SUMMARY NOTES IN THE RECORD s20131 (Duration: 20:55:10.000)
Starting time, recording date: 13:43:00 17/05/1995
Lead 0: ML2
Lead 1: MV2
Age: 82 Sex: F
Comments:
Lead 0:
From 18:15:06 to 20:17:20
This entire period shows ST-T changes suggestive of
ischemia, with a number of transient episodes of
worsening ischemic ST depression.
Lead 1:
This lead shows ST changes during heart rate increases
which show only minimal T-wave peaking not suggestive
of ischemia, and they are therefore labeled as
"rate-related".
This record is from the initial Long-Term ST Database of
eleven 24-hour ST annotated ambulatory records (record s21067).
Symptoms during Holter recording: Chest pain
Diagnoses:
Inferolateral myocardial infarction
3-vessel coronary artery disease
Left ventricular diastolic dysfunction
Treatment:
Medications:
Aspirin
Diltiazem
Isosorbide
Lisinopril
Toprol
Zantac
Balloon Angioplasty: No
Coronary Artery bypass Grafting: No
History:
Coronary artery disease, hypertension
Hypertension: Yes
Left ventricular hypertrophy: No
Cardiomyopathy: No
Valve disease: No
Electrolyte abnormalities: No
Hypercapnia, anemia, hypotension, hyperventilation: No
Atrioventricular nodal conduction delay: No
Intraventricular conduction block: No
Previous Myocardial Infarction: Myocardial infarction in June 1995
Previous tests:
ECG stress test: No
Thallium/Stress echo: No
Left ventricular function:
Normal
Echocardiogram:
Mild aortic regurgitation
Normal left ventricular function
Coronary Arteriography:
Severe 3-vessel disease, mid left anterior descending coronary artery total occlusion, moderately severe left ventricular diastolic dysfunction
Baseline ECG:
Normal sinus rhythm
Qs in I, avL, V5,V6
Holter Recording:
Date: 17/05/1995
Recorder: No data
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20131.sta)
Lead 0:
Ischemic episodes: 31 Duration: 4:35:04 21.91%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 4 Duration: 28:14 2.25%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 31 Duration: 4:35:04 10.96%
Rate-related episodes: 4 Duration: 28:14 1.12%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 31 Duration: 4:35:04 21.91%
Rate-related episodes: 8 Duration: 20:02 1.60%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 26 Duration: 4:55:06 23.51%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20131.stb)
Lead 0:
Ischemic episodes: 19 Duration: 4:10:08 19.93%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 1 Duration: 9:42 0.77%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 19 Duration: 4:10:08 9.96%
Rate-related episodes: 1 Duration: 9:42 0.39%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 19 Duration: 4:10:08 19.93%
Rate-related episodes: 2 Duration: 8:28 0.67%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 18 Duration: 4:18:36 20.60%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20131.stc)
Lead 0:
Ischemic episodes: 16 Duration: 4:00:48 19.18%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 1 Duration: 9:42 0.77%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 16 Duration: 4:00:48 9.59%
Rate-related episodes: 1 Duration: 9:42 0.39%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 16 Duration: 4:00:48 19.18%
Rate-related episodes: 1 Duration: 9:34 0.76%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 16 Duration: 4:10:22 19.95%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20131.atr)
Total number of beats 106300
Normal beats 105765
Aberrated atrial premature beats 1
Premature ventricular contractions 495
Fusions of ventricular and normal beat 6
Supraventricular premature or ectopic beats 33