second Pauses
01/17/12
08:16:49am
Junctional Escape Beats
Sinus Bradycardia (58 bpm), SVEs
01/09/12
08:31:03am
Associated with patient triggered event
Your Zio® Report is brought to you in partnership with St. Jude Medical. For more than 50 years, St. Jude Medical has been at
the forefront of developing medical device technologies for patients experiencing the types of arrhythmias detected by the
Zio® Patch. The St. Jude Medical suite of products and technologies for treating and managing cardiac arrhythmias includes
pacemakers, implantable cardioverter defibrillators, cardiac resynchronization therapy devices, and ablation systems.
To learn more about device indications and other treatment options from St. Jude Medical, please visit SJMprofessional.com.
Z100A4601.08 | April 2012
ST. JUDE MEDICAL, the nine-squares symbol, and MORE CONTROL. LESS RISK. are registered and unregistered trademarks and service marks of
St. Jude Medical, Inc. and its related companies. Zio® is a registered trademark of iRhythm Technologies, Inc.
Patient: Example #5, Patch Report
ID: 1234-5678
S/N:Z123456789
© 2012 iRhythm Technologies, Inc.
Page 21 of 21