D RAP Report
D RAP Report
Comments:
_____________________
All results to be clinically correlated. Physician
©2014-16 Genesis Medical Systems Pvt. Ltd. email : sales@[Link] Page No.1/5
Universal Hospitals
Mugul Court , Basheerbagh, Hyderabad, T. S.. Ph.: 040-64508950
PATIENT DETAILS TEST DETAILS
Name : Niranjan Heart-Ankle : 109.30 cm Diabetes Risk
Sex : M Wt(kg) : 56 ID : DRP031704 Heart-Brachial : 33.00 cm Date : 04 / 05 / 2017 Time : 11 : 54 : 17
Report Date :04 / 05 / 2017 Report Time : 12:37:30 Profiler
Age : 39 Yrs Ht(cm) : 160 BMI : 21.88kg/m^2
CLINICAL INTERPRETATION & THERAPEUTIC SUGGESTIONS*
INTERPRETATION:
Total CardioVascular risk grade :Mild with Mild Arterial Stiffness.
Autonomic Nervous System : Mild ANS [Link] ANS Activity.
Right plantar foot nervous system : Abnormal . Left plantar foot nervous system : Very Abnormal
Pulmonary System : ESA Obs
CLINICAL RECOMMENDATIONS:
Homocysteine test may be advisable.
Take precaution while stressful work/exercise.
Exercise Caution while walking barefoot.
THERAPEUTIC SUGGESTIONS:
Arterial System : Systemic vascular therapy required. : Mild Consider Low dose combo:ACEI/ARB/CCB Titrate & Continue: Antidiabetic drugs. .
Autonomic Nervous System : ACEI / CCB may be considered.
Peripheral Nervous System : alpha-Lipoic acid may be considered with gamma-Linolinic acid. May consider Anticonvulsants (Gabapentin and Sodium Valproate.) May consider Antidep-
ressants (Amitriptyline, Venlafaxine, and Duloxetine.)
Pulmonary System: None
*All the Interpretations, Recommendations and Suggestions are subject to clinical evaluation by a qualified Physician.
11 R ABI None 0.9 to 1.35 1.17 ABI Normal:Peripheral ASO may be absent
12 L ABI None 0.9 to 1.35 1.19 ABI Normal:Peripheral ASO may be absent
13 Aortic Sys Pressure mmHg Less than 116.98 115.06 Normal Aortic Sys Pressure
14 Aortic Pulse Pressure mmHg Less than 35.32 34.13 Normal Aortic Pulse Pressure
15 Aortic Dia Pressure mmHg Greater than 79.74 80.93 Normal Aortic Dia Pressure
16 Aortic Augment. Pressure mmHg Less than 6.37 7.71 Borderline increase in Ao Aug P
LF = Low Frequency, HF = High Frequency, RMSSD=Root Mean Square of the Successive Differences, NN = Normal to Normal beats
SDNN = standard deviation of NN intervals, pNN50 = Percentage of NN50 counts
2. R-First Metatarsal head 15V 14.47 Normal 8. L-First Metatarsal head 15V 16.27 Abnormal
3. R-Third Metatarsal head 15V 18.98 Abnormal 9. L-Third Metatarsal head 15V 26.23 Very Abnormal
4. R-Fifth Metatarsal head 15V 19.33 Abnormal 10. L-Fifth Metatarsal head 15V 17.66 Abnormal
8 Average flow rate 25-75% l/s 3.30 3.01 Low average flow rate
ECG-I
HR: 69 BPM
1 Second
Right Arm Pressure Waveform Q.C. Left Arm Pressure Waveform Q.C. Right Leg Pressure Waveform Q.C. Left Leg Pressure Waveform Q.C.
Avg. Height: 199 Variation: 2% Avg. Height: 250 Variation: 1% Avg. Height: 155 Variation: 1% Avg. Height: 168 Variation: 1%
Avg. Duration:172 Variation: 0% Avg. Duration:172 Variation: 0% Avg. Duration:171 Variation: 1% Avg. Duration:171 Variation: 1%
EST. CENTRAL AORTIC PARAMETER VALUES Acceptable Quality Control (Q.C.) values :
Avg. Waveform Height > 40. Height and duration Variation < 10%.
Central Aortic Parameter Observed Value Normal Value for Patient
Aortic Systolic Pressure 115 mmHg Less Than 116
OBSERVATIONS
Aortic Diastolic Pressure 80 mmHg Greater Than 79
Aortic Pulse Pressure 34 mmHg Less Than 35 Est. Functional Vascular Age :45 to 47 yrs
Pla
lo lo lo lo Physician
Universal Hospitals
Mugul Court Basheerbagh , Basheerbagh, Hyderabad, T. S.. Ph.: 040-64508950
CARDIOVASCULAR INTERPRETATION* Blood Pressure mmHg 120 / 80 131 / 83 Hi-Normal Blood Pressure
Ao Sys mmHg Less than 116 115 Normal Aortic Sys Pressure
RR Interval Plot
1128
R-R Interval (mS)
1035
942
848
755
0 39 79 118 158 197 237 276 316
Beat Number
0.94 884
Power (msec^2)
867
0.78
850
0.63
833
0.47
816
0.31
799
0.16
783
783
799
816
833
850
867
884
901
918
935
951
0.00 0.00 0.05 0.10 0.15 0.20 0.25 0.30 0.35 0.40 0.45 0.50
Frequency (Hz) RR(n) mS
Histogram
Mode Value = 886.75 ms
Triangular HRV Index= 6.72
SDNN= 28.83
RMSSD= 54.56
SDSD= 54.48
NN50 Count= 2
pNN50= 0.63 %
Comments:
Diabetes Risk Profiler (c)2006-17 Genesis Medical Systems (P) Ltd. sales@[Link]
Physician
D-RAP
Universal Hospitals ANS Analysis
Mugul Court
Hyderabad, T. S.
Phone: 040-64508950
CARDIOTACHOGRAM
712
0 9 18 27 36 45 54 63 73
Abnormal Beat Number
Abnormal 694
0 18 36 55 73 91 110 128 147
Beat Number
Normal
616
0 9 18 27 37 46 55 64 74
Beat Number
Interpretation
Comments:
Diabetes Risk Profiler (c)2006-17 Genesis Medical Systems (P) Ltd. sales@[Link]
Physician
D-RAP
Universal Hospitals ANS Analysis
Mugul Court
Hyderabad, T. S.
Phone: 040-64508950
1. Deep Breathing
2. Response to Standing
Supine
Standing
3. Valsalva Maneuver
Start Stop
Comments:
Diabetes Risk Profiler (c)2006-17 Genesis Medical Systems (P) Ltd. sales@[Link]
Physician
Universal Hospitals
Mugul Court , Basheerbagh, [Link].:040-64508950 D-RAP PNS Analysis
16.79 V 17.20 V
33.58 µm 34.40 µm
19.33 V 17.66 V
38.66 µm 35.32 µm
22.20 V 14.44 V
44.40 µm 28.88 µm
16.45 V 19.05 V
32.90 µm 38.10 µm
Interpretation
Right Foot Left Foot
Toe : Abnormal
Normal Toe : Abnormal
Normal
First Metatarsal Head : Normal First Metatarsal Head : Abnormal
Normal
Third Metatarsal Head : Abnormal
Normal Third Metatarsal Head : Very
Normal
Abnormal
Abnormal
Fifth Metatarsal Head : Abnormal
Normal Fifth Metatarsal Head : Abnormal
Normal _____________________
Instep : Abnormal
Normal Instep : Normal Physician
Heel : Abnormal
Normal Heel : Abnormal
Normal
This may be clinically co-related
©2003-16 Genesis Medical Systems Pvt. Ltd. [Link]
Universal Hospitals
Mugul Court , Basheerbagh, Hyderabad
Ph: 040-64508950
0 .969
M
0 .32 .64 .96 1.2 1.6 1.9 2.2 2.5
-.775 .646
L E
-1.55
i .323
L
-2.32
t
-3.10 0
e 0 .87 1.7 2.6 3.4 4.3 5.2 6.1 6.9
-3.87
r TIME(S) ->
-4.65
/
-5.42
s VOLUME(L) ->
TEST RESULTS
Date of Test -> 04 / 05 / 2017
Time of Test -> 11 : 54 : 17
Parameter (U) Pred. Actual %Pred.
FVC (L) 3.09 2.586 83.68
FEV0.5 (L) 1.743
FEV0.5/FVC (%) 67.40
FEV1 (L) 2.607 2.343 89.87
FEV1/FVC (%) 80.19 90.60 112.9
FEV6 (L) 2.571
FEV1/FEV6 91.11
FEV6/FVC (%) 99.44
FET100% (s) 6.21
FEV3 (L) 2.571
FEV3/FVC (%) 99.44
PEF (L/s) 6.638 4.476 67.42
FEF0.2-1.2 (L/s) 4.216
FEF25% (L/s) 5.708 4.476 78.41
FEF50% (L/s) 3.604 3.333 92.48
FEF75% (L/s) 1.458 1.619 111.0
FEF25-75% (L/s) 3.302 3.01 91.15
FEF75-85% (L/s) 1.200
MET (s) 0.2
FIVC (L) 2.971
FIV0.5 (L) 2.485
IV0.5/FIVC (%) 83.65
FIV1 (L) 0
FIV1/FIVC (%) 0
FIV3 (L) 0
FIV3/FIVC (%) 0
PIFR (L/s) 5.429
FIF0.2-1.2 (L/s) 4.962
FIF50% (L/s) 5.333
FIF25-75% (L/s) 5.199
IT (s) 0.73
Physician
Diabetes Risk Profiler PFT(c)1999-2014 sales@[Link]