SUMMARY NOTES IN THE RECORD s20341 (Duration: 22:29:13.000)
Starting time, recording date: 13:08:00 12/11/1997
Lead 0: 0
Lead 1: 1
Age: 77 Sex: F
Comments:
Lead 0:
Two major ischemic episodes and several other less
dramatic ischemic episodes characterized by down-sloping
ST segments, generally associated with increases in
heart rate.
Lead 1:
This lead, however, showed no evidence of ischemic ST
changes.
Electrode locations were not recorded.
Symptoms during Holter recording: None reported
Diagnoses:
Coronary artery disease
Hypertension
Syncope
Spinal stenosis
Treatment:
Medications:
Captopril
Hydrochlorothiazide
Balloon Angioplasty: No
Coronary Artery bypass Grafting: No
History:
Syncope
Hypertension: Yes
Left ventricular hypertrophy: Yes
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: Yes
Date: No data
Findings: Abnormal - infero-lateral ischemia, no angina
Thallium/Stress echo: Positive antero-lateral ischemia
Left ventricular function:
Normal
Echocardiogram:
Borderline left ventricular hypertrophy
Ejection fraction > 55%
Coronary Arteriography:
Done in 1998. Showed moderate 3-vessel disease, moderate left ventricular diastolic dysfunction, good ejection fraction
Baseline ECG:
Sinus bradycardia
Left ventricular hypertrophy
Left atrial abnormality
Non-specific ST-T changes
Holter Recording:
Date: 12/11/1997
Recorder: No data
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20341.sta)
Lead 0:
Ischemic episodes: 8 Duration: 1:55:50 8.59%
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: 0 Duration: 0:00 0.00%
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: 8 Duration: 1:55:50 4.29%
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: 8 Duration: 1:55:50 8.59%
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: 8 Duration: 1:55:50 8.59%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20341.stb)
Lead 0:
Ischemic episodes: 4 Duration: 1:26:52 6.44%
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: 0 Duration: 0:00 0.00%
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: 4 Duration: 1:26:52 3.22%
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: 4 Duration: 1:26:52 6.44%
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: 1:26:52 6.44%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20341.stc)
Lead 0:
Ischemic episodes: 3 Duration: 1:25:28 6.33%
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: 0 Duration: 0:00 0.00%
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: 1:25:28 3.17%
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: 1:25:28 6.33%
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: 1:25:28 6.33%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20341.atr)
Total number of beats 100255
Normal beats 100092
Premature ventricular contractions 87
Fusions of ventricular and normal beat 2
Supraventricular premature or ectopic beats 74