LabID:
Name:
Age:
Gender:
Test Date:
1. Lying to Standing test
a. Blood presure (BP) response to Standing:
Resting BP (supine position):
/
BP after one minute of standing:
/
Fall in systolic BP:
b. Heart rate response to standing
longest RR interval around the 30th beat:
Shortest RR interval around 15th beat:
30th : 15th =
2. BP response to sustained Handgrip test
Resting BP (Sitting position):
/
BP during sustained Handgrip (4 minutes):
/
Rise in diastolic BP
3. HR response to deep breathing
Maximum Heart Rate:
Minimum Heart Rate:
Delta Heart Rate
4. HR response to valsalva maneuver
longest RR interval during phase IV:
Shortest RR interval during phase II:
valsalva Ratio
Impression:
Remarks:
Note:
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