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Premier 12 |
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T-Wave Alternans
Unknown for the past 40 years, T-Wave Alternans (TWA) in
excess of 20 micro-volts have been in Holter recordings but
have been undetected. TWA is a strong predictor of V-Tach
and other serious cardiac abnormalities. It takes less than
10-seconds to do a complete 24-hour TWA analysis.
You can check for TWA anywhere in teh
24-hour ECG file. Not only can you detect TWA in the ECG
file, this software lets you view the ECG showing the actual
TWA, so that you can verify and validate the presence of
real TWA.
The TWA algorithm detects two modes of
TWA. Mode 1 is the beat-to-beat change in T-Wave amplitudes
exceeding 20 micro-volts, as shown in the adjacent picture.
Mode 2 is the gradual up and down changes of T-wave
amplitudes over a series of several beats.
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QT Dispersion
QT Dispersion is the difference in ms from the Min and Max
QT over 3 successvie beats. Quite often a doctor is
interested in the QT Dispersion during an ST Episode or just
prior to a V-Tach.
The above display shows the vertical
markers for measuring the QT intevals as well as a visual
verification for the doctor. The QT Dispersion number is
shown at the top of the ECG display and is printed on the
corresponding 12-Lead ECG Strip. |
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24 Hour Vectorcardiograms
Use the 300-3 Mini-Digital Holter recorder with the XYZ lead
configuration and you can perform Vectorcardiography from
any part of the 24-Hour Holter recording.
The VCG program provides a unique
display and printout of the XYZ ECG leads with 3 vector
planes displayed in the same time dimension as the ECG. You
can select any arrhythmia or ST time period and generate a
vectorcardiography report using the same data that generated
the abnormal ECG.
The VCG report can help the clinician
determine the foci of a VE beat, provide assistance with
borderline ST changes, help determine the end of T-wave,
etc. |
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SAECG Late Potentials
This is unique in Holter ECG. The first 10-minutes of the
300-7 recording has a frequency response of 0.05 to 500.0
Hz. The sample rate for the SAECG file is 1024 samples per
second for each ECG channel. These are the minimum
requriements of the American and European Heart Associations
for diagnostic SAECG Late Potentials.
The continuous high sample rate of the
300-3 recorder allows this software to process an SAECG at
any time period in the 24-Hour Holter recording.
The filtered QRS is determined by a
computer algorithm. If you desire, you can edit the
beginning and ending QRS markers. The section at the end of
the QRS that is designated for SAECG Late Potential analysis
is color-coded. This gives the user a visual verification
that the analysis is being conducted in the appropriate
area.
The computer algorithm reports
analysis of Standard QRS width, Filtered QRS width (fQRS),
LAS<40uV and Last 40ms. A positive SAECG test is generall y
considered to ba a fQRS in excess of 113ms.
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Heart Rate Variability
Heart Rate Variability is analyzed in both Time Domain and
Frequency.
The top of the HRV display shows the
Poincare-Lorenz scatter plots. The lower left shows the
Frequency power graph. The range boundaries for LF, LF and
HF can be adjusted. The lower right shows the Time Domain
histogram. Day and night times can be entered for Sleep
Apnea and for A-Fib. |
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HRV-Autonomic Nervous System
The 3D Power Graph is made up of 288 individual 5-minute
power graphs. The 3D graph provides an instant picture of
the detailed amount of HRV.
A medication management program shows
the doctor the effects of drug therapy on frequency power
for various time intervals. Frequency power numbers are
compared to normal power ranges in the printed HRV report.
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Atrial Fibrillation
Atrial Fibrillation has become an ever increasing concern
for the cardiology clinician. Holter ECG is an excellent
test for detecting transient a-fib.
The purpose of a Holter A-Fib
technology is to detect the minutes of A-Fib rhythm and what
the heart rates are associated with A-Fib activity. The red
area in the above graph shows about 6 hours of A-Fib rhythm.
You can move the cursor to any minute of the 24-hour trend
graph and visually verify the series oir A-Fib rhythm for
the minute of ECG data. An icon allows for all SVE beats to
be deleted for all A-Fib minutes.
Serial comparisons of the A-Fib
reports are an excellent long-term management tool for
measuring the A-Fib status of the patient.
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12-Lead ST Analysis
All 12 Leads are analyzed independently. The ST level is
measured at either the J point or the ST point. Both the J
point and the ST are analyzed for each lead.
You can select any of the 12 leads for
the display at the left side of the screen. The long,
vertical cursor can be moved to any minute and 2
superimposed ECGs are shown for each lead. The green ECG is
the 0 reference baseline and the white ECG is selected by
the cursor. This allows for instant viewing of delta ST
changes for any lead. |
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Page Scan Full Disclosure
The Page Scan shows a 24 hour trend graph across the top of
the screen. You can click on any area of the graph and the
ECG from that time will appear on the screen. A green box
cursor will appear on the ECG data.
Click on any ECG and an enlarged view
of the ECG will appear on the bottom of the screen. This
screen strip can be adjusted to show however many channels
you desire by dragging it up or down. On the above example,
we are showing 4 of the 12 leads of ECG.
You can edit, select strips, increase
the gain and label strips in this screen.
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Requirements:
Windows XP Operating System,4 USB Ports minimum, 512MB RAM,
128MB graphics memory, DVD or CD R-W for file storage and
20GB Hard Disk Drive |
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