SUMMARY NOTES IN THE RECORD s20021  (Duration: 21:05:00.000)

Starting time, recording date:  11:00:00 28/02/1984

Lead 0: MLIII
Lead 1: V4

Age: 55  Sex: M
Comments:
  The patient demonstrates three salvos of ST elevation with
  T-wave peaking. Lead 1 demonstrates a U-wave, which inverts
  during ischemic episodes.
  An excerpt of this recording is included in the European
  ST-T Database (record e0113).
Symptoms during Holter recording: No data
Diagnoses: 
  Prinzmetal's angina
Treatment:
  Medications: 
    Nitrates
    Verapamil
  Balloon Angioplasty: No data
  Coronary Artery bypass Grafting: No data
History: 
  Smoker, hypertriglyceridemia
  Hypertension: No
  Left ventricular hypertrophy: No
  Cardiomyopathy: No
  Valve disease: No
  Electrolyte abnormalities: No
  Hypercapnia, anemia, hypotension, hyperventilation: No
  Atrioventricular nodal conduction delay: No
  Intraventricular conduction block: No
  Previous Myocardial Infarction: No
  Previous tests:
    ECG stress test: Yes 
      Date: No Data
      Findings: ST depression V4-6
    Thallium/Stress echo: No data
    Left ventricular function: 
      Normal
    Echocardiogram: No data
    Coronary Arteriography: 
      Left anterior descending coronary artery 75% stenosis, circumflex 50% stenosis, right coronary artery 75% stenosis
    Baseline ECG: 
      Normal
Holter Recording:
  Date: 28/02/1984
  Recorder: Oxford Medilog


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20021.sta)

Lead 0:
Ischemic episodes:          20   Duration:      21:58   1.74% 
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 1:
Ischemic episodes:          26   Duration:      40:44   3.22% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                37 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          46   Duration:    1:02:42   2.48%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                39 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:          26   Duration:      41:12   3.26% 
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:        26   Duration:      41:12   3.26%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20021.stb)

Lead 0:
Ischemic episodes:          11   Duration:      14:06   1.11% 
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 1:
Ischemic episodes:          21   Duration:      33:40   2.66% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                37 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          32   Duration:      47:46   1.89%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                39 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:          21   Duration:      33:52   2.68% 
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:        21   Duration:      33:52   2.68%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20021.stc)

Lead 0:
Ischemic episodes:           5   Duration:       7:38   0.60% 
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 1:
Ischemic episodes:           7   Duration:      13:24   1.06% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                37 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          12   Duration:      21:02   0.83%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                39 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           7   Duration:      13:24   1.06% 
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:      13:24   1.06%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20021.atr)

Total number of beats                           88963

Normal beats                                    88755
Premature ventricular contractions                138
Fusions of ventricular and normal beat              1
Supraventricular premature or ectopic beats        69