Ambulatory Reflux Monitoring (pH - Impedance)
Sierra Scientific Instruments, Inc. Applications Lab Los Angeles, CA 866.641.8492 Last,First
Patient:
Last,First
123456
Gender:
DOB / Age:
Height:
Weight:
Indications:
Female
03-20-1975
5 ft 4 in
135 lb
GERD
Physician:
Operator:
Referring Physician:
Physician
Operator
Referring Physician
Study Date:
03/14/2008
pH Analysis Thresholds
Threshold, pH
Channel 1
4,0
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Los Angeles, CA
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Ambulatory Reflux Monitoring (pH - Impedance)
Sierra Scientific Instruments, Inc. Applications Lab Los Angeles, CA 866.641.8492 Last,First
Acid Reflux Analysis
Total
Total duration (HH:MM)
Time spent in reflux (HH:MM)
Number of refluxes
% Time spent in reflux
Number of long refluxes
Longest reflux (HH:MM)
Upright
Total duration (HH:MM)
Time spent in reflux (HH:MM)
Number of refluxes
% Time spent in reflux
Number of long refluxes
Longest reflux (HH:MM)
Supine
Total duration (HH:MM)
Time spent in reflux (HH:MM)
Number of refluxes
% Time spent in reflux
Number of long refluxes
Longest reflux (HH:MM)
13:20
00:08
14
1,0
0
00:01
07:12
00:08
14
1,9
0
00:01
06:08
00:00
0
0,0
0
N/A
DeMeester Score
Normal ≤ 14.72 (95th percentile)
Channel 1
3,8
DeMeester Scoring Components
Number of refluxes
Number of long refluxes
Longest reflux (min)
Time below acid thresh. (%) - Total
Time below acid thresh. (%) - Upright
Time below acid thresh. (%) - Supine
Total score
Channel 1
25,2
0,0
00:01
1,0
1,9
0,0
3,8
Reflux Episode Activity*
Total
Acid reflux
Weakly acidic reflux
Non-acid reflux
All reflux
Upright
Acid reflux
Weakly acidic reflux
Non-acid reflux
All reflux
Supine
Acid reflux
Weakly acidic reflux
Non-acid reflux
All reflux
* Episodes/24 hr.
** 95th percentile
Bolus Exposure Time*
5,0 cm above LES
Total
0,3
Upright
0,5
Supine
0,0
*% time refluxate in contact with impedance sensors
Channel 1
Symptom Correlation to Reflux
Number of occurrences
Acid related
Weakly acidic related
Non-acid related
All reflux related
Unrelated
Heartburn
3
1
0
0
1
2
Chest Pain
5
0
1
0
1
4
Reflux Symptom Index
Acid reflux
Weakly acidic Reflux
Non-acid reflux
All reflux
Heartburn
33,3
0,0
0,0
33,3
Chest Pain
0,0
20,0
0,0
20,0
Reflux Symptom Association
Heartburn
Chest Pain
Probability*
Acid reflux
98,9
99,9
Weakly acidic reflux
0,0
99,1
Non-acid reflux
0,0
0,0
All reflux
97,5
100,0
* Probability that symptom and reflux are not associated solely by chance,
(>95% is significant)
Channel 1
Normal**
20
5
0
25
55
26
1
73
Proximal Esophageal Reflux*
Total
Acid
Weakly acidic
Non-acid
* Percent of distal episodes
71,4
81,8
33,3
N/A
20
5
0
25
0
0
0
0
Procedure example1 Interpretation / Findings example2 Sierra Scientific Instruments Inc.
Los Angeles, CA
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Toll-free: 866-641-8492
www.sierrainst.com
Ambulatory Reflux Monitoring (pH - Impedance)
Sierra Scientific Instruments, Inc. Applications Lab Los Angeles, CA 866.641.8492 Last,First
Example
Diary Event
Meal
Med
Chest Pain
Heartburn
Chest Pain
Heartburn
Med
Supine
Chest Pain
Chest Pain
Meal
Chest Pain
Heartburn
Day
1
1
1
1
1
1
1
1
1
1
1
1
1
Begin
7:38AM
8:25AM
8:47AM
9:00AM
9:08AM
9:24AM
10:25AM
10:46AM
11:28AM
5:03PM
5:30PM
7:24PM
8:14PM
End
7:50AM
Duration
00:12
4:54PM
06:08
5:46PM
00:16
Note
Sierra Scientific Instruments Inc.
Los Angeles, CA
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Toll-free: 866-641-8492
www.sierrainst.com
Ambulatory Reflux Monitoring (pH - Impedance)
Sierra Scientific Instruments, Inc. Applications Lab Los Angeles, CA 866.641.8492 Last,First
Sierra Scientific Instruments Inc.
Los Angeles, CA
4 of 4
Toll-free: 866-641-8492
www.sierrainst.com
Ambulatory Reflux Monitoring (pH - Impedance)
Sierra Scientific Instruments, Inc. Applications Lab Los Angeles, CA 866.641.8492 Last,First
Sierra Scientific Instruments Inc.
Los Angeles, CA
5 of 5
Toll-free: 866-641-8492
www.sierrainst.com