Novacor UK - 01322 660200

AMBULATORY ECG REPORT"R.TEST Evolution"

PATIENT

Surname : XXXXFirst name : XXXXXXXXXDate of birth : xx/xx/1948 Age : 57 years oldSex :Reference :

PROCEDURE REPORT Report date 19/01/2006

Referring physician : Phone :Interpreting physician :Start of procedure date : 10/01/2006 09:14 AM Recorder N : RTM04005373Data transmission date : 19/01/2006Duration of recording : 151h44min

Indications : Treatments :

Type of event Summary of events CriteriaSaved Detected

Isolated Narrow Premas 4 126 Threshold < RR - 25.0% RR2 to 5 Narrow Premas 4 40 Threshold < RR - 25.0% RRNarrow complex Runs 2 2 Threshold < RR - 25.0% RRIsolated Wide Premas 0 * Threshold < RR - 25.0% RR2 to 5 Wide Premas 0 * Threshold < RR - 25.0% RRWide complex Runs 0 0 Threshold < RR - 25.0% RRRelative Pauses 0 0 Duration > 175% RRAbsolute Pauses 0 0 Duration > 2.00 sBradycardias 4 36 Threshold < 50 min-Manual recordings 6 ST - - -

- : Not Programmed * : Not Significant CONCLUSIONS

Technical Comments

Sinus rhythm with occasional and symptomatic SVEs/Junctional complexes. Short runs of SVEs.

Manual recordings show symptomatic premature beats.

Signature of physician

Page 1 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

12h 11/01 12h 12/01 12h 13/01 12h 14/01 12h 15/01 12h 16/01 12h

min-Mean rate (min / max) : 73 min- (46 / 200)

0

50

100

150

200

250

Isolated Narrow Premas

2 to 5 Narrow Premas

Narrow complex Runs

Isolated Wide Premas

2 to 5 Wide Premas

Wide complex Runs

Relative Pauses

Absolute Pauses

Bradycardias

(mm)ST

Page 2 Copyright NOVACOR 1995-2001 V1.12.4

Surname : XXXXXxxxxx Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : xxxxx Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Scale : Y = 1 mV/division X = 20 s/line

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20(s)

Isolated Narrow Prema - 14/01/2006 03:12:41 PM - Basal rate = 111 min-

Isolated Narrow Prema - 13/01/2006 05:04:25 PM - Basal rate = 107 min-

Isolated Narrow Prema - 14/01/2006 03:12:11 PM - Basal rate = 115 min-

Isolated Narrow Prema - 12/01/2006 07:08:02 AM - Basal rate = 107 min-

2 to 5 Narrow Prema (157 min-) - 11/01/2006 07:34:22 PM - Basal rate = 73 min-

2 to 5 Narrow Prema (120 min-) - 11/01/2006 01:45:51 AM - Basal rate = 59 min-

2 to 5 Narrow Prema (120 min-) - 11/01/2006 05:05:30 AM - Basal rate = 59 min-

2 to 5 Narrow Prema (120 min-) - 12/01/2006 05:22:08 AM - Basal rate = 60 min-

Narrow Run (130 min-) - 13/01/2006 12:32:15 AM - Basal rate = 58 min-

Narrow Run (115 min-) - 16/01/2006 07:04:45 AM - Basal rate = 63 min-

Bradycardia (48 min-) - 14/01/2006 05:27:31 AM

Bradycardia (49 min-) - 11/01/2006 12:08:25 AM

Page 3 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Bradycardia (49 min-) - 11/01/2006 12:14:04 AM

Bradycardia (49 min-) - 11/01/2006 03:37:48 AM

Manual recording - 11/01/2006 05:58:50 AM

Manual recording - 11/01/2006 08:34:01 PM

Manual recording - 11/01/2006 10:59:24 PM

Manual recording - 12/01/2006 04:02:38 AM

Manual recording - 12/01/2006 08:16:04 PM

Page 4 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Manual recording - 13/01/2006 09:57:39 PM

Page 5 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Scale : Y = 1 mV/cm X = 25 mm/s

Isolated Narrow Prema - 14/01/2006 03:12:41 PM - Basal rate = 111 min-

2 to 5 Narrow Prema (120 min-) - 11/01/2006 01:45:51 AM - Basal rate = 59 min-

Narrow Run (130 min-) - 13/01/2006 12:32:15 AM - Basal rate = 58 min-

Page 6 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Bradycardia (48 min-) - 14/01/2006 05:27:31 AM

Page 7 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Manual recording - 11/01/2006 05:58:50 AM

Page 8 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Page 9 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Manual recording - 11/01/2006 08:34:01 PM

Page 10 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Page 11 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Manual recording - 11/01/2006 10:59:24 PM

Page 12 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Page 13 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Manual recording - 12/01/2006 04:02:38 AM

Page 14 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Page 15 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Manual recording - 12/01/2006 08:16:04 PM

Page 16 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Page 17 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Manual recording - 13/01/2006 09:57:39 PM

Page 18 Copyright NOVACOR 1995-2001 V1.12.4

Surname : Date of report : 19/01/2006 Novacor UK - 01322 660200 First name : Age : 57 years old Start of procedure date : 10/01/2006 09:14 AM Sex : Duration : 151h44min Reference : Recorder N : RTM04005373 Physician :

Page 19 Copyright NOVACOR 1995-2001 V1.12.4