SUMMARY NOTES IN THE RECORD s20231 (Duration: 23:25:45.000)
Starting time, recording date: 08:09:00 17/07/1996
Lead 0: ML2
Lead 1: MV2
Age: 53 Sex: M
Comments:
Lead 0:
Episode of paroxysmal atrial fibrillation, onset at 04:26:37,
offset at 05:45:07. There are rate-related ST episodes in the
same interval.
Lead 1:
Episode of paroxysmal atrial fibrillation, the same period as
in lead 0. There is rate-related ST depression which begins
near atrial fibrillation onset at 04:26:41, but terminates by
05:25:13.
Symptoms during Holter recording: None reported
Diagnoses:
Congestive heart failure
Atrial fibrillation
Chronic obstructive pulmonary disease
Treatment:
Medications:
Amiodarone
Captopril
Digoxin
Coumadin
Balloon Angioplasty: No
Coronary Artery bypass Grafting: No
History:
No evidence of coronary artery disease
Hypertension: No
Left ventricular hypertrophy: No
Cardiomyopathy: Yes
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: No
Thallium/Stress echo: No
Left ventricular function:
Abnormal - left ventricular ejection fraction 30%
Echocardiogram:
Global hypokinesis
Ejection fraction 30%
Suggestive of cardiomyopathy
Coronary Arteriography: No
Baseline ECG:
Normal sinus rhythm
Left atrial abnormality
Non-specific ST-T abnormalities
Holter Recording:
Date: 17/07/1996
Recorder: No data
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20231.sta)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 3 Duration: 1:37:02 6.90%
Axis shifts: 1
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: 6 Duration: 59:24 4.23%
Axis shifts: 4
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 9 Duration: 2:36:26 5.56%
Axis shifts: 5
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 4 Duration: 1:40:06 7.12%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 4 Duration: 1:40:06 7.12%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20231.stb)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 2 Duration: 1:32:16 6.56%
Axis shifts: 1
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: 44:14 3.15%
Axis shifts: 4
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 4 Duration: 2:16:30 4.86%
Axis shifts: 5
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 2 Duration: 1:32:16 6.56%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 2 Duration: 1:32:16 6.56%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20231.stc)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 2 Duration: 1:32:16 6.56%
Axis shifts: 1
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: 4
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 2 Duration: 1:32:16 3.28%
Axis shifts: 5
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 2 Duration: 1:32:16 6.56%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 2 Duration: 1:32:16 6.56%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20231.atr)
Total number of beats 103100
Normal beats 103061
Aberrated atrial premature beats 2
Premature ventricular contractions 2
Fusions of ventricular and normal beat 1
Supraventricular premature or ectopic beats 34