SUMMARY NOTES IN THE RECORD s20401  (Duration: 21:27:51.000)

Starting time, recording date:  10:21:00 28/08/1992

Lead 0: 0
Lead 1: 1

Age: 44  Sex: M
Comments: 
  Lead 0:
    There are several (9) episodes of ischemic ST
    changes. Theses episodes are associated with increases
    in heart rate.
  Lead 1:
    The ischemia noted above in lead 0 is also seen in this
    lead.
  Electrode locations were not recorded.
Symptoms during Holter recording: No data
Diagnoses: 
  Coronary artery disease
Treatment:
  Medications: 
    Isordil
    Calcium channel blocker
    Aspirin
  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, left anterior descending coronary artery, left circumflex coronary artery
    Baseline ECG: No data
Holter Recording:
  Date: 28/08/1992
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20401.sta)

Lead 0:
Ischemic episodes:           9   Duration:    1:28:48   6.90% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 1 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           7   Duration:    1:35:20   7.40% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 1 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          16   Duration:    3:04:08   7.15%
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%

Combined:
Ischemic episodes:           7   Duration:    1:36:34   7.50% 
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:         7   Duration:    1:36:34   7.50%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20401.stb)

Lead 0:
Ischemic episodes:           8   Duration:    1:24:28   6.56% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 1 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           7   Duration:    1:35:20   7.40% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 1 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          15   Duration:    2:59:48   6.98%
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%

Combined:
Ischemic episodes:           7   Duration:    1:36:34   7.50% 
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:         7   Duration:    1:36:34   7.50%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20401.stc)

Lead 0:
Ischemic episodes:           4   Duration:    1:16:52   5.97% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 1 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           3   Duration:    1:17:02   5.98% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 1 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           7   Duration:    2:33:54   5.98%
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%

Combined:
Ischemic episodes:           4   Duration:    1:22:12   6.38% 
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:         4   Duration:    1:22:12   6.38%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20401.atr)

Total number of beats                           77333

Normal beats                                    77269
Premature ventricular contractions                 61
Supraventricular premature or ectopic beats         3