24 hours Holter ECG
day month year
date
00:00-23:59
time
day month year
date
00:00-23:59
time
Tick one. If you tick 3: Complete the Non-Serious Adverse Events (AE) or Serious Adverse Event (SAE) page(s) if clinically significant abnormalities meet the protocol definition for an AE or SAE. Complete the additional ECG Abnormalities page if clinically significant abnormalities are present.
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