SUMMARY NOTES IN THE RECORD s30701 (Duration: 22:24:00.000)
Starting time, recording date: 10:19:00 29/09/1999
Lead 0: E-S
Lead 1: A-S
Lead 2: A-I
Age: 67 Sex: M
Comments:
Patient with angina and coronary artery disease. This record
shows very little ST lability. There are two minor ischemic
episodes near the end of the monitoring period, both associated
with increased heart rate. The final episode convinced the
annotators that they were observing ischemia triggered
by increased heart rate rather than rate-related changes.
Symptoms during Holter recording: None reported.
Diagnoses:
Coronary artery disease
Treatment:
Medications:
Atenolol
Lipitor
Balloon Angioplasty: Yes, 1997-stents, additional in 1999
Coronary Artery bypass Grafting: No
History:
Angina
Hypertension: No
Left ventricular hypertrophy: No
Cardiomyopathy: No
Valve disease: No
Electrolyte abnormalities: No
Hypercapnia, anemia, hypotension, hyperventilation: No
Atrioventricular nodal conduction delay: No data
Intraventricular conduction block: No data
Previous Myocardial Infarction: No data.
Previous tests:
ECG stress test: Yes
Date: Not recorded
Findings: Not available
Thallium/Stress echo: Slightly hypokinetic infero-apical and postero-lateral walls.
Left ventricular function:
Normal ejection fraction - 53%
Echocardiogram: No
Coronary Arteriography: Yes
Two-vessel disease, details not available.
Baseline ECG: No data
Holter Recording:
Date: 29/09/1999
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30701.sta)
Lead 0:
Ischemic episodes: 3 Duration: 13:30 1.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 2 Duration: 40:50 3.04%
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%
Lead 2:
Ischemic episodes: 4 Duration: 39:24 2.93%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 9 Duration: 1:33:44 2.32%
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: 2 Duration: 40:58 3.05%
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: 2 Duration: 40:58 3.05%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s30701.stb)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 2 Duration: 40:50 3.04%
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%
Lead 2:
Ischemic episodes: 4 Duration: 39:24 2.93%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 6 Duration: 1:20:14 1.99%
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: 2 Duration: 40:58 3.05%
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: 2 Duration: 40:58 3.05%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s30701.stc)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 2 Duration: 40:50 3.04%
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%
Lead 2:
Ischemic episodes: 2 Duration: 25:32 1.90%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 4 Duration: 1:06:22 1.65%
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: 2 Duration: 40:50 3.04%
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: 2 Duration: 40:50 3.04%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s30701.atr)
Total number of beats 107078
Normal beats 107061
Supraventricular premature or ectopic beats 17