SUMMARY NOTES IN THE RECORD s20272 (Duration: 23:45:59.988)
Starting time, recording date: 09:45:00 28/05/1992
Lead 0: 0
Lead 1: 1
Age: 61 Sex: M
Comments:
Records s20271, s20272, s20273 and s20274 are from the same patient.
This is the second record.
Lead 0:
Episodes of ST depression preceeded by slight ST elevation
and peaking of T waves.
Lead 1:
There are ST depressions which correspond to episodes seen
in lead 0.
Both leads show some axis shifting.
Electrode locations were not recorded.
Symptoms during Holter recording: No data
Diagnoses:
Coronary artery disease
Treatment:
Medications:
Isordil
Nitroglycerine
Calcium channel blocker
Aspirin
Balloon Angioplasty: Yes
Coronary Artery bypass Grafting: No
History:
Angina
Hypertension: No
Left ventricular hypertrophy: No
Cardiomyopathy: No
Valve disease: No
Electrolyte abnormalities: No
Hypercapnia, anemia, hypotension, hyperventilation: No
Atrioventricular nodal conduction delay: No data
Intraventricular conduction block: No data
Previous Myocardial Infarction: No
Previous tests:
ECG stress test: No data
Thallium/Stress echo: No data
Left ventricular function: No data
Echocardiogram: No data
Coronary Arteriography:
Lesions in left anterior descending coronary artery, left circumflex coronary artery
Baseline ECG: No data
Holter Recording:
Date: 28/05/1992
Recorder: No data
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20272.sta)
Lead 0:
Ischemic episodes: 25 Duration: 1:41:24 7.11%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 5
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 33 Duration: 3:22:42 14.21%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 33
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 58 Duration: 5:04:06 10.66%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 38
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 33 Duration: 3:23:08 14.24%
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: 33 Duration: 3:23:08 14.24%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20272.stb)
Lead 0:
Ischemic episodes: 22 Duration: 1:33:58 6.59%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 5
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 27 Duration: 3:12:12 13.48%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 33
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 49 Duration: 4:46:10 10.03%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 38
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 27 Duration: 3:12:38 13.51%
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: 27 Duration: 3:12:38 13.51%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20272.stc)
Lead 0:
Ischemic episodes: 19 Duration: 1:20:58 5.68%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 5
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 26 Duration: 3:08:32 13.22%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 33
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 45 Duration: 4:29:30 9.45%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 38
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 26 Duration: 3:08:56 13.25%
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: 3:08:56 13.25%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20272.atr)
Total number of beats 118077
Normal beats 117699
Aberrated atrial premature beats 1
Premature ventricular contractions 361
Supraventricular premature or ectopic beats 16