SUMMARY NOTES IN THE RECORD s20371 (Duration: 22:30:27.000)
Starting time, recording date: 15:07:00 18/12/1992
Lead 0: 0
Lead 1: 1
Age: 64 Sex: M
Comments:
In lead 0 there are 9 ischemic episodes; and in lead 1
there are 13 episodes, all of which were labeled "rate-related".
The lead 1 episodes were characterized by increased amplitude
and increased symmetry and "peaking" of the T-waves, but no
significant ST deviations. These T-wave changes are consistent
with ischemia, but taken alone are not fully diagnostic.
If both leads are considered together, however, the lead 1
episodes would be considered to be ischemic. Some of the
lead 0 ST deviations are borderline, but were considered
ischemic because of the context of the entire record.
Electrode locations were not recorded.
Symptoms during Holter recording: No data
Diagnoses:
Coronary artery disease
Treatment:
Medications:
Beta-blocker
Calcium channel blocker
Aspirin
Balloon Angioplasty: Yes
Coronary Artery bypass Grafting: No
History:
Hypertension: No
Left ventricular hypertrophy: No data
Cardiomyopathy: No data
Valve disease: No data
Electrolyte abnormalities: No data
Hypercapnia, anemia, hypotension, hyperventilation: No data
Atrioventricular nodal conduction delay: No data
Intraventricular conduction block: No data
Previous Myocardial Infarction: Yes
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
Baseline ECG: No data
Holter Recording:
Date: 18/12/1992
Recorder: No data
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20371.sta)
Lead 0:
Ischemic episodes: 9 Duration: 41:42 3.09%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 24
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: 19 Duration: 1:00:06 4.45%
Axis shifts: 11
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 9 Duration: 41:42 1.54%
Rate-related episodes: 19 Duration: 1:00:06 2.23%
Axis shifts: 35
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 9 Duration: 41:42 3.09%
Rate-related episodes: 18 Duration: 55:02 4.08%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 24 Duration: 1:36:44 7.16%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20371.stb)
Lead 0:
Ischemic episodes: 3 Duration: 19:16 1.43%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 24
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: 4 Duration: 12:56 0.96%
Axis shifts: 11
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 3 Duration: 19:16 0.71%
Rate-related episodes: 4 Duration: 12:56 0.48%
Axis shifts: 35
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 3 Duration: 19:16 1.43%
Rate-related episodes: 4 Duration: 10:18 0.76%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 6 Duration: 29:34 2.19%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20371.stc)
Lead 0:
Ischemic episodes: 2 Duration: 17:20 1.28%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 24
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: 1 Duration: 4:20 0.32%
Axis shifts: 11
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 2 Duration: 17:20 0.64%
Rate-related episodes: 1 Duration: 4:20 0.16%
Axis shifts: 35
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 2 Duration: 17:20 1.28%
Rate-related episodes: 1 Duration: 1:42 0.13%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 2 Duration: 19:02 1.41%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20371.atr)
Total number of beats 95750
Normal beats 95733
Premature ventricular contractions 5
Supraventricular premature or ectopic beats 12