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Figure 4 Continued (B) Positive TWA (from commercial system) shows (i) Valt ≥1.9 µV in two precordial or one vector lead (here Valt{approx}4 to 6 µV in V3 to V6) with (ii) k-score ≥3 (gray shading) for >1 min (here {approx}5 min), at (iii) onset rate <110 beats/min (here 100 beats/min), with (iv) <10% bad beats and <2 µV noise, without (v)artifactual alternans (see text). Black horizontal bars indicate periods when conditions for positive TWA are met.