100 11:03 Normal sinus rhythm 100 25:13 PVC 100 26:09 APCs 100 27:55 Normal sinus rhythm 101 1:34 Normal sinus rhythm 101 1:48 Noise 101 5:13 Noise/artifact 101 9:54 APC 101 24:32 APC 102 0:55 Paced rhythm 102 1:12 Transition from paced to normal sinus rhythm 102 1:28 PVC 102 2:30 Normal sinus rhythm 102 4:51 Pacemaker fusion beats 102 9:35 PVC 102 16:12 Paced rhythm 103 1:09 Normal sinus rhythm 103 17:21 Normal sinus rhythm 103 19:15 APC, noise in lower signal 103 22:13 Noise in lower signal 103 23:33 Noise in lower signal 103 28:58 Noise in lower signal 104 3:42 PVC 104 5:13 Noise 104 5:52 Transition from paced to normal sinus rhythm 104 6:17 Noise 104 8:22 Noise in lower signal 104 26:51 Paced, normal, and pacemaker fusion beats 104 29:10 Paced, normal, and pacemaker fusion beats 105 5:27 Artifact 105 7:57 PVC 105 15:16 Normal sinus rhythm 105 17:52 Artifacts 105 22:02 Noise 105 26:45 PVC 105 27:27 Noise 105 28:08 Noise 105 29:07 Noise 106 0:19 Normal sinus rhythm, noise in lower signal 106 1:37 Ventricular couplets 106 2:53 Ventricular tachycardia, 3 beats 106 4:23 PVC 106 7:57 Noise in lower signal 106 10:52 Noise in lower signal 106 12:27 Ventricular bigeminy (two types) 106 16:17 Multiform PVCs, ventricular couplet 106 25:13 Ventricular couplet 106 25:52 Ventricular couplets 107 0:44 Paced rhythm 107 12:30 PVC 107 19:54 PVC 107 20:38 Noise 107 25:52 PVC 108 0:22 PVC, blocked APC, noise 108 4:51 Interpolated PVC 108 7:41 Axis shift 108 8:13 PVC, blocked APC, fusion PVC 108 10:55 Sinus arrhythmia 108 18:08 Fusion PVC-PVC couplet 108 20:05 Junctional escape beat 108 24:20 Blocked APC, APCs 108 28:10 Noise 108 29:00 Noise 109 0:13 Fusion PVC 109 1:28 PVC 109 3:36 Normal sinus rhythm with left bundle branch block 109 4:46 PVC 109 5:27 Noise 109 14:01 PVC 109 17:13 PVC 109 19:21 PVC 109 26:09 Noise 109 28:03 PVC 109 28:28 Normal sinus rhythm with left bundle branch block 109 29:10 PVC 111 0:25 Normal sinus rhythm, first degree AVB 111 2:41 Baseline shift noise 111 3:52 Noise 111 4:04 Axis shift (in upper signal) 111 8:31 PVC 111 11:53 Axis shift 111 15:41 Noise 111 19:54 Noise 111 27:02 Noise 112 11:40 APC 112 12:30 Axis shift 112 12:49 APC, noise 113 4:20 Moderate baseline wander 113 8:22 Aberrated APC 113 11:48 Sinus arrhythmia with variation in P-wave morphology 113 12:27 Sinus arrhythmia 113 22:10 Aberrated APC 113 29:01 Sinus arrhythmia 114 0:00 Normal sinus rhythm 114 1:20 PVC 114 3:39 PVC 114 3:56 Late-cycle PVC 114 4:35 Late-cycle PVC 114 5:36 Ventricular couplet 114 8:31 PVCs 114 9:26 PVC, muscle noise 114 11:37 SVTA, PVC, junctional premature beat 114 20:02 Noise 114 29:29 Baseline artifact 115 0:55 Normal sinus rhythm 115 3:22 Sinus arrhythmia 115 15:52 Baseline wander in lower signal 115 21:28 Noise in lower signal 115 27:05 Artifacts in lower signal 115 28:42 Normal sinus rhythm 116 0:44 Normal sinus rhythm 116 1:31 PVCs 116 10:00 Ventricular couplet 116 12:32 PVC 116 16:37 Noise, saturation in upper signal 116 23:08 Noise, saturation in upper signal 116 25:47 Ventricular couplet 117 3:56 Normal sinus rhythm 117 11:58 Noise, APC 117 22:27 Normal sinus rhythm 118 3:39 PVC 118 8:31 Noise 118 9:23 PVC 118 13:47 Blocked APC 118 22:32 APC, blocked APC, PVC 118 23:25 APCs 118 25:41 PVC, APC 118 26:23 PVCs 118 26:48 Noise 118 28:58 Atrial couplet 118 29:53 APCs 119 1:55 PVC 119 2:38 Ventricular trigeminy 119 4:51 Ventricular bigeminy 119 8:42 Normal sinus rhythm 119 20:05 Noise 119 25:33 Noise 121 1:06 Normal sinus rhythm 121 3:33 Noise in lower signal 121 16:48 APC, PVC 121 24:32 Noise 121 26:01 Noise 122 1:09 Noise in lower signal 122 13:47 Normal sinus rhythm 122 28:25 Normal sinus rhythm 123 22:10 Sinus arrhythmia 123 25:11 Interpolated PVC 123 27:41 Interpolated PVC 123 28:36 Sinus arrhythmia 124 4:43 Accelerated junctional rhythm 124 5:09 Accelerated idioventricular rhythm, 20 beats 124 5:21 Accelerated idioventricular rhythm (continued from previous strip) 124 9:05 Noise in lower signal 124 10:27 Accelerated idioventricular rhythm 124 17:38 Accelerated idioventricular rhythm 124 20:13 APC 124 23:22 Ventricular trigeminy 124 26:03 PVC 124 27:41 PVC, junctional escape beats 200 1:42 Ventricular tachycardia, 3 beats 200 5:38 Noise 200 18:14 Ventricular tachycardia, 4 beats 200 20:52 Noise 200 24:49 Ventricular tachycardia, 3 beats 200 26:12 Ventricular couplets 200 28:31 Ventricular couplet 200 29:01 APC, ventricular bigeminy 200 29:18 APC, PVC 200 29:51 PVCs 201 0:00 Atrial fibrillation 201 6:15 Transition from atrial fibrillation to nodal rhythm 201 7:52 Onset of atrial fibrillation with aberrated beats 201 8:53 Blocked APCs 201 18:14 Noise 201 20:16 PVCs, atrial couplet 201 22:33 Ventricular trigeminy 201 23:50 Normal sinus rhythm 201 24:15 Aberrated atrial couplet, fusion PVC 201 25:19 Aberrated atrial couplets with right and left bundle branch block 201 26:20 Supraventricular tachyarrhythmia with aberration, 3 beats 201 28:03 Atrial fibrillation with aberration 202 10:16 Normal sinus rhythm, PVCs 202 12:24 APCs, PVC 202 12:41 Aberrated APCs, PVC 202 18:22 Normal sinus rhythm, bradycardia 202 18:45 Aberrated APCs 202 18:59 Onset of atrial fibrillation with aberrated beats 202 21:10 Atrial fibrillation, PVC 202 21:26 End of atrial fibrillation 202 22:13 Atrial fibrillation, aberrated beats 202 25:58 Atrial flutter with 2:1 conduction 202 27:55 Atrial fibrillation, aberrated beat 202 29:35 Atrial fibrillation 203 5:00 Ventricular tachycardia, 4 beats and 9 beats 203 13:14 Atrial fibrillation, ventricular couplets 203 15:02 Noise 203 22:02 Ventricular couplet, PVCs 203 23:25 Noise 203 24:04 PVCs 203 24:46 Noise 203 26:39 Ventricular tachycardia, 7 beats 203 26:51 Ventricular couplet, PVCs 203 27:15 Ventricular tachycardia, 3 beats 205 4:57 Ventricular tachycardia, 8 beats and 10 beats 205 14:54 Noise in lower signal 205 15:22 Ventricular tachycardia, 3 beats 205 16:03 PVC 205 16:15 Fusion PVCs 205 19:57 PVC, APC 205 24:18 Ventricular tachycardia, 12 beats, start of VR, 13 beats 205 24:30 End of VR, 3-beat VT (continued from previous strip) 205 27:57 PVCs 207 0:00 Ventricular bigeminy with right bundle branch block 207 0:33 Ventricular couplet, ventricular tachycardia, ventricular flutter 207 0:45 Ventricular flutter (continued from previous strip) 207 0:57 Ventricular flutter, VT (continued from previous strip) 207 1:28 Normal sinus rhythm with first degree AV block 207 2:07 Ventricular couplet, left and right bundle branch block 207 2:41 Ventricular bigeminy with right bundle branch block 207 4:25 Ventricular couplet, ventricular flutter 207 5:19 Noise 207 6:56 Noise 207 17:35 Normal sinus rhythm with first degree AV block 207 25:36 Ventricular bigeminy with LBBB, ventricular flutter 207 26:10 Ventricular flutter 207 27:14 End of ventricular flutter 207 29:10 Atrial couplet, SVTA (104 beats, to end of record) 208 14:57 Noise/artifact 208 17:02 Ventricular couplets 208 19:10 Ventricular trigeminy 208 21:06 Noise 208 23:00 Noise 208 28:08 Ventricular triplet 208 28:58 Ventricular couplets, isolated PVCs 208 29:37 Ventricular triplet 209 0:47 APC 209 5:50 Noise 209 12:57 PVC 209 14:21 SVTA, 14 beats 209 23:25 APCs 209 28:17 Noise, APC 209 28:33 SVTA, 4 beats, 13 beats 209 29:10 SVTA, 6 beats 210 3:47 Noise 210 6:56 Ventricular tachycardia, 6 beats 210 13:14 Ventricular couplets 210 15:55 Noise 210 17:32 Aberrated beat 210 17:57 Ventricular tachycardia, 6 beats 210 20:33 PVCs 210 29:15 PVCs, aberrated beat, ventricular escape beat, fusion PVC 212 0:05 Normal sinus rhythm with right bundle branch block 212 18:42 Noise 212 24:21 End of RBBB in normal sinus rhythm as heart rate decreases 212 24:38 Sinus arrhythmia 212 26:45 Noise 212 28:46 Start of RBBB in normal sinus rhythm as heart rate increases 213 3:39 Fusion PVC couplet 213 14:48 Ventricular tachycardia, 3 beats 213 15:05 Fusion PVC/PVC couplet 213 15:38 APC 213 17:30 Ventricular tachycardia, 4 beats 213 17:55 PVCs, fusion PVCs, APC 213 24:43 Fusion PVC, PVCs, aberrated APC 213 25:58 Aberrated atrial couplet 213 26:51 Ventricular bigeminy 213 28:56 Fusion PVCs, PVC 214 0:30 Normal sinus rhythm with left bundle branch block, PVC 214 2:21 Multiform PVCs 214 2:35 Ventricular couplet 214 3:25 Artifactual amplitude changes 214 3:56 Ventricular couplet 214 5:08 Tape slippage 214 5:38 Ventricular tachycardia, 3 beats 214 13:53 Ventricular tachycardia, 3 beats 214 23:17 Ventricular couplet 214 27:52 PVC/fusion PVC couplet 215 2:55 Ventricular tachycardia, 3 beats 215 3:11 Noise, ventricular couplet 215 9:46 PVC, APC 215 15:58 PVC 215 20:25 Ventricular tachycardia, 3 beats 215 22:16 Tape slippage 215 24:57 Ventricular couplet 215 27:30 Ventricular triplet 215 27:57 Noise in lower signal 215 29:42 Tape slippage, ventricular couplet 217 0:00 Paced rhythm, pacemaker fusion beat 217 0:33 PVC 217 1:23 PVCs, pacemaker fusion beats 217 4:18 Paced beats, pacemaker fusion beats, normal beats, PVCs 217 6:12 Ventricular couplet 217 6:51 Ventricular couplet 217 7:05 Ventricular tachycardia, 3 beats 217 12:27 Ventricular bigeminy with paced beats 217 14:01 Noise 217 15:30 Atrial fibrillation 217 16:56 Ventricular couplet 217 22:27 Atrial fibrillation 219 2:49 Fusion PVC 219 5:08 APC 219 5:22 Onset of atrial fibrillation 219 13:50 End of atrial fibrillation, conversion pause, APC, blocked APC 219 19:00 End of atrial fibrillation 219 19:57 Normal sinus rhythm, blocked APCs 219 22:11 End of atrial fibrillation, conversion pause, blocked APCs 219 22:43 Blocked APCs 219 24:43 PVC 219 26:09 Atrial fibrillation 219 28:55 Atrial fibrillation, PVCs 220 6:46 SVTA (3 runs) 220 10:41 SVTA (2 runs) 220 18:10 Atrial couplets 220 20:29 SVTA, atrial couplets 220 23:58 Noise in lower signal 220 25:44 Atrial couplet 220 29:40 APC 221 0:00 Atrial fibrillation, PVCs 221 2:43 Ventricular couplet 221 13:00 Ventricular tachycardia, 3 beats 221 13:56 Ventricular tachycardia, 3 beats 221 17:49 Ventricular couplet 221 19:12 PVCs 221 19:42 Noise 221 20:44 Ventricular couplet 222 6:45 Normal sinus rhythm 222 17:32 Atrial fibrillation 222 19:48 Atrial couplet 222 20:07 Atrial bigeminy 222 22:32 Paroxysmal atrial fibrillation, nodal rhythm 222 24:43 Noise 222 25:43 End of atrial fibrillation, nodal rhythm, normal sinus rhythm 222 26:09 Paroxysmal atrial flutter, nodal rhythm 223 9:35 Bidirectional ventricular tachycardia 223 12:35 Noise in lower signal 223 13:39 Atrial couplet 223 13:51 Ventricular bigeminy 223 17:21 Bidirectional ventricular tachycardia 223 17:55 End of ventricular tachycardia 223 19:07 APC, ventricular couplet, atrial escape beat, aberrated APC 223 23:58 Ventricular tachycardia, 3 beats 223 25:47 Ventricular tachycardia, 5 beats 223 29:16 APCs, atrial escape beat, ventricular couplets 223 29:51 Multiform ventricular couplets 228 0:19 Ventricular bigeminy 228 0:38 Artifacts 228 0:50 PVC, ventricular couplet 228 4:35 Noise, PVCs 228 19:18 PVC, APC 228 20:08 Baseline noise 228 21:37 Tape slippage 228 21:49 Tape slippage 228 26:42 Ventricular bigeminy 230 0:00 Onset of pre-excitation 230 0:12 End of pre-excitation (continued from previous strip) 230 5:11 WPW 230 9:26 Normal sinus rhythm 230 29:04 PVC 231 0:02 Normal sinus rhythm, Mobitz II block, right bundle branch block 231 2:24 Blocked APCs, APC, ventricular couplet 231 20:11 2:1 heart block with right bundle branch block 231 21:10 Onset of 2:1 heart block 231 23:22 Transition from 2:1 block with normal conduction to NSR with RBBB 232 0:58 Noise 232 1:51 Atrial couplets 232 11:51 Noise 232 13:06 Atrial couplets 232 15:09 Short runs of SVTA 232 18:17 SVTA, pause 232 22:31 Pauses 232 22:47 Pauses 232 23:20 Pauses 232 23:34 Pause 232 23:53 Sinus bradycardia 233 0:11 APCs, PVCs 233 0:25 Ventricular tachycardia, 3 beats 233 2:18 Ventricular bigeminy 233 2:43 Fusion PVC/PVC couplet 233 3:39 Ventricular couplets 233 5:02 Transient amplitude decrease on upper signal 233 9:43 Ventricular tachycardia, 3 beats 233 16:20 PVCs, ventricular couplet 233 18:02 PVCs, APC 233 22:23 Ventricular tachycardia, 2 runs of 3 beats, ventricular couplets 234 0:16 Normal sinus rhythm 234 6:37 Noise 234 14:01 Onset of junctional tachycardia 234 14:26 End of junctional tachycardia 234 17:02 PVC 234 21:26 PVC 234 23:17 Noise