Universal ECG Sample Reports

3x4 Simultaneous ECG Report
Patient Details
Name:
ID:
Gender:
Date of Birth:
Height:
Weight:
Jill Simpson
123456789
Female
6/26/1970 (38 years)
5 ft 9 in
0 lbs
Recording Details
Recorded:
Device:
Location:
1/16/2009 4:03:25 PM
CL 131568
Measurements
Heart Rate:
P Duration:
PR Interval:
QRS Duration:
QT Interval:
QTc Interval:
P,QRS,T Axis:
60 bpm
76 ms
158 ms
92 ms
386 ms
386 ms
67, 68, 69
Interpretation (Unconfirmed)
004 Normal sinus rhythm
243 Ischemic ST-T changes in anterior leads
279 Poor R Progression in right precordial
leads
aVR
V1
V4
II
aVL
V2
V5
III
aVF
V3
V6
Comments:
II
Scale: 25.0 mm/s 10.0 mm/mV 5mm/sqr.

Page 1 of 7
Printed: Monday, June 15, 2009
Data must be reviewed by a qualified physician.

Copyright QRS Diagnostic
Filters: 0.05 - 150 Hz
3x4 Sequential ECG Report

Patient Details
Name:
ID:
Gender:
Date of Birth:
Height:
Weight:
Jill Simpson
123456789
Female
6/26/1970 (38 years)
5 ft 9 in
0 lbs
Recording Details
Recorded:
Device:
Location:
1/16/2009 4:03:25 PM
CL 131568
Measurements
Heart Rate:
P Duration:
PR Interval:
QRS Duration:
QT Interval:
QTc Interval:
P,QRS,T Axis:
60 bpm
76 ms
158 ms
92 ms
386 ms
386 ms
67, 68, 69
leads
aVR
V1
V4
II
aVL
V2
V5
III
aVF
V3
V6
Comments:
II

Page 2 of 7

6x2 ECG Report

Patient Details
Name:
ID:
Gender:
Date of Birth:
Height:
Weight:
Jill Simpson
123456789
Female
6/26/1970 (38 years)
5 ft 9 in
0 lbs
Recording Details
Recorded:
Device:
Location:
1/16/2009 4:03:25 PM
CL 131568
Measurements
Heart Rate:
P Duration:
PR Interval:
QRS Duration:
QT Interval:
QTc Interval:
P,QRS,T Axis:
60 bpm
76 ms
158 ms
92 ms
386 ms
386 ms
67, 68, 69
V1
II
V2
III
V3
aVR
V4
aVL
V5
aVF
V6

Page 3 of 7
leads

Comments:
6x1 ECG Report

Patient Details
Name:
ID:
Gender:
Date of Birth:
Height:
Weight:
Jill Simpson
123456789
Female
6/26/1970 (38 years)
5 ft 9 in
0 lbs
Recording Details
Recorded:
Device:
Location:
1/16/2009 4:03:25 PM
CL 131568
Measurements
Heart Rate:
P Duration:
PR Interval:
QRS Duration:
QT Interval:
QTc Interval:
P,QRS,T Axis:
60 bpm
76 ms
158 ms
92 ms
386 ms
386 ms
67, 68, 69
leads
Comments:
II
III
aVR
aVL
aVF

Page 4 of 7

6x1 ECG Report

Patient Details
Name:
ID:
Gender:
Date of Birth:
Height:
Weight:
Jill Simpson
123456789
Female
6/26/1970 (38 years)
5 ft 9 in
0 lbs
Recording Details
Recorded:
Device:
Location:
1/16/2009 4:03:25 PM
CL 131568
Measurements
Heart Rate:
P Duration:
PR Interval:
QRS Duration:
QT Interval:
QTc Interval:
P,QRS,T Axis:
60 bpm
76 ms
158 ms
92 ms
386 ms
386 ms
67, 68, 69
leads
Comments:
V1
V2
V3
V4
V5
V6

Page 5 of 7

ECG Measurements Report

Patient Details
Name:
ID:
Gender:
Date of Birth:
Height:
Weight:
Jill Simpson
123456789
Female
6/26/1970 (38 years)
5 ft 9 in
0 lbs
Recording Details
Recorded:
Device:
Location:
1/16/2009 4:03:25 PM
CL 131568
Measurements
Heart Rate:
P Duration:
PR Interval:
QRS Duration:
QT Interval:
QTc Interval:
P,QRS,T Axis:
60 bpm
76 ms
158 ms
92 ms
386 ms
386 ms
67, 68, 69
leads
Comments:
|
Amplitude (V)
| Slope (V/s) |
Duration (ms)
Lead Type | P+
PQ
R
S
R'
S'
J
ST20 ST60 ST80 T+
T|
ST
| Q
R
S
R'
S'
-------------------------------------------------------------------------------------------------------------------------------------I
qrs
| 73
0
-37
456
-141 0
0
-2
-1
1
10
114
0
-250
6
36
46
II
qRs
| 210
0
-147 1409 -447 0
0
-13
-9
-3
22
360
0
-250
10
34
46
III qRs
| 138
0
-110 953
-306 0
0
-11
-8
-4
12
249
0
0
8
36
46
-------------------------------------------------------------------------------------------------------------------------------------aVR rSr' | 0
-142 0
91
-933 293
0
7
4
0
-17
0
-237
250
8
36
46
aVL rsr' | 0
-33
0
36
-248 83
0
4
3
2
-1
0
-68
-250
6
34
48
aVF qRs
| 173
0
-129 1181 -377 0
0
-13
-9
-4
16
302
0
-250
10
34
46
-------------------------------------------------------------------------------------------------------------------------------------V1
rSr' | 0
-156 0
90
-967 297
0
7
4
0
-18
0
-263
-250
8
36
46
V2
rSr' | 0
-198 0
113
-1205 367
0
9
7
1
-22
0
-309
0
10
34
46
V3
rSr' | 0
-150 0
105
-943 310
0
9
5
-2
-14
0
-238
0
8
36
46
-------------------------------------------------------------------------------------------------------------------------------------V4
qrs
| 69
0
-58
442
-151 0
0
-6
-3
-3
3
116
0
0
6
34
48
V5
qRs
| 99
0
-92
680
-233 0
0
-10
-7
-5
8
178
0
0
8
36
46
V6
qRs
| 101
0
-77
698
-223 0
0
-8
-6
-3
10
180
0
250
8
36
46
--------------------------------------------------------------------------------------------------------------------------------------

Page 7 of 7

Universal ECG Sample Reports

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Universal ECG Sample Reports

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3x4 Simultaneous ECG Report

Scale: 25.0 mm/s 10.0 mm/mV 5mm/sqr.

Printed: Monday, June 15, 2009

Data must be reviewed by a qualified physician.

Filters: 0.05 - 150 Hz

3x4 Sequential ECG Report

Scale: 25.0 mm/s 10.0 mm/mV 5mm/sqr.

Printed: Monday, June 15, 2009

Data must be reviewed by a qualified physician.

Filters: 0.05 - 150 Hz

6x2 ECG Report

Scale: 25.0 mm/s 10.0 mm/mV 5mm/sqr.

Printed: Monday, June 15, 2009

Data must be reviewed by a qualified physician.

Filters: 0.05 - 150 Hz

6x1 ECG Report

Scale: 25.0 mm/s 10.0 mm/mV 5mm/sqr.

Printed: Monday, June 15, 2009

Data must be reviewed by a qualified physician.

Filters: 0.05 - 150 Hz

6x1 ECG Report

Scale: 25.0 mm/s 10.0 mm/mV 5mm/sqr.

Printed: Monday, June 15, 2009

Data must be reviewed by a qualified physician.

Filters: 0.05 - 150 Hz

ECG Measurements Report

Data must be reviewed by a qualified physician.

Printed: Monday, June 15, 2009

Copyright QRS Diagnostic

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