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