SUMMARY NOTES IN THE RECORD s20121 (Duration: 21:21:44.000)
Starting time, recording date: 09:21:00 30/01/1995
Lead 0: ML2
Lead 1:
Age: 48 Sex: F
Comments:
This record is from the initial Long-Term ST Database of
eleven 24-hour ST annotated ambulatory records (record s20788).
Symptoms during Holter recording: Chest pain
Diagnoses:
3-vessel coronary artery disease
Insulin-dependent diabetes mellitus
Peripheral arterial insufficiency
Previous strokes x4
Previous femoral-popliteal bypass
Hyperlipidemia
Treatment:
Medications:
Cardizem
Corgard
Aspirin
Nitropaste
Balloon Angioplasty: 1994 - opened venous graft
Coronary Artery bypass Grafting: Yes, 1982
History:
Coronary artery disease, congestive heart failure
Hypertension: No
Left ventricular hypertrophy: Yes
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: Yes, had myocardial infarction in 1995
Previous tests:
ECG stress test: No
Thallium/Stress echo: No
Left ventricular function:
Normal
Echocardiogram:
Borderline concentric left ventricular hypertrophy
Pulmonary hypertension
Coronary Arteriography:
Severe native 3-vessel coronary artery disease
Baseline ECG:
Normal sinus rhythm
Rare ventricular premature beats
ST-T horizontal depressions infero-lateral leads
Holter Recording:
Date: 30/01/1995
Recorder: No data
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20121.sta)
Lead 0:
Ischemic episodes: 9 Duration: 1:11:22 5.57%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 15
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: 8
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 9 Duration: 1:11:22 2.78%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 23
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 9 Duration: 1:11:22 5.57%
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: 1:11:22 5.57%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20121.stb)
Lead 0:
Ischemic episodes: 2 Duration: 17:32 1.37%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 15
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: 8
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 2 Duration: 17:32 0.68%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 23
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 2 Duration: 17:32 1.37%
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: 2 Duration: 17:32 1.37%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20121.stc)
Lead 0:
Ischemic episodes: 1 Duration: 13:40 1.07%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 15
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: 8
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 1 Duration: 13:40 0.53%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 23
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 1 Duration: 13:40 1.07%
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: 1 Duration: 13:40 1.07%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20121.atr)
Total number of beats 85526
Normal beats 84927
Premature ventricular contractions 580
Supraventricular premature or ectopic beats 19