RipotEchocardiogram report template
A 2D echocardiography reporting structure for chamber measurements, function, valve findings and impression.
Contributor: Ripot · Starter template
Preview and use →Cardiology · Contributor: Ripot
Holter / Ambulatory ECG template
An ambulatory ECG reporting structure for recording quality, rate, rhythm, ectopy, pauses and symptom correlation. Device findings require clinician verification.
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HOLTER / AMBULATORY ECG Patient: ________________ Identifier: ________________ Date: ________________ RECORDING Indication: ________________ Device / leads: ________________ Start and finish: ________________ Analysable duration (hours): ________________ Signal quality / artefact: ________________ Relevant medication during recording: ________________ RATE AND RHYTHM Predominant rhythm: ________________ Minimum heart rate (beats/min): ________________ Mean heart rate (beats/min): ________________ Maximum heart rate (beats/min): ________________ Timing / context of rate extremes: ________________ EVENTS Supraventricular ectopy: count, burden, runs: ________________ Ventricular ectopy: count, burden, complexity: ________________ Atrial fibrillation / flutter: episodes and burden: ________________ Pauses / conduction disturbances: ________________ Symptoms, event times and rhythm correlation: ________________ Other findings and verification: ________________ CONCLUSION Impression: ________________ Recommendations / urgent communication: ________________ Clinician: ________________ Signature: ________________
Holter / Ambulatory ECG
Patient: ________________
Identifier: ________________
Date: ________________
Recording
Indication: ________________
Device / leads: ________________
Start and finish: ________________
Analysable duration (hours): ________________
Signal quality / artefact: ________________
Relevant medication during recording: ________________
Rate and rhythm
Predominant rhythm: ________________
Minimum heart rate (beats/min): ________________
Mean heart rate (beats/min): ________________
Maximum heart rate (beats/min): ________________
Timing / context of rate extremes: ________________
Events
Supraventricular ectopy: count, burden, runs: ________________
Ventricular ectopy: count, burden, complexity: ________________
Atrial fibrillation / flutter: episodes and burden: ________________
Pauses / conduction disturbances: ________________
Symptoms, event times and rhythm correlation: ________________
Other findings and verification: ________________
Conclusion
Impression: ________________
Recommendations / urgent communication: ________________
Clinician: ________________
Fictional example text
A demonstration of the layout using invented observations. It is not a patient report, normal-report default or clinical reference.
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HOLTER / AMBULATORY ECG FICTIONAL EXAMPLE - NOT FOR CLINICAL USE Illustrative content only; not a clinical reference. Patient: FICTIONAL PATIENT Identifier: DEMO-001 Date: 01 January 2026 RECORDING Indication: Intermittent palpitations (fictional). Device / leads: Three-channel ambulatory ECG recorder. Start and finish: 01 January 2026 09:00 to 02 January 2026 09:00 (fictional). Analysable duration (hours): 23.5 Signal quality / artefact: Thirty minutes excluded for artefact. Relevant medication during recording: No rate-modifying medication recorded in this fictional example. RATE AND RHYTHM Predominant rhythm: Sinus rhythm. Minimum heart rate (beats/min): 49 Mean heart rate (beats/min): 74 Maximum heart rate (beats/min): 128 Timing / context of rate extremes: Minimum during recorded sleep; maximum during diary-recorded activity. EVENTS Supraventricular ectopy: count, burden, runs: 35 isolated supraventricular ectopics; no sustained run identified. Ventricular ectopy: count, burden, complexity: 12 isolated ventricular ectopics; no couplet or run identified. Atrial fibrillation / flutter: episodes and burden: No episode identified in the analysable recording. Pauses / conduction disturbances: No significant pause or advanced block identified on manual review. Symptoms, event times and rhythm correlation: One diary entry at 14:20 correlated with sinus rhythm at 86 beats/min. Other findings and verification: Representative strips reviewed; automated events require verification. CONCLUSION Impression: Predominantly sinus rhythm with occasional isolated ectopy in this fictional recording. Recommendations / urgent communication: Referring clinician to interpret in context; no treatment recommendation is generated. Clinician: DEMONSTRATION ONLY - NOT SIGNED FICTIONAL EXAMPLE - NOT FOR CLINICAL USE
Holter / Ambulatory ECG
FICTIONAL EXAMPLE - NOT FOR CLINICAL USE
Illustrative content only; not a clinical reference.
Patient: FICTIONAL PATIENT
Identifier: DEMO-001
Date: 01 January 2026
Recording
Indication: Intermittent palpitations (fictional).
Device / leads: Three-channel ambulatory ECG recorder.
Start and finish: 01 January 2026 09:00 to 02 January 2026 09:00 (fictional).
Analysable duration (hours): 23.5
Signal quality / artefact: Thirty minutes excluded for artefact.
Relevant medication during recording: No rate-modifying medication recorded in this fictional example.
Rate and rhythm
Predominant rhythm: Sinus rhythm.
Minimum heart rate (beats/min): 49
Mean heart rate (beats/min): 74
Maximum heart rate (beats/min): 128
Timing / context of rate extremes: Minimum during recorded sleep; maximum during diary-recorded activity.
Events
Supraventricular ectopy: count, burden, runs: 35 isolated supraventricular ectopics; no sustained run identified.
Ventricular ectopy: count, burden, complexity: 12 isolated ventricular ectopics; no couplet or run identified.
Atrial fibrillation / flutter: episodes and burden: No episode identified in the analysable recording.
Pauses / conduction disturbances: No significant pause or advanced block identified on manual review.
Symptoms, event times and rhythm correlation: One diary entry at 14:20 correlated with sinus rhythm at 86 beats/min.
Other findings and verification: Representative strips reviewed; automated events require verification.
Conclusion
Impression: Predominantly sinus rhythm with occasional isolated ectopy in this fictional recording.
Recommendations / urgent communication: Referring clinician to interpret in context; no treatment recommendation is generated.
Clinician: DEMONSTRATION ONLY - NOT SIGNED
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- Recording
- Indication
- Device / leads
- Start and finish
- Analysable duration
- Signal quality / artefact
- Relevant medication during recording
- Rate and rhythm
- Predominant rhythm
- Minimum heart rate
- Mean heart rate
- Maximum heart rate
- Timing / context of rate extremes
- Events
- Supraventricular ectopy: count, burden, runs
- Ventricular ectopy: count, burden, complexity
- Atrial fibrillation / flutter: episodes and burden
- Pauses / conduction disturbances
- Symptoms, event times and rhythm correlation
- Other findings and verification
- Conclusion
- Impression
- Recommendations / urgent communication
Using this reporting structure
Recording quality
Record the device, recording period and analysable duration. Describe artefact and excluded intervals so the reader understands the usable recording time.
Rhythm and symptoms
Separate the predominant rhythm, heart-rate summary, ectopic events and conduction findings. Relate diary events to their times and reviewed rhythm strips. Automated detections require clinician verification; a symptom without a matching event should not silently become a rhythm diagnosis.
Documentation help, not clinical guidance. Use current specialty guidance and local protocols. Review every report before signing or sharing.
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