SUMMARY NOTES IN THE RECORD s30732 (Duration: 21:26:01.000)
Starting time, recording date: 10:04:00 22/07/1999
Lead 0: E-S
Lead 1: A-S
Lead 2: A-I
Age: 82 Sex: M
Comments:
This is the same patient as s30731. This record
contain numerous axis shifts and one ischemic episode
that is most prominent in leads 1 and 2, and did not
reach threshold in lead 0.
Start of recording: 10:04:00
Symptoms (from 0 - 10):
Relative Absolute
0:58 11:02 angina 4
19:33 5:37 angina 1
Symptoms during Holter recording: Yes - angina 22/07/1999 @11:02am, 23/07/1999 @5:37am
Diagnoses:
Coronary artery disease
Treatment:
Medications:
Atenolol
Aspirin
Balloon Angioplasty: Yes, data incomplete
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: January, 2000
Findings: Positive - 0.2 mV ST depression in II, avF, V4-V6.
Thallium/Stress echo: Severe hypokinesis infero-lateral walls on exercise
Left ventricular function:
Normal - ejection fraction 62%
Echocardiogram: No data
Coronary Arteriography:
Occlusions in three vessels: 100%left anterior descending coronary artery, 90% left circumflex coronary artery, 45% right coronary artery.
Baseline ECG: No data
Holter Recording:
Date: 22/07/1999
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30732.sta)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 12
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 32:26 2.52%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 26
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 1 Duration: 32:02 2.49%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 27
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 2 Duration: 1:04:28 1.67%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 65
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 1 Duration: 32:40 2.54%
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: 1 Duration: 32:40 2.54%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s30732.stb)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 12
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 32:26 2.52%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 26
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 1 Duration: 32:02 2.49%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 27
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 2 Duration: 1:04:28 1.67%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 65
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 1 Duration: 32:40 2.54%
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: 1 Duration: 32:40 2.54%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s30732.stc)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 12
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 32:26 2.52%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 26
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 1 Duration: 32:02 2.49%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 27
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 2 Duration: 1:04:28 1.67%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 65
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 1 Duration: 32:40 2.54%
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: 1 Duration: 32:40 2.54%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s30732.atr)
Total number of beats 96615
Normal beats 96334
Premature ventricular contractions 25
Fusions of ventricular and normal beat 2
Supraventricular premature or ectopic beats 254