SUMMARY NOTES IN THE RECORD s20171 (Duration: 26:00:00.000)
Starting time, recording date: 09:10:00 28/05/1988
Lead 0: V4
Lead 1: MLIII
Age: 44 Sex: M
Comments:
Lead 0:
From 9:34:42 to 9:43:32
This episode of ischemia has produced a biphasic ST pattern,
beginning with ST-elevation and T-wave peaking, and ending
with ST depression during the recovery phase. This general
pattern is seen in other ischemic episodes in this subject
as well (as at 12:22:28).
From 14:21:04 to 14:25:36
This episode begins with ST-depression, with subsequent
elevation and terminal depression.
Lead 1:
From 4:54:22 to 4:55:44
The minor ST-T changes seen include ST flattening and T-wave
inversion with respect to the local reference region. These
changes correspond to clear-cut ischemic changes in lead 0
at the same time. This phenomena pertains to most of the
episodes marked in this lead.
From 8:08:00 to 8:09:16
The minor ST-T changes seen include ST flattening and T-wave
inversion with respect to the local reference region. These
changes correspond to clear-cut ischemic changes in lead 0
at the same time. This phenomena pertains to most of the
episodes marked in this lead.
From 9:01:30 to 9:02:20
The minor ST-T changes seen include ST flattening and T-wave
inversion with respect to the local reference region. These
changes correspond to clear-cut ischemic changes in lead 0
at the same time. This phenomena pertains to most of the
episodes marked in this lead.
An excerpt of this recording is included in the European
ST-T Database (record e0127).
Symptoms during Holter recording: No data
Diagnoses:
Prinzmetal's angina
Coronary artery disease
Hypertension
Treatment:
Medications: No
Balloon Angioplasty: No data
Coronary Artery bypass Grafting: No data
History:
Smoker
Hypertension: Yes
Left ventricular hypertrophy: Septum 15 mm
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: No
Previous tests:
ECG stress test: No data
Thallium/Stress echo: No data
Left ventricular function:
Normal
Echocardiogram: No data
Coronary Arteriography:
Left anterior descending coronary artery 90% stenosis
Baseline ECG:
Normal
Holter Recording:
Date: 28/05/1988
Recorder: ICR
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20171.sta)
Lead 0:
Ischemic episodes: 24 Duration: 57:38 3.69%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 13
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 8 Duration: 11:26 0.73%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 8
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 32 Duration: 1:09:04 2.21%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 21
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 25 Duration: 59:30 3.81%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 25 Duration: 59:30 3.81%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20171.stb)
Lead 0:
Ischemic episodes: 18 Duration: 39:38 2.54%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 13
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 2 Duration: 4:04 0.26%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 8
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 20 Duration: 43:42 1.40%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 21
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 18 Duration: 39:56 2.56%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 18 Duration: 39:56 2.56%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20171.stc)
Lead 0:
Ischemic episodes: 11 Duration: 31:54 2.04%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 13
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: 0 Duration: 0:00 0.00%
Axis shifts: 8
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 11 Duration: 31:54 1.02%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 21
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 11 Duration: 31:54 2.04%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 11 Duration: 31:54 2.04%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20171.atr)
Total number of beats 126526
Normal beats 126515
Premature ventricular contractions 9
Supraventricular premature or ectopic beats 2