SUMMARY NOTES IN THE RECORD s20051  (Duration: 21:18:44.000)

Starting time, recording date:  15/02/1994

Lead 0: ML2
Lead 1: MV2

Age: 87  Sex: F
Comments: 
  In this patient with RBBB and known left ventricular hypertrophy
  the transient ST changes noted are characterized by ST depression
  and downsloping which suggests ischemia.
  This record is from the initial Long-Term ST Database of
  eleven 24-hour ST annotated ambulatory records (record s19922).
Symptoms during Holter recording: No data
Diagnoses: 
  Hypertension
Treatment:
  Medications: 
    Atenolol
    Hydrochlorothiazide
    Procardia XL
  Balloon Angioplasty: No
  Coronary Artery bypass Grafting: No
History: 
  No evidence of coronary artery disease
  Hypertension: Yes
  Left ventricular hypertrophy: Yes
  Cardiomyopathy: No
  Valve disease: No
  Electrolyte abnormalities: No
  Hypercapnia, anemia, hypotension, hyperventilation: No
  Atrioventricular nodal conduction delay: No
  Intraventricular conduction block: Right bundle branch block
  Previous Myocardial Infarction: No
  Previous tests:
    ECG stress test: No
    Thallium/Stress echo: No
    Left ventricular function: 
      Good left ventricular function
    Echocardiogram: 
      Symmetrical left ventricular hypertrophy
      Good left ventricular function
    Coronary Arteriography: No
    Baseline ECG: 
      Normal sinus rhythm
      Left ventricular hypertrophy
      Right bundle branch block
      Slightly long QT interval
Holter Recording:
  Date: 15/02/1994
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20051.sta)

Lead 0:
Ischemic episodes:           2   Duration:       2:46   0.22% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                24 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
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% 

Total:
Ischemic episodes:           2   Duration:       2:46   0.11%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                25 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           2   Duration:       2:46   0.22% 
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:       2:46   0.22%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20051.stb)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                24 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
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% 

Total:
Ischemic episodes:           0   Duration:       0:00   0.00%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                25 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           0   Duration:       0:00   0.00% 
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:         0   Duration:       0:00   0.00%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20051.stc)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                24 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
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% 

Total:
Ischemic episodes:           0   Duration:       0:00   0.00%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                25 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           0   Duration:       0:00   0.00% 
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:         0   Duration:       0:00   0.00%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20051.atr)

Total number of beats                          112891

Normal beats                                   112853
Premature ventricular contractions                  2
Fusions of ventricular and normal beat              2
Supraventricular premature or ectopic beats        34