SUMMARY NOTES IN THE RECORD s20501  (Duration: 23:57:50.000)

Starting time, recording date:  09:50:00 20/03/1999

Lead 0: V4
Lead 1: MLIII

Age: 63  Sex: F
Comments: 
  This is a patient with hypertrophic cardiomyopathy.
  The QRS complexes are bizarre and the record contains
  a number of axis shifts but no rate-related or ischemic
  episodes.
Symptoms during Holter recording: No data
Diagnoses: 
  Obstructive hypertrophic cardiomyopathy
Treatment:
  Medications: 
    Verapamil
  Balloon Angioplasty: No data
  Coronary Artery bypass Grafting: No data
History: 
  Effort and resting angina
  Hypertension: Yes
  Left ventricular hypertrophy: Septum 24 mm
  Cardiomyopathy: Hcm
  Valve disease: No
  Electrolyte abnormalities: No
  Hypercapnia, anemia, hypotension, hyperventilation: No
  Atrioventricular nodal conduction delay: No
  Intraventricular conduction block: yes
  Previous Myocardial Infarction: No
  Previous tests:
    ECG stress test: No
    Thallium/Stress echo: No data
    Left ventricular function: 
      Normal
    Echocardiogram: No data
    Coronary Arteriography: 
      Normal coronary tree
    Baseline ECG: 
      Intraventricular conduction block 
Holter Recording:
  Date: 20/03/1999
  Recorder: Remco


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20501.sta)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:               112 
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:       0   Duration:       0:00   0.00% 
Axis shifts:               120 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           0   Duration:       0:00   0.00%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:               232 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           0   Duration:       0:00   0.00% 
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:         0   Duration:       0:00   0.00%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20501.stb)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:               112 
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:       0   Duration:       0:00   0.00% 
Axis shifts:               120 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           0   Duration:       0:00   0.00%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:               232 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           0   Duration:       0:00   0.00% 
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:         0   Duration:       0:00   0.00%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20501.stc)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:               112 
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:       0   Duration:       0:00   0.00% 
Axis shifts:               120 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           0   Duration:       0:00   0.00%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:               232 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           0   Duration:       0:00   0.00% 
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:         0   Duration:       0:00   0.00%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20501.atr)

Total number of beats                          142725

Normal beats                                   128106
Premature ventricular contractions                502
Fusions of ventricular and normal beat              1
Supraventricular premature or ectopic beats     14116