Long Term ST Database 1.0.0

File: <base>/notes/s20341.nts (5,986 bytes)

SUMMARY NOTES IN THE RECORD s20341  (Duration: 22:29:13.000)

Starting time, recording date:  13:08:00 12/11/1997

Lead 0: 0
Lead 1: 1

Age: 77  Sex: F
Comments: 
  Lead 0:
    Two major ischemic episodes and several other less
    dramatic ischemic episodes characterized by down-sloping
    ST segments, generally associated with increases in
    heart rate.
  Lead 1:
    This lead, however, showed no evidence of ischemic ST
    changes.
  Electrode locations were not recorded.
Symptoms during Holter recording: None reported
Diagnoses: 
  Coronary artery disease
  Hypertension
  Syncope
  Spinal stenosis
Treatment:
  Medications: 
    Captopril
    Hydrochlorothiazide
  Balloon Angioplasty: No
  Coronary Artery bypass Grafting: No
History: 
  Syncope
  Hypertension: Yes
  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: No
  Previous tests:
    ECG stress test: Yes
      Date: No data
      Findings: Abnormal - infero-lateral ischemia, no angina
    Thallium/Stress echo: Positive antero-lateral ischemia
    Left ventricular function: 
      Normal
    Echocardiogram: 
      Borderline left ventricular hypertrophy
      Ejection fraction > 55%
    Coronary Arteriography: 
      Done in 1998. Showed moderate 3-vessel disease, moderate left ventricular diastolic dysfunction, good ejection fraction
    Baseline ECG: 
      Sinus bradycardia
      Left ventricular hypertrophy
      Left atrial abnormality
      Non-specific ST-T changes
Holter Recording:
  Date: 12/11/1997
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20341.sta)

Lead 0:
Ischemic episodes:           8   Duration:    1:55:50   8.59% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
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:       0   Duration:       0:00   0.00% 
Axis shifts:                 2 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           8   Duration:    1:55:50   4.29%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 2 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           8   Duration:    1:55:50   8.59% 
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:         8   Duration:    1:55:50   8.59%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20341.stb)

Lead 0:
Ischemic episodes:           4   Duration:    1:26:52   6.44% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
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:       0   Duration:       0:00   0.00% 
Axis shifts:                 2 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           4   Duration:    1:26:52   3.22%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 2 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           4   Duration:    1:26:52   6.44% 
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:         4   Duration:    1:26:52   6.44%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20341.stc)

Lead 0:
Ischemic episodes:           3   Duration:    1:25:28   6.33% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
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:       0   Duration:       0:00   0.00% 
Axis shifts:                 2 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           3   Duration:    1:25:28   3.17%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 2 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           3   Duration:    1:25:28   6.33% 
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:         3   Duration:    1:25:28   6.33%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20341.atr)

Total number of beats                          100255

Normal beats                                   100092
Premature ventricular contractions                 87
Fusions of ventricular and normal beat              2
Supraventricular premature or ectopic beats        74