SUMMARY NOTES IN THE RECORD s20081  (Duration: 22:48:49.000)

Starting time, recording date:  12/10/1994

Lead 0: ML2
Lead 1: MV2

Age: 39  Sex: F
Comments: 
  Lead 0:
    The rate-related ECG changes in lead 0 are generally
    characterized by J-point depression, ST flattening and
    down-sloping, and T-wave inversions. These changes are
    highly suggestive of ischemia.
  Lead 1:
    The few significant rate-related episodes in this lead
    show ST flattening and are not likely to represent
    ischemia if considered in isolation.
  This record is from the initial Long-Term ST Database of
  eleven 24-hour ST annotated ambulatory records (record s20538).
Symptoms during Holter recording: No data
Diagnoses: 
  Palpitations
Treatment:
  Medications: None
  Balloon Angioplasty: No
  Coronary Artery bypass Grafting: No
History: 
  No history of coronary artery disease
  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: Normal
    Thallium/Stress echo: No data
    Left ventricular function: 
      Normal
    Echocardiogram: 
      Normal
    Coronary Arteriography: No
    Baseline ECG: No
Holter Recording:
  Date: 12/10/1994
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20081.sta)

Lead 0:
Ischemic episodes:          33   Duration:    6:25:30  28.16% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 7 
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:      24   Duration:    2:46:16  12.15% 
Axis shifts:                 9 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          33   Duration:    6:25:30  14.08%
Rate-related episodes:      24   Duration:    2:46:16   6.07%
Axis shifts:                16 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:          33   Duration:    6:25:30  28.16% 
Rate-related episodes:      14   Duration:       8:40   0.63%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:        32   Duration:    6:34:10  28.80%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20081.stb)

Lead 0:
Ischemic episodes:          10   Duration:    4:16:02  18.70% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 7 
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:       2   Duration:      52:16   3.82% 
Axis shifts:                 9 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          10   Duration:    4:16:02   9.35%
Rate-related episodes:       2   Duration:      52:16   1.91%
Axis shifts:                16 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:          10   Duration:    4:16:02  18.70% 
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:        10   Duration:    4:16:02  18.70%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20081.stc)

Lead 0:
Ischemic episodes:           2   Duration:    3:03:40  13.42% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 7 
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:                 9 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           2   Duration:    3:03:40   6.71%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                16 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           2   Duration:    3:03:40  13.42% 
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:    3:03:40  13.42%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20081.atr)

Total number of beats                          112979

Normal beats                                   111662
Premature ventricular contractions               1292
Fusions of ventricular and normal beat             22
Supraventricular premature or ectopic beats         2
Nodal (junctional) escape beats                     1