SUMMARY NOTES IN THE RECORD s20441 (Duration: 23:47:00.000)
Starting time, recording date: 09:44:00 08/01/1993
Lead 0: 0
Lead 1: 1
Age: 64 Sex: M
Comments:
Lead 0:
There are 8 ischemic ST changes, generally associated
with increases in heart rate.
Lead 1:
Fourteen episodes were present in this lead.
NOTE - There is an axis shift in the QRS during the
ischemic episode at 10:33:19, but it does not cause
a significant ST change.
Electrode locations were not recorded.
Symptoms during Holter recording: No data
Diagnoses:
Coronary artery disease
Treatment:
Medications:
Nitroglycerine
Calcium blocker
Aspirin
Balloon Angioplasty: No
Coronary Artery bypass Grafting: No
History:
Previous myocardial infarction
Hypertension: No
Left ventricular hypertrophy: No data
Cardiomyopathy: No data
Valve disease: No data
Electrolyte abnormalities: No data
Hypercapnia, anemia, hypotension, hyperventilation: No data
Atrioventricular nodal conduction delay: No data
Intraventricular conduction block: No data
Previous Myocardial Infarction: Yes
Previous tests:
ECG stress test: No data
Thallium/Stress echo: No data
Left ventricular function: No data
Echocardiogram: No data
Coronary Arteriography:
Lesions in right coronary artery, left anterior descending coronary artery, left circumflex coronary artery
Baseline ECG: No data
Holter Recording:
Date: 08/01/1993
Recorder: No data
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20441.sta)
Lead 0:
Ischemic episodes: 8 Duration: 39:32 2.77%
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: 14 Duration: 1:21:02 5.68%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 4
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 22 Duration: 2:00:34 4.22%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 4
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 14 Duration: 1:21:30 5.71%
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: 14 Duration: 1:21:30 5.71%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20441.stb)
Lead 0:
Ischemic episodes: 5 Duration: 29:18 2.05%
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: 8 Duration: 1:10:04 4.91%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 4
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 13 Duration: 1:39:22 3.48%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 4
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 8 Duration: 1:10:26 4.94%
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: 1:10:26 4.94%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20441.stc)
Lead 0:
Ischemic episodes: 1 Duration: 15:28 1.08%
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: 7 Duration: 1:08:06 4.77%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 4
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 8 Duration: 1:23:34 2.93%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 4
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 7 Duration: 1:08:06 4.77%
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: 7 Duration: 1:08:06 4.77%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20441.atr)
Total number of beats 93127
Normal beats 89666
Aberrated atrial premature beats 2
Premature ventricular contractions 3436
Supraventricular premature or ectopic beats 23