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13
Record Symptoms
Good to Know
SYMPTOM/EVENT DIARY
Anxiety
Chest pain or pressure
Dizziness
Fainting
Light-headedness
Heart fluttering, racing
or pounding
SYMPTOM/EVENT DIARY
Date Time
am
/
pm
Check any feelings that apply:
Did you push the button/sensor to record a symptom
____ Yes ____ No
What were you doing when the symptom(s) occurred?
Activity:
____ Normal daily routine
____ Exercising
____ Sitting
____ Laying down/sleeping
____ Other
Anxiety
Chest pain or pressure
Dizziness
Fainting
Light-headedness
Heart fluttering, racing
or pounding
Heart skips beat(s);
irregular beats
Neck or arm pain/
tingling
Shortness of breath
Other (describe)
SYMPTOM/EVENT DIARY
Date Time
am
/
pm
Check any feelings that apply:
Did you push the button/sensor to record a symptom
____ Yes ____ No
What were you doing when the symptom(s) occurred?
Activity:
____ Normal daily routine
____ Exercising
____ Sitting
____ Laying down/sleeping
____ Other
• Whenever you feel a heart-related
symptom, double tap the middle of the
sensor to record the symptom. When
the sensor has registered the symptom,
the status indicator will show a constant
green light for one second.
• Make sure to write that symptom and
how you are feeling in the diary.
• Locate the diary in your kit and fill in
your name, address, physician's name,
and the start date. Make sure to fill
in the date you removed ePatch once
your monitoring period has ended.
• Make sure to include the date and
time of each symptom as well.