SUMMARY NOTES IN THE RECORD s20611  (Duration: 47:50:00.000)

Starting time, recording date:  18:57:00 07/06/1989

Lead 0: V4
Lead 1: MLIII

Age: 59  Sex: F
Comments:
  This is a 48-hour record. This patient shows
  a number of minor ischemic changes in lead 1,
  all associated with increases in heart rate. No
  episodes were defined in lead 0.
Symptoms during Holter recording: No data
Diagnoses: 
  Hypertension
Treatment:
  Medications: None
  Balloon Angioplasty: No data
  Coronary Artery bypass Grafting: No data
History: 
  Effort and resting angina
  Hypertension: Yes
  Left ventricular hypertrophy: No
  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: Yes
      Date: No Data
      Findings: Positive - ST depression of 0.1 mV in V3-V6
    Thallium/Stress echo: No data
    Left ventricular function: 
      Normal
    Echocardiogram: No data
    Coronary Arteriography: 
      Normal coronary tree
    Baseline ECG: 
      Normal
Holter Recording:
  Date: 07/06/1989
  Recorder: ICR


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20611.sta)

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:          43   Duration:    4:11:02   8.75% 
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:          43   Duration:    4:11:02   4.37%
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%

Combined:
Ischemic episodes:          43   Duration:    4:11:02   8.75% 
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:        43   Duration:    4:11:02   8.75%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20611.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:           9   Duration:    1:09:10   2.41% 
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:           9   Duration:    1:09:10   1.20%
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:           9   Duration:    1:09:10   2.41% 
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:         9   Duration:    1:09:10   2.41%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20611.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:           4   Duration:      42:30   1.48% 
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:      42:30   0.74%
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:           4   Duration:      42:30   1.48% 
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:      42:30   1.48%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20611.atr)

Total number of beats                          235954

Normal beats                                   235882
Supraventricular premature or ectopic beats        72