SUMMARY NOTES IN THE RECORD s20191 (Duration: 24:00:00.000)
Starting time, recording date: 10:20:00 16/11/1991
Lead 0: MLIII
Lead 1: V4
Age: 66 Sex: M
Comments:
Lead 0:
From 1:11:14 to 1:12:54
This region is too noisy to annotate with any certainty
but is quite likely an ischemic episode.
Lead 1:
From 1:28:42 to 1:30:16
Slight elevation of ST segment and increase in its positive
slope is seen. This change correlates with more definite
ischemic change in lead 0. Thus, this episode is labeled
"ischemic".
Symptoms during Holter recording: No data
Diagnoses:
Prinzmetal's angina
Coronary artery disease
Treatment:
Medications: No
Balloon Angioplasty: No data
Coronary Artery bypass Grafting: No data
History:
Smoker, hypercholesterolemia
Hypertension: No
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: 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 50% stenosis, right coronary artery 90% stenosis
Baseline ECG:
Normal
Holter Recording:
Date: 16/11/1991
Recorder: Remco
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20191.sta)
Lead 0:
Ischemic episodes: 5 Duration: 11:32 0.80%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 3 Duration: 6:08 0.43%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 8 Duration: 17:40 0.61%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 5 Duration: 12:10 0.84%
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: 5 Duration: 12:10 0.84%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20191.stb)
Lead 0:
Ischemic episodes: 3 Duration: 6:20 0.44%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 3 Duration: 6:08 0.43%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 6 Duration: 12:28 0.43%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 4 Duration: 7:54 0.55%
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: 4 Duration: 7:54 0.55%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20191.stc)
Lead 0:
Ischemic episodes: 1 Duration: 3:06 0.22%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 3:38 0.25%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 2 Duration: 6:44 0.23%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 1 Duration: 3:40 0.25%
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: 1 Duration: 3:40 0.25%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20191.atr)
Total number of beats 97632
Normal beats 97591
Premature ventricular contractions 7
Supraventricular premature or ectopic beats 34