SUMMARY NOTES IN THE RECORD s30721 (Duration: 23:33:46.000)
Starting time, recording date: 11:13:00 19/01/2000
Lead 0: E-S
Lead 1: A-S
Lead 2: A-I
Age: 85 Sex: F
Comments:
This record shows intraventricular conduction defects
(probably RBBB), normal sinus rhythm, and both rate-
related and ischemic episodes. Two rate-related episodes
occured in lead 0, one at the beginning and one at the
end of the record. There were no significant changes in
leads 1 and 2 at these times. There were also several
clear-cut ischemic episodes, revealed primarily in
leads 1 and 2. These episodes were further complicated
by conduction changes probably associated with the
ischemic process.
Symptoms during Holter recording: None reported
Diagnoses:
Coronary artery disease
Hyperlipidemia
Osteoarthritis
Treatment:
Medications:
Aspirin
Lipitor
Balloon Angioplasty: No
Coronary Artery bypass Grafting: Yes, five grafts
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: Probably, based on abnormal wall motion.
Previous tests:
ECG stress test: Yes
Date: January, 2000
Findings: Negative for ST changes with inadequate heart rate
Thallium/Stress echo: Fixed minor wall motiion abnormalities - inferior, posterior, and septal walls.
Left ventricular function:
Ejection fraction 48%
Echocardiogram: No data
Coronary Arteriography:
Yes, results unavailable
Baseline ECG: No data
Holter Recording:
Date: 19/01/2000
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30721.sta)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 2 Duration: 39:44 2.81%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 4:06 0.29%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 7
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 1 Duration: 4:02 0.29%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 5
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 2 Duration: 8:08 0.19%
Rate-related episodes: 2 Duration: 39:44 0.94%
Axis shifts: 0
Conduction-change shifts: 12
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 1 Duration: 4:08 0.29%
Rate-related episodes: 2 Duration: 39:44 2.81%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 3 Duration: 43:52 3.10%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s30721.stb)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 1 Duration: 29:32 2.09%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 4:06 0.29%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 7
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 5
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 1 Duration: 4:06 0.10%
Rate-related episodes: 1 Duration: 29:32 0.70%
Axis shifts: 0
Conduction-change shifts: 12
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 1 Duration: 4:06 0.29%
Rate-related episodes: 1 Duration: 29:32 2.09%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 2 Duration: 33:38 2.38%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s30721.stc)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 1 Duration: 29:32 2.09%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 4:06 0.29%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 7
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 5
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 1 Duration: 4:06 0.10%
Rate-related episodes: 1 Duration: 29:32 0.70%
Axis shifts: 0
Conduction-change shifts: 12
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 1 Duration: 4:06 0.29%
Rate-related episodes: 1 Duration: 29:32 2.09%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 2 Duration: 33:38 2.38%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s30721.atr)
Total number of beats 106636
Normal beats 103894
Premature ventricular contractions 335
Supraventricular premature or ectopic beats 2407