SUMMARY NOTES IN THE RECORD s20021 (Duration: 21:05:00.000)
Starting time, recording date: 11:00:00 28/02/1984
Lead 0: MLIII
Lead 1: V4
Age: 55 Sex: M
Comments:
The patient demonstrates three salvos of ST elevation with
T-wave peaking. Lead 1 demonstrates a U-wave, which inverts
during ischemic episodes.
An excerpt of this recording is included in the European
ST-T Database (record e0113).
Symptoms during Holter recording: No data
Diagnoses:
Prinzmetal's angina
Treatment:
Medications:
Nitrates
Verapamil
Balloon Angioplasty: No data
Coronary Artery bypass Grafting: No data
History:
Smoker, hypertriglyceridemia
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: ST depression V4-6
Thallium/Stress echo: No data
Left ventricular function:
Normal
Echocardiogram: No data
Coronary Arteriography:
Left anterior descending coronary artery 75% stenosis, circumflex 50% stenosis, right coronary artery 75% stenosis
Baseline ECG:
Normal
Holter Recording:
Date: 28/02/1984
Recorder: Oxford Medilog
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20021.sta)
Lead 0:
Ischemic episodes: 20 Duration: 21:58 1.74%
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%
Lead 1:
Ischemic episodes: 26 Duration: 40:44 3.22%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 37
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 46 Duration: 1:02:42 2.48%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 39
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 26 Duration: 41:12 3.26%
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: 26 Duration: 41:12 3.26%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20021.stb)
Lead 0:
Ischemic episodes: 11 Duration: 14:06 1.11%
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%
Lead 1:
Ischemic episodes: 21 Duration: 33:40 2.66%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 37
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 32 Duration: 47:46 1.89%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 39
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 21 Duration: 33:52 2.68%
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: 21 Duration: 33:52 2.68%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20021.stc)
Lead 0:
Ischemic episodes: 5 Duration: 7:38 0.60%
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%
Lead 1:
Ischemic episodes: 7 Duration: 13:24 1.06%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 37
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 12 Duration: 21:02 0.83%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 39
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 7 Duration: 13:24 1.06%
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: 13:24 1.06%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20021.atr)
Total number of beats 88963
Normal beats 88755
Premature ventricular contractions 138
Fusions of ventricular and normal beat 1
Supraventricular premature or ectopic beats 69