SUMMARY NOTES IN THE RECORD s20241  (Duration: 23:22:01.000)

Starting time, recording date:  08:17:00 19/08/1996

Lead 0: ML2
Lead 1: MV2

Age: 29  Sex: F
Comments:
  This record shows minimal rate-related reduction
  in baseline ST elevation, and T-wave flattening.
  No ischemia, no axis shifts.
Symptoms during Holter recording: Palpitations, chest tightness
Diagnoses: 
  Mitral valve prolapse
  Palpitations
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: Yes - mitral prolapse
  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: 
      Normal
    Echocardiogram: No data
    Coronary Arteriography: No
    Baseline ECG: 
      Normal sinus rhythm
      Non-specific ST changes consistent with early repolarization
Holter Recording:
  Date: 19/08/1996
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20241.sta)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:      10   Duration:    2:25:44  10.39% 
Axis shifts:                 0 
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:      15   Duration:    1:26:18   6.16% 
Axis shifts:                 0 
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:      25   Duration:    3:52:02   8.27%
Axis shifts:                 0 
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:      11   Duration:    2:29:34  10.67%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:        11   Duration:    2:29:34  10.67%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20241.stb)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       7   Duration:    2:14:46   9.61% 
Axis shifts:                 0 
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:      59:34   4.25% 
Axis shifts:                 0 
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:      13   Duration:    3:14:20   6.93%
Axis shifts:                 0 
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:    2:15:52   9.69%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         7   Duration:    2:15:52   9.69%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20241.stc)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       5   Duration:    1:47:04   7.64% 
Axis shifts:                 0 
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:      50:20   3.59% 
Axis shifts:                 0 
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:    2:37:24   5.61%
Axis shifts:                 0 
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:       5   Duration:    1:48:10   7.72%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         5   Duration:    1:48:10   7.72%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20241.atr)

Total number of beats                           92439

Normal beats                                    92424
Premature ventricular contractions                  6
Nodal (junctional) premature beats                  1
Supraventricular premature or ectopic beats         3
Nodal (junctional) escape beats                     5