SUMMARY NOTES IN THE RECORD s20201  (Duration: 20:58:47.000)

Starting time, recording date:  15:02:00 11/10/1995

Lead 0: ML2
Lead 1: MV2

Age: 78  Sex: F
Comments:
  Relatively few episodes. No ischemic changes. A few
  rate-related episodes. A number of significant axis
  shifts. There is some baseline ST depression.
Symptoms during Holter recording: None reported
Diagnoses: 
  Syncope
  Seizure disorder
Treatment:
  Medications: No data
  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 data
  Intraventricular conduction block: No data
  Previous Myocardial Infarction: No
  Previous tests:
    ECG stress test: No
    Thallium/Stress echo: No
    Left ventricular function: 
      Normal
    Echocardiogram: 
      Normal left ventricular function
      Minimal aortic insufficiency
      Mitral regurgitation
    Coronary Arteriography: No
    Baseline ECG: 
      Sinus bradycardia
      Left ventricular hypertrophy
      Possible old anterior myocardial infarction
      Inferior and anterolateral ST depression
Holter Recording:
  Date: 11/10/1995
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20201.sta)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       7   Duration:      25:14   2.00% 
Axis shifts:                20 
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:                 2 
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:       7   Duration:      25:14   1.00%
Axis shifts:                22 
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:       7   Duration:      25:14   2.00%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         7   Duration:      25:14   2.00%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20201.stb)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       1   Duration:      12:14   0.97% 
Axis shifts:                20 
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:                 2 
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:       1   Duration:      12:14   0.49%
Axis shifts:                22 
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:       1   Duration:      12:14   0.97%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         1   Duration:      12:14   0.97%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20201.stc)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       1   Duration:      12:14   0.97% 
Axis shifts:                20 
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:                 2 
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:       1   Duration:      12:14   0.49%
Axis shifts:                22 
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:       1   Duration:      12:14   0.97%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         1   Duration:      12:14   0.97%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20201.atr)

Total number of beats                           91477

Normal beats                                    91366
Premature ventricular contractions                 11
Supraventricular premature or ectopic beats       100