SUMMARY NOTES IN THE RECORD s20361  (Duration: 23:47:29.988)

Starting time, recording date:  08:53:00 30/11/1991

Lead 0: 0
Lead 1: 1

Age: 63  Sex: M 
Comments: 
  Lead 0:
    There is one episode noted which begins at 10:29:44 and
    lasts until 12:32:42 which is borderline heart-rate related
    ischemia. At 11:49:22 the episode resumes and becomes
    frankly ischemic with depressed and down-sloping ST
    segments. The pair of episodes is split by a tiny period
    of ST level normalization which just exceeds the 30
    second threshold.
  Electrode locations were not recorded.
Symptoms during Holter recording: No data
Diagnoses: 
  Coronary artery disease
Treatment:
  Medications: None
  Balloon Angioplasty: No
  Coronary Artery bypass Grafting: No
History: 
  Hypertension: No
  Left ventricular hypertrophy: No data
  Cardiomyopathy: No data
  Valve disease: No data
  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
    Baseline ECG: No data
Holter Recording:
  Date: 30/11/1991
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20361.sta)

Lead 0:
Ischemic episodes:           2   Duration:    2:02:18   8.57% 
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:    1:55:36   8.10% 
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:           4   Duration:    3:57:54   8.33%
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:    2:02:18   8.57% 
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:    2:02:18   8.57%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20361.stb)

Lead 0:
Ischemic episodes:           2   Duration:    2:02:18   8.57% 
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:    1:55:36   8.10% 
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:           4   Duration:    3:57:54   8.33%
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:    2:02:18   8.57% 
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:    2:02:18   8.57%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20361.stc)

Lead 0:
Ischemic episodes:           2   Duration:    2:02:18   8.57% 
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:    1:55:36   8.10% 
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:           4   Duration:    3:57:54   8.33%
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:    2:02:18   8.57% 
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:    2:02:18   8.57%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20361.atr)

Total number of beats                          105688

Normal beats                                   105658
Premature ventricular contractions                 11
Fusions of ventricular and normal beat              1
Supraventricular premature or ectopic beats        18