ReadingtheHolterECGReport-DMSoftware.ppt

* DM Software * Pacemaker The Pacemaker report shows the following: * Paced Beat Total * Intrinsic Beat Total * % Paced * % Intrinsic Pacemaker Failures: * Failures to Capture * Failures to Sense * Beats Lower HR Limit * Beats Upper HR Limit * R-R Intervals 1.5 seconds Arrhythmia analysis for VE and SVE beats is performed on Intrinsic (normal) beats. The arrhythmia analysis includes VE Pairs, V-Runs, and SV-Runs. All reported “Pacemaker Failures” should be immediately evaluated by a cardiologist. Pacemaker recordings can be performed with either the 5 or 7 electrode Holter ECG recorder. Always review the Full Disclosure print-out for all Pacemaker patients. If additional ECG strip print-outs are desired, just tell us the times, and the additional ECG strips will be sent to you immediately. * DM Software * FCG CADgram The FCG CADgram was referred to earlier in the 12 Lead Enhanced ST. For those patients who require heavy exercise to show a ST depression, the Holter is generally not a good test, because it is difficult to motivate a patient (and perhaps not safe) to attain their sub-maximal target heart rate. The purpose of the FCG test is to be an indicator and locater the site(s) of blockages in the coronary arteries, without the need for any exercise by the patient. No billing should be attempted for this test. A positive test may prompt the physician to consider a Stress Test. * DM Software * FCG CADgram The FCG test must use only the 10-electrode, 12-Lead Holter digital recorder. The prior page showed a positive FCG CADgram, with blockages indicated in the V5 and V6 areas. This page shows a normal negative FCG CADgram. You can see a series of green horizontal histogram bars for the adjacent ECG leads. The longer the green bars, the more likely you would find blockage