John J. Patient 123 Main Street , 785.1,

John J. Patient 23 Main Street 5 Portland OR 9786 5' 8'' 57 427.9, 785., 794.3

John J. Patient Procedure Date: November 9, 2 Time: Heart Rate Tachy Brady Pause SVE SVT PVC R on T Couplet Vtach Bigeminy QRS Channel Channel 2 Channel 3 ST Episodes Day Min Max Avg Min Max Min Max Min Max 6: 7: 8: 9: 2: 2: 22: 23: : : 2: 3: 4: 5: 6: 7: 8: 9: : : 2: 3: 4: 5: 6 64 64 7 65 56 55 54 57 7 67 62 55 57 64 59 63 6 59 62 58 56 57 59 5 93 86 94 93 8 84 78 9 92 98 95 97 4 3 96 78 82 92 98 88 83 79 76 79 79 68 68 69 79 77 77 77 75 74 73 8 76 66 7 7 68 69 7 67 2 29 9 7 59 3 62 2 29 28 4 72 2 49 3 46 98 4 7 55 38 42 45 35 99 4 4 3 2 5 3 6 4 2 4 3 2 2 4 2 8 3 5 2 4 5 3 3 6 2 3 2 3 4 2 2298 4522 459 472 4628 42 472 479 4356 4538 464 467 4442 4443 4386 4689 455 398 434 449 44 45 4285 448 -.6 -.2 -.2 -.4 -.2 -.2 -.2 -.2 -.6 -.6 -.4 -.2... -.2 -.2. -.2... -.6.........3.....3.3.3.3.....3... -.6 -.6 -.4 -.4 -.6 -.2 -.2 -.4 -.6 -.6 -.6 -.4 -.4. -.2 -.4 -.4 -.2 -.2... -.4 -.2................3....3.................................................... Total 8 2743 56 22 79 68 25 bpm 3 ( 6::42) 54 (23:54:8) Heart Rate Graph 25 bpm Abnormal Graph bpm 5 / min 25 / min ST Channel Graph / min +5 mm mm ST Channel 2 Graph -5 mm +5 mm mm ST Channel 3 Graph -5 mm +5 mm mm -5 mm 6 7 8 9 2 2 22 23 2 3 4 5 6 7 8 9 2 3 4 5 6 224 35672 November 22, 2 22:24:7 9:32: Page 2 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Time: Heart Rate Tachy Brady Pause SVE SVT PVC R on T Couplet Vtach Bigeminy QRS Channel Channel 2 Channel 3 ST Episodes Day Min Max Avg Min Max Min Max Min Max 6: 7: 8: 9: 2: 2: 22: 23: 24: 25: 26: 27: 28: 29: 3: 3: 32: 33: 34: 35: 36: 37: 38: 39: 58 64 89 75 78 222 95 4 9 443 339 -.2 -.2.............................................. -.2 -.2.............................................................................................. Total 8 2743 56 22 79 68 25 bpm 3 ( 6::42) 54 (23:54:8) Heart Rate Graph 25 bpm Abnormal Graph bpm 5 / min 25 / min ST Channel Graph / min +5 mm mm ST Channel 2 Graph -5 mm +5 mm mm ST Channel 3 Graph -5 mm +5 mm mm -5 mm 6 7 8 9 2 2 22 23 2 3 4 5 6 7 8 9 2 3 4 5 6 224 35672 November 22, 2 22:24:7 9:32: Page 3 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Arrhythmia Profile Graphs Tachycardia Bradycardia Pause SVE SVT PVC R on T Couplet Vtach Bigeminy ST Long QT Atrial Fibrilation Artifact 5 Patient 6 7 8 9 2 2 22 23 2 3 4 5 6 7 8 9 2 3 4 5 6 7 8 9 2 2 22 23 2 3 4 5 6 7 8 9 2 224 35672 November 22, 2 22:24:7 9:32: Page 4 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 The Maximum ST Elevation on channel for the period was.4 mm Maximum QT Distance was 424 msec The Maximum ST Depression on channel for the period was -.6 mm at: 23:52:27 with a Heart Rate of 64 The Maximum ST Elevation on channel 2 for the period was.4 mm The Maximum ST Depression on channel 2 for the period was -.6 mm The Longest ST Episode for the period was at 6:3: with a Heart Rate of Channel Day 25 bpm HR ST bpm +5 mm mm QT -5 mm msec msec Channel 2 Day 25 bpm HR ST bpm +5 mm mm QT -5 mm msec msec Channel 3 Day 25 bpm HR ST bpm +5 mm mm QT -5 mm msec msec 6 7 8 9 2 2 22 23 24 25 26 27 28 29 3 3 32 33 34 35 36 37 38 39 224 35672 November 22, 2 22:24:7 9:32: Page 5 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 The Maximum ST Elevation on channel for the period was.4 mm Maximum QT Distance was 424 msec The Maximum ST Depression on channel for the period was -.6 mm at: 23:52:27 with a Heart Rate of 64 The Maximum ST Elevation on channel 2 for the period was.4 mm The Maximum ST Depression on channel 2 for the period was -.6 mm The Longest ST Episode for the period was at 6:3: with a Heart Rate of Channel Day 2 25 bpm HR ST bpm +5 mm mm QT -5 mm msec msec Channel 2 Day 2 25 bpm HR ST bpm +5 mm mm QT -5 mm msec msec Channel 3 Day 2 25 bpm HR ST bpm +5 mm mm QT -5 mm msec msec 6 7 8 9 2 2 22 23 24 25 26 27 28 29 3 3 32 33 34 35 36 37 38 39 224 35672 November 22, 2 22:24:7 9:32: Page 6 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Sleep Apnea Sleep Apnea 3 Longest 4 sec at: Day :54:24 # Beats: 32 Day - Heart Rate Graph 25 bpm 25 bpm 6 7 8 9 2 2 22 23 2 3 4 5 6 7 8 9 2 3 4 5 Day - Heart Rate Graph SD 5 25 6 7 8 9 2 2 22 23 2 3 4 5 6 7 8 9 2 3 4 5 Sleep Apnea Day Time: Total 22: 23: : : 2: 3: 4: 5: 2 6 2 2 224 35672 November 22, 2 22:24:7 9:32: Page 7 of 63 Copyright 2 - All rights reserved

Day 22: John J. Patient Procedure Date: November 9, 2 224 35672 November 22, 2 22:24:8 9:32: Page 8 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 RR Interval Holter Profile RR Interval Time Domain Graph RR Interval Frequency (Power Spectrum) Graph QRS 4,5 4, 3,5 3, 2,5 2,,5, 5..2.4.6.8..2.4.6.8 Time in Seconds 22 33 44 55 66 77 88 99 Frequency There were a total of 795 Normal Beats The Mean Normal RR Interval was 89.58 sec The Normal RR Interval Standard Deviation was 76.32 sec RR Interval Poincare Graph sec.8.6.4.2..8.6.4.2..2.4.6.8..2.4.6.8 Time in Seconds RR Interval Difference Graph msec +2 +5 + + 5-5 - -5-2 6 7 8 9 2 2 22 23 24 25 26 27 28 29 3 3 32 33 34 35 36 37 38 39 6 7 8 9 2 2 22 23 24 25 26 27 28 29 3 3 32 33 34 35 36 Time: 224 35672 November 22, 2 22:24:8 9:32: Page of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Highest Heart Rate Day 6::42 Heart Rate = 4 5 bpm 57 msec 4 bpm 575 msec 4 bpm 575 msec 3 bpm 58 msec 3 bpm 58 msec bpm 593 msec 99 bpm 62 msec 99 bpm 62 msec 98 bpm 67 msec 96 bpm 625 msec Lowest Heart Rate Day 23:54:8 Heart Rate = 6 6 bpm 99 msec 6 bpm 982 msec 6 bpm msec 59 bpm 4 msec 6 bpm 973 msec 62 bpm 959 msec 224 35672 November 22, 2 22:24:8 9:32: Page of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Patient Day 2 7:44:9 Heart Rate = 6 2 bpm 4968 msec Patient Day :7:6 Heart Rate = 78 77 bpm 772 msec 76 bpm 78 msec 76 bpm 785 msec 75 bpm 794 msec 75 bpm 799 msec 74 bpm 88 msec 74 bpm 88 msec 75 bpm 799 msec 224 35672 November 22, 2 22:24:8 9:32: Page 2 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Supraventricular Ectopic Day 6:47:6 Heart Rate = 75 73 bpm 82 msec 74 bpm 83 msec 73 bpm 82 msec 7 bpm 834 msec 73 bpm 86 msec 73 bpm 82 msec 5 bpm 57 msec 6 bpm 977 msec Supraventricular Ectopic Day 8:39:3 Heart Rate = 72 7 bpm 852 msec 72 bpm 83 msec 72 bpm 825 msec 72 bpm 83 msec 73 bpm 86 msec 7 bpm 843 msec 4 bpm 575 msec 68 bpm msec Supraventricular Ectopic Day :2:23 Heart Rate = 77 74 bpm 83 msec 73 bpm 82 msec 73 bpm 82 msec 73 bpm 82 msec 72 bpm 825 msec 72 bpm 83 msec bpm 544 msec 59 bpm 3 msec 224 35672 November 22, 2 22:24:9 9:32: Page 3 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Supraventricular Ectopic Day :5:3 Heart Rate = 7 68 bpm 5 msec 68 bpm msec 69 bpm 86 msec 69 bpm 866 msec 68 bpm 9 msec 66 bpm 897 msec 99 bpm 62 msec Supraventricular Ectopic Day 2:58:44 Heart Rate = 73 75 bpm 79 msec 73 bpm 82 msec 72 bpm 825 msec 7 bpm 834 msec 7 bpm 852 msec 69 bpm 86 msec bpm 54 msec 57 bpm 4 msec Couplet Day 9:8:26 Heart Rate = 77 77 bpm 776 msec 78 bpm 767 msec 76 bpm 78 msec 22 bpm 49 msec 7 bpm 58 msec 92 bpm 65 msec 92 bpm 647 msec 82 bpm 723 msec 224 35672 November 22, 2 22:24:9 9:32: Page 4 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Couplet Day 9:54:3 Heart Rate = 88 6 bpm 53 msec 72 bpm 83 msec 88 bpm 678 msec 89 bpm 669 msec 22 bpm 49 msec 35 bpm 44 msec 2 bpm 53 msec 3 bpm 58 msec 9 bpm 66 msec 89 bpm 674 msec Couplet Day 9:54:37 Heart Rate = 86 2 bpm 495 msec 62 bpm 959 msec 82 bpm 727 msec 84 bpm 79 msec 7 bpm 58 msec 23 bpm 486 msec 52 bpm 42 msec bpm 6 msec 88 bpm 678 msec Couplet Day 2:4:6 Heart Rate = 75 74 bpm 83 msec 75 bpm 794 msec 75 bpm 794 msec 24 bpm 482 msec 2 bpm 495 msec bpm 6 msec 8 bpm 745 msec 77 bpm 776 msec 224 35672 November 22, 2 22:24:9 9:32: Page 5 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Couplet Day 2:48:26 Heart Rate = 73 58 bpm 22 msec 78 bpm 767 msec 77 bpm 772 msec 8 bpm 54 msec 2 bpm 5 msec 93 bpm 638 msec 85 bpm 75 msec 77 bpm 772 msec Ventricular Tachycardia Day 7:45:44 Heart Rate = 7 83 bpm 78 msec 8 bpm 736 msec 6 bpm 562 msec 67 bpm 883 msec 5 bpm 57 msec 26 bpm 473 msec bpm 6 msec 7 bpm 558 msec bpm 544 msec 8 bpm 745 msec Ventricular Tachycardia Day 22:38:42 Heart Rate = 92 7 bpm 848 msec 92 bpm 647 msec 57 bpm 44 msec 5 bpm 57 msec 37 bpm 437 msec 79 bpm 334 msec 46 bpm 4 msec 77 bpm 772 msec 75 bpm 794 msec 224 35672 November 22, 2 22:24: 9:32: Page 6 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Ventricular Tachycardia Day 22:39:2 Heart Rate = 92 98 bpm 6 msec 58 bpm 22 msec 7 bpm 839 msec 3 bpm 58 msec 33 bpm 45 msec 89 bpm 674 msec 8 bpm 74 msec 73 bpm 86 msec Ventricular Tachycardia Day 22:39:26 Heart Rate = 92 82 bpm 727 msec 66 bpm 897 msec 72 bpm 83 msec 88 bpm 678 msec 37 bpm 437 msec 74 bpm 7 bpm 343 msec 352 msec 89 bpm 669 msec 77 bpm 776 msec Ventricular Tachycardia Day 22:57:42 Heart Rate = 89 4 bpm 575 msec 56 bpm 66 msec 72 bpm 83 msec 8 bpm 553 msec 29 bpm 464 msec 94 bpm 633 msec 77 bpm 776 msec 75 bpm 799 msec 224 35672 November 22, 2 22:24: 9:32: Page 7 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Bigeminy Day 7:46:5 Heart Rate = 9 89 bpm 669 msec bpm 6 msec 3 bpm 526 msec 73 bpm 86 msec 96 bpm 62 msec 82 bpm 727 msec 3 bpm 526 msec 73 bpm 82 msec bpm 683 msec Bigeminy Day 7:49:7 Heart Rate = 84 86 bpm 696 msec 84 bpm 79 msec 85 bpm 7 msec 82 bpm 723 msec bpm 598 msec 7 bpm 848 msec bpm 544 msec 67 bpm 883 msec 2 bpm 535 msec Bigeminy Day 7:49:2 Heart Rate = 84 86 bpm 69 msec bpm 683 msec bpm 589 msec 75 bpm 79 msec bpm 683 msec 85 bpm 7 msec 89 bpm 669 msec 78 bpm 763 msec 97 bpm 66 msec 224 35672 November 22, 2 22:24: 9:32: Page 8 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 Bigeminy Day 8:3:23 Heart Rate = 8 82 bpm 727 msec 84 bpm 74 msec 84 bpm 74 msec bpm 6 msec 78 bpm 763 msec 97 bpm 66 msec 66 bpm 897 msec 79 bpm 754 msec Bigeminy Day 8:3:33 Heart Rate = 8 79 bpm 754 msec 5 bpm 566 msec 63 bpm 95 msec 7 bpm 558 msec 66 bpm 9 msec 8 bpm 553 msec 68 bpm msec 4 bpm 522 msec 224 35672 November 22, 2 22:24: 9:32: Page 9 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 :6:3 6:3 6:32 6:33 6:34 6:35 6:36 6:37 6:38 6:39 6:4 6:4 6:42 6:43 6:44 6:45 6:46 6:47 6:48 6:49 6:5 6:5 6:52 6:53 6:54 6:55 6:56 6:57 6:58 6:59 7: 7: 7:2 7:3 7:4 7:5 7:6 7:7 7:8 7:9 7: 7: 7:2 7:3 7:4 7:5 7:6 7:7 7:8 7:9 7:2 7:2 7:22 7:23 7:24 7:25 7:26 7:27 7:28 7:29 224 35672 November 22, 2 22:24:5 9:32: Page 2 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 :7:3 7:3 7:32 7:33 7:34 7:35 7:36 7:37 7:38 7:39 7:4 7:4 7:42 7:43 7:44 7:45 7:46 7:47 7:48 7:49 7:5 7:5 7:52 7:53 7:54 7:55 7:56 7:57 7:58 7:59 8: 8: 8:2 8:3 8:4 8:5 8:6 8:7 8:8 8:9 8: 8: 8:2 8:3 8:4 8:5 8:6 8:7 8:8 8:9 8:2 8:2 8:22 8:23 8:24 8:25 8:26 8:27 8:28 8:29 224 35672 November 22, 2 22:24:9 9:32: Page 2 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 :8:3 8:3 8:32 8:33 8:34 8:35 8:36 8:37 8:38 8:39 8:4 8:4 8:42 8:43 8:44 8:45 8:46 8:47 8:48 8:49 8:5 8:5 8:52 8:53 8:54 8:55 8:56 8:57 8:58 8:59 9: 9: 9:2 9:3 9:4 9:5 9:6 9:7 9:8 9:9 9: 9: 9:2 9:3 9:4 9:5 9:6 9:7 9:8 9:9 9:2 9:2 9:22 9:23 9:24 9:25 9:26 9:27 9:28 9:29 224 35672 November 22, 2 22:24:23 9:32: Page 22 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 :9:3 9:3 9:32 9:33 9:34 9:35 9:36 9:37 9:38 9:39 9:4 9:4 9:42 9:43 9:44 9:45 9:46 9:47 9:48 9:49 9:5 9:5 9:52 9:53 9:54 9:55 9:56 9:57 9:58 9:59 2: 2: 2:2 2:3 2:4 2:5 2:6 2:7 2:8 2:9 2: 2: 2:2 2:3 2:4 2:5 2:6 2:7 2:8 2:9 2:2 2:2 2:22 2:23 2:24 2:25 2:26 2:27 2:28 2:29 224 35672 November 22, 2 22:24:27 9:32: Page 23 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 :2:3 2:3 2:32 2:33 2:34 2:35 2:36 2:37 2:38 2:39 2:4 2:4 2:42 2:43 2:44 2:45 2:46 2:47 2:48 2:49 2:5 2:5 2:52 2:53 2:54 2:55 2:56 2:57 2:58 2:59 2: 2: 2:2 2:3 2:4 2:5 2:6 2:7 2:8 2:9 2: 2: 2:2 2:3 2:4 2:5 2:6 2:7 2:8 2:9 2:2 2:2 2:22 2:23 2:24 2:25 2:26 2:27 2:28 2:29 224 35672 November 22, 2 22:24:3 9:32: Page 24 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 :2:3 2:3 2:32 2:33 2:34 2:35 2:36 2:37 2:38 2:39 2:4 2:4 2:42 2:43 2:44 2:45 2:46 2:47 2:48 2:49 2:5 2:5 2:52 2:53 2:54 2:55 2:56 2:57 2:58 2:59 22: 22: 22:2 22:3 22:4 22:5 22:6 22:7 22:8 22:9 22: 22: 22:2 22:3 22:4 22:5 22:6 22:7 22:8 22:9 22:2 22:2 22:22 22:23 22:24 22:25 22:26 22:27 22:28 22:29 224 35672 November 22, 2 22:24:35 9:32: Page 25 of 63 Copyright 2 - All rights reserved

John J. Patient Procedure Date: November 9, 2 :22:3 22:3 22:32 22:33 22:34 22:35 22:36 22:37 22:38 22:39 22:4 22:4 22:42 22:43 22:44 22:45 22:46 22:47 22:48 22:49 22:5 22:5 22:52 22:53 22:54 22:55 22:56 22:57 22:58 22:59 23: 23: 23:2 23:3 23:4 23:5 23:6 23:7 23:8 23:9 23: 23: 23:2 23:3 23:4 23:5 23:6 23:7 23:8 23:9 23:2 23:2 23:22 23:23 23:24 23:25 23:26 23:27 23:28 23:29 224 35672 November 22, 2 22:24:39 9:32: Page 26 of 63 Copyright 2 - All rights reserved

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