SUMMARY NOTES IN THE RECORD s20481  (Duration: 23:24:45.000)

Starting time, recording date:  11:54:00 29/01/1999

Lead 0: V4
Lead 1: MLIII

Age: 71  Sex: F
Comments: No data
Symptoms during Holter recording: No data
Diagnoses: 
  Effort and resting angina
  Coronary artery disease
  Hypertension
Treatment:
  Medications: 
    Nitrates
    Beta blocker
  Balloon Angioplasty: No data
  Coronary Artery bypass Grafting: No data
History: 
  Diabetes, obesity, arterial hypertension, coronary artery disease 
  Hypertension: Yes
  Left ventricular hypertrophy: Septum 13 mm
  Cardiomyopathy: No
  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 data
    Left ventricular function: 
      Normal
    Echocardiogram: No data
    Coronary Arteriography: 
      Left anterior descending coronary artery 100% stenosis, left circumflex coronary artery 90% stenosis, right coronary artery 50% stenosis
    Baseline ECG: 
      ST depression 0.1mv V4-V6
Holter Recording:
  Date: 29/01/1999
  Recorder: Remco


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20481.sta)

Lead 0:
Ischemic episodes:           7   Duration:    1:15:06   5.35% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 1 
Conduction-change shifts:    0 
Noisy events:                1 
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:                 1 
Conduction-change shifts:    0 
Noisy events:                8 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           7   Duration:    1:15:06   2.67%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 2 
Conduction-change shifts:    0 
Noisy events:                9 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           7   Duration:    1:15:06   5.35% 
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:    1:15:06   5.35%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20481.stb)

Lead 0:
Ischemic episodes:           1   Duration:      22:54   1.63% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 1 
Conduction-change shifts:    0 
Noisy events:                1 
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:                 1 
Conduction-change shifts:    0 
Noisy events:                8 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           1   Duration:      22:54   0.82%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 2 
Conduction-change shifts:    0 
Noisy events:                9 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           1   Duration:      22:54   1.63% 
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:         1   Duration:      22:54   1.63%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20481.stc)

Lead 0:
Ischemic episodes:           1   Duration:      22:54   1.63% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 1 
Conduction-change shifts:    0 
Noisy events:                1 
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:                 1 
Conduction-change shifts:    0 
Noisy events:                8 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           1   Duration:      22:54   0.82%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 2 
Conduction-change shifts:    0 
Noisy events:                9 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           1   Duration:      22:54   1.63% 
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:         1   Duration:      22:54   1.63%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20481.atr)

Total number of beats                           91455

Normal beats                                    91436
Supraventricular premature or ectopic beats        19