SUMMARY NOTES IN THE RECORD s30801 (Duration: 23:50:20.984)
Starting time, recording date: 00:48:00 26/07/1999
Lead 0: E-S
Lead 1: A-S
Lead 2: A-I
Age: 59 Sex: M
Comments:
Patient experienced mild angina during recording period.
The time is not available. Lead 0 is very noisy. The
data showed a few short ischemic episodes noted in
leads 1 and 2.
Symptoms during Holter recording: Yes-angina 27/07/1999, time unknown
Diagnoses:
Coronary artery disease
Hyperlipidemia
Hypertension
Treatment:
Medications:
Cardizem CD
Pravachol
Aspirin
Balloon Angioplasty: Yes, 1997 stenting of vein graft
Coronary Artery bypass Grafting: Yes, double bypass in 1987 following failed angioplasty
History:
Coronary artery disease
Hypertension: Yes
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: Inferior myocardial infarction 1986
Previous tests:
ECG stress test: Yes
Date: 1998 and 2000
Findings: Positive for infero-lateral ischemia in 1998; normal in 2000, with inadequate heart rate
Thallium/Stress echo: Positive in 1998 - ST depression in V5, V6; hypokinetic inferior wall.
Left ventricular function:
Normal- ejection fraction 63%
Echocardiogram:
Hypokinetic inferior wall.
Coronary Arteriography:
Yes, 1997: ejection fraction 70%, graft occlusions found
Baseline ECG:
Sinus bradycardia at 51 bpm, left atrial enlargement, minor T-wave abnormalities in lateral precordium.
Holter Recording:
Date: 26/07/1999
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30801.sta)
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: 2
Unreadable intervals: 17 Duration: 5:53:28 24.71%
Lead 1:
Ischemic episodes: 4 Duration: 10:38 0.74%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 27:14 1.90%
Lead 2:
Ischemic episodes: 6 Duration: 21:40 1.51%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 27:26 1.92%
Total:
Ischemic episodes: 10 Duration: 32:18 0.75%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 3
Conduction-change shifts: 0
Noisy events: 2
Unreadable intervals: 21 Duration: 6:48:08 9.51%
Combined:
Ischemic episodes: 6 Duration: 21:56 1.53%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 17 Duration: 5:53:46 24.73%
Combined [ischemic or rate-related]:
ST segment episodes: 6 Duration: 21:56 1.53%
Unreadable intervals: 17 Duration: 5:53:46 24.73%
B. Criteria of 30 seconds and 100 microVolts (s30801.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: 2
Unreadable intervals: 17 Duration: 5:53:28 24.71%
Lead 1:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 27:14 1.90%
Lead 2:
Ischemic episodes: 3 Duration: 12:44 0.89%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 27:26 1.92%
Total:
Ischemic episodes: 3 Duration: 12:44 0.30%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 3
Conduction-change shifts: 0
Noisy events: 2
Unreadable intervals: 21 Duration: 6:48:08 9.51%
Combined:
Ischemic episodes: 3 Duration: 12:44 0.89%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 17 Duration: 5:53:46 24.73%
Combined [ischemic or rate-related]:
ST segment episodes: 3 Duration: 12:44 0.89%
Unreadable intervals: 17 Duration: 5:53:46 24.73%
C. Criteria of 60 seconds and 100 microVolts (s30801.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: 2
Unreadable intervals: 17 Duration: 5:53:28 24.71%
Lead 1:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 27:14 1.90%
Lead 2:
Ischemic episodes: 2 Duration: 8:02 0.56%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 27:26 1.92%
Total:
Ischemic episodes: 2 Duration: 8:02 0.19%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 3
Conduction-change shifts: 0
Noisy events: 2
Unreadable intervals: 21 Duration: 6:48:08 9.51%
Combined:
Ischemic episodes: 2 Duration: 8:02 0.56%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 17 Duration: 5:53:46 24.73%
Combined [ischemic or rate-related]:
ST segment episodes: 2 Duration: 8:02 0.56%
Unreadable intervals: 17 Duration: 5:53:46 24.73%
QRS ATRUTH ANNOTATIONS (s30801.atr)
Total number of beats 94373
Normal beats 94358
Supraventricular premature or ectopic beats 15