SUMMARY NOTES IN THE RECORD s20241 (Duration: 23:22:01.000)
Starting time, recording date: 08:17:00 19/08/1996
Lead 0: ML2
Lead 1: MV2
Age: 29 Sex: F
Comments:
This record shows minimal rate-related reduction
in baseline ST elevation, and T-wave flattening.
No ischemia, no axis shifts.
Symptoms during Holter recording: Palpitations, chest tightness
Diagnoses:
Mitral valve prolapse
Palpitations
Treatment:
Medications: No data
Balloon Angioplasty: No
Coronary Artery bypass Grafting: No
History:
No history of coronary artery disease
Hypertension: No
Left ventricular hypertrophy: No
Cardiomyopathy: No
Valve disease: Yes - mitral prolapse
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:
Normal
Echocardiogram: No data
Coronary Arteriography: No
Baseline ECG:
Normal sinus rhythm
Non-specific ST changes consistent with early repolarization
Holter Recording:
Date: 19/08/1996
Recorder: No data
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20241.sta)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 10 Duration: 2:25:44 10.39%
Axis shifts: 0
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: 15 Duration: 1:26:18 6.16%
Axis shifts: 0
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: 25 Duration: 3:52:02 8.27%
Axis shifts: 0
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: 11 Duration: 2:29:34 10.67%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 11 Duration: 2:29:34 10.67%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20241.stb)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 7 Duration: 2:14:46 9.61%
Axis shifts: 0
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: 59:34 4.25%
Axis shifts: 0
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: 13 Duration: 3:14:20 6.93%
Axis shifts: 0
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: 7 Duration: 2:15:52 9.69%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 7 Duration: 2:15:52 9.69%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20241.stc)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 5 Duration: 1:47:04 7.64%
Axis shifts: 0
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: 50:20 3.59%
Axis shifts: 0
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: 7 Duration: 2:37:24 5.61%
Axis shifts: 0
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: 5 Duration: 1:48:10 7.72%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 5 Duration: 1:48:10 7.72%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20241.atr)
Total number of beats 92439
Normal beats 92424
Premature ventricular contractions 6
Nodal (junctional) premature beats 1
Supraventricular premature or ectopic beats 3
Nodal (junctional) escape beats 5