SUMMARY NOTES IN THE RECORD s20321 (Duration: 24:34:00.000)
Starting time, recording date: 14:40:00 22/11/1997
Lead 0: V4
Lead 1: MLIII
Age: 73 Sex: M
Comments:
Lead 0:
This lead showed ST elevation on one occasion, but
the other episodes seen in lead 1 were not visible
in lead 0.
Lead 1:
This lead has baseline T-inversion. There are several
episodes of ST elevation and pseudo normalization of
T-wave associated with ischemia.
Symptoms during Holter recording: No data
Diagnoses:
Effort angina
Coronary artery disease
Treatment:
Medications:
Nitrates
Diltiazem
Balloon Angioplasty: No data
Coronary Artery bypass Grafting: No data
History:
Family history coronary artery disease, diabetes, elevated uric acid, coronary artery disease, previous myocardial infarction
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: Yes, inferior
Previous tests:
ECG stress test: yes
Date: No Data
Findings: Positive - ST depression V4-V6
Thallium/Stress echo: Stress echo Positive
Left ventricular function:
Normal
Echocardiogram: No data
Coronary Arteriography:
Left anterior descending coronary artery 95% stenosis, circumflex artery 90% stenosis, right coronary artery 90% stenosis
Baseline ECG:
Inferior myocardial infarction
Holter Recording:
Date: 22/11/1997
Recorder: Remco
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20321.sta)
Lead 0:
Ischemic episodes: 2 Duration: 2:54 0.20%
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: 5:48 0.39%
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%
Total:
Ischemic episodes: 5 Duration: 8:42 0.30%
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%
Combined:
Ischemic episodes: 3 Duration: 5:48 0.39%
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: 3 Duration: 5:48 0.39%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20321.stb)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
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: 5:48 0.39%
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%
Total:
Ischemic episodes: 3 Duration: 5:48 0.20%
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%
Combined:
Ischemic episodes: 3 Duration: 5:48 0.39%
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: 3 Duration: 5:48 0.39%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20321.stc)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
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: 5:48 0.39%
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%
Total:
Ischemic episodes: 3 Duration: 5:48 0.20%
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%
Combined:
Ischemic episodes: 3 Duration: 5:48 0.39%
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: 3 Duration: 5:48 0.39%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20321.atr)
Total number of beats 91929
Normal beats 91679
Premature ventricular contractions 201
Supraventricular premature or ectopic beats 49