SUMMARY NOTES IN THE RECORD s20111  (Duration: 22:11:16.000)

Starting time, recording date:  09:10:00 09/11/1994

Lead 0: ML2
Lead 1: MV2

Age: 64  Sex: M
Comments:
  This patient with known CAD has several transient ischemic ST
  events, generally in association with significant heart rate
  increases. There are many ST episodes in association with less
  dramatic heart rate increases that do not meet criteria for
  ischemia and are labelled as rate-related ST episodes.
  This record is from the initial Long-Term ST Database of
  eleven 24-hour ST annotated ambulatory records (record s20612).
Symptoms during Holter recording: None reported
Diagnoses: 
  Coronary artery disease
  Abdominal aortic aneurysm
  Benign prostatic hypertrophy
  Prostatitis
  Syncopal episodes
Treatment:
  Medications: 
    Atenolol
    Tegretol
    Aspirin
    Norvasc
    Propranolol
    Vitamins
  Balloon Angioplasty: Yes - left anterior descending coronary artery
  Coronary Artery bypass Grafting: No
History: 
  Coronary artery disease, abdominal aortic aneurysm
  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: Positive exercise tolerance test in 1995, 1997
    Thallium/Stress echo: Positive
    Left ventricular function: 
      Normal
    Echocardiogram: 
      Normal
    Coronary Arteriography: 
      Left anterior descending coronary artery tight lesion, 2-vessel disease
    Baseline ECG: 
      Normal sinus rhythm
      Bradycardia
      Minimal ST depressions in leads II, avF, V5-V6
Holter Recording:
  Date: 09/11/1994
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20111.sta)

Lead 0:
Ischemic episodes:           7   Duration:      25:40   1.93% 
Rate-related episodes:      11   Duration:    1:55:12   8.65% 
Axis shifts:                13 
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:      18:02   1.35% 
Axis shifts:                 1 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           7   Duration:      25:40   0.96%
Rate-related episodes:      13   Duration:    2:13:14   5.00%
Axis shifts:                14 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           7   Duration:      25:40   1.93% 
Rate-related episodes:      11   Duration:    1:55:12   8.65%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:        18   Duration:    2:20:52  10.58%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20111.stb)

Lead 0:
Ischemic episodes:           4   Duration:      19:46   1.48% 
Rate-related episodes:       6   Duration:    1:24:10   6.32% 
Axis shifts:                13 
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:           4   Duration:      19:46   0.74%
Rate-related episodes:       6   Duration:    1:24:10   3.16%
Axis shifts:                14 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           4   Duration:      19:46   1.48% 
Rate-related episodes:       6   Duration:    1:24:10   6.32%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:        10   Duration:    1:43:56   7.81%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20111.stc)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       3   Duration:      38:36   2.90% 
Axis shifts:                13 
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:       3   Duration:      38:36   1.45%
Axis shifts:                14 
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:       3   Duration:      38:36   2.90%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         3   Duration:      38:36   2.90%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20111.atr)

Total number of beats                           85265

Normal beats                                    85186
Aberrated atrial premature beats                    1
Premature ventricular contractions                  3
Supraventricular premature or ectopic beats        75