SUMMARY NOTES IN THE RECORD s20231  (Duration: 23:25:45.000)

Starting time, recording date:  08:09:00 17/07/1996

Lead 0: ML2
Lead 1: MV2

Age: 53  Sex: M
Comments:
  Lead 0:
    Episode of paroxysmal atrial fibrillation, onset at 04:26:37,
    offset at 05:45:07. There are rate-related ST episodes in the
    same interval.
  Lead 1:
    Episode of paroxysmal atrial fibrillation, the same period as
    in lead 0. There is rate-related ST depression which begins
    near atrial fibrillation onset at 04:26:41, but terminates by
    05:25:13.
Symptoms during Holter recording: None reported
Diagnoses: 
  Congestive heart failure
  Atrial fibrillation
  Chronic obstructive pulmonary disease
Treatment:
  Medications: 
    Amiodarone
    Captopril
    Digoxin
    Coumadin
  Balloon Angioplasty: No
  Coronary Artery bypass Grafting: No
History: 
  No evidence of coronary artery disease
  Hypertension: No
  Left ventricular hypertrophy: No
  Cardiomyopathy: Yes
  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: No
    Thallium/Stress echo: No
    Left ventricular function: 
      Abnormal - left ventricular ejection fraction 30%
    Echocardiogram: 
      Global hypokinesis
      Ejection fraction 30%
      Suggestive of cardiomyopathy
    Coronary Arteriography: No
    Baseline ECG: 
      Normal sinus rhythm
      Left atrial abnormality
      Non-specific ST-T abnormalities
Holter Recording:
  Date: 17/07/1996
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20231.sta)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       3   Duration:    1:37:02   6.90% 
Axis shifts:                 1 
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:       6   Duration:      59:24   4.23% 
Axis shifts:                 4 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           0   Duration:       0:00   0.00%
Rate-related episodes:       9   Duration:    2:36:26   5.56%
Axis shifts:                 5 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       4   Duration:    1:40:06   7.12%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         4   Duration:    1:40:06   7.12%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20231.stb)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       2   Duration:    1:32:16   6.56% 
Axis shifts:                 1 
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:      44:14   3.15% 
Axis shifts:                 4 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           0   Duration:       0:00   0.00%
Rate-related episodes:       4   Duration:    2:16:30   4.86%
Axis shifts:                 5 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       2   Duration:    1:32:16   6.56%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         2   Duration:    1:32:16   6.56%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20231.stc)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       2   Duration:    1:32:16   6.56% 
Axis shifts:                 1 
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:                 4 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           0   Duration:       0:00   0.00%
Rate-related episodes:       2   Duration:    1:32:16   3.28%
Axis shifts:                 5 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       2   Duration:    1:32:16   6.56%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         2   Duration:    1:32:16   6.56%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20231.atr)

Total number of beats                          103100

Normal beats                                   103061
Aberrated atrial premature beats                    2
Premature ventricular contractions                  2
Fusions of ventricular and normal beat              1
Supraventricular premature or ectopic beats        34