SUMMARY NOTES IN THE RECORD s20111 (Duration: 22:11:16.000) Starting time, recording date: 09:10:00 09/11/1994 Lead 0: ML2 Lead 1: MV2 Age: 64 Sex: M Comments: This patient with known CAD has several transient ischemic ST events, generally in association with significant heart rate increases. There are many ST episodes in association with less dramatic heart rate increases that do not meet criteria for ischemia and are labelled as rate-related ST episodes. This record is from the initial Long-Term ST Database of eleven 24-hour ST annotated ambulatory records (record s20612). Symptoms during Holter recording: None reported Diagnoses: Coronary artery disease Abdominal aortic aneurysm Benign prostatic hypertrophy Prostatitis Syncopal episodes Treatment: Medications: Atenolol Tegretol Aspirin Norvasc Propranolol Vitamins Balloon Angioplasty: Yes - left anterior descending coronary artery Coronary Artery bypass Grafting: No History: Coronary artery disease, abdominal aortic aneurysm Hypertension: No 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 exercise tolerance test in 1995, 1997 Thallium/Stress echo: Positive Left ventricular function: Normal Echocardiogram: Normal Coronary Arteriography: Left anterior descending coronary artery tight lesion, 2-vessel disease Baseline ECG: Normal sinus rhythm Bradycardia Minimal ST depressions in leads II, avF, V5-V6 Holter Recording: Date: 09/11/1994 Recorder: No data ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s20111.sta) Lead 0: Ischemic episodes: 7 Duration: 25:40 1.93% Rate-related episodes: 11 Duration: 1:55:12 8.65% Axis shifts: 13 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: 2 Duration: 18:02 1.35% Axis shifts: 1 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 7 Duration: 25:40 0.96% Rate-related episodes: 13 Duration: 2:13:14 5.00% Axis shifts: 14 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 7 Duration: 25:40 1.93% Rate-related episodes: 11 Duration: 1:55:12 8.65% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 18 Duration: 2:20:52 10.58% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s20111.stb) Lead 0: Ischemic episodes: 4 Duration: 19:46 1.48% Rate-related episodes: 6 Duration: 1:24:10 6.32% Axis shifts: 13 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: 1 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 4 Duration: 19:46 0.74% Rate-related episodes: 6 Duration: 1:24:10 3.16% Axis shifts: 14 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 4 Duration: 19:46 1.48% Rate-related episodes: 6 Duration: 1:24:10 6.32% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 10 Duration: 1:43:56 7.81% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s20111.stc) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 3 Duration: 38:36 2.90% Axis shifts: 13 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: 1 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 3 Duration: 38:36 1.45% Axis shifts: 14 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 3 Duration: 38:36 2.90% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 3 Duration: 38:36 2.90% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s20111.atr) Total number of beats 85265 Normal beats 85186 Aberrated atrial premature beats 1 Premature ventricular contractions 3 Supraventricular premature or ectopic beats 75