SUMMARY NOTES IN THE RECORD s20251  (Duration: 23:46:00.000)

Starting time, recording date:  09:22:00 07/05/1992

Lead 0: 0
Lead 1: 1

Age: 65  Sex: M
Comments:
  There are clear ischemic ST depression and downsloping,
  associated with heart rate increase seen in both leads,
  more prominent in lead 1. Three episodes were early
  in the record prior to 5 hours. After 5 hours no episodes
  were seen.
  Electrode locations were not recorded.
Symptoms during Holter recording: No data
Diagnoses: 
  Coronary artery disease
Treatment:
  Medications: 
    Nitroglycerine
    Beta-blocker
    Calcium channel blocker
    Aspirin
  Balloon Angioplasty: No
  Coronary Artery bypass Grafting: No
History: 
  Angina, coronary artery disease
  Hypertension: No
  Left ventricular hypertrophy: No data
  Cardiomyopathy: No
  Valve disease: No
  Electrolyte abnormalities: No data
  Hypercapnia, anemia, hypotension, hyperventilation: No data
  Atrioventricular nodal conduction delay: No data
  Intraventricular conduction block: No data
  Previous Myocardial Infarction: No
  Previous tests:
    ECG stress test: No data
    Thallium/Stress echo: No data
    Left ventricular function: No data
    Echocardiogram: No data
    Coronary Arteriography: 
      Lesions in right coronary artery and left circumflex coronary artery
    Baseline ECG: No data
Holter Recording:
  Date: 07/05/1992
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20251.sta)

Lead 0:
Ischemic episodes:           2   Duration:       7:58   0.56% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           5   Duration:      33:44   2.37% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           7   Duration:      41:42   1.46%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           5   Duration:      33:44   2.37% 
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:         5   Duration:      33:44   2.37%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20251.stb)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           3   Duration:      23:46   1.67% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           3   Duration:      23:46   0.83%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           3   Duration:      23:46   1.67% 
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:         3   Duration:      23:46   1.67%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20251.stc)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           2   Duration:      16:30   1.16% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           2   Duration:      16:30   0.58%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           2   Duration:      16:30   1.16% 
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:      16:30   1.16%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20251.atr)

Total number of beats                          108373

Normal beats                                   108326
Premature ventricular contractions                  7
Supraventricular premature or ectopic beats        40