SUMMARY NOTES IN THE RECORD s20411 (Duration: 23:08:41.000)
Starting time, recording date: 10:22:00 08/05/1992
Lead 0: 0
Lead 1: 1
Age: 67 Sex: F
Comments:
Numerous ischemic episodes noted in both leads. Lead 1
is more prominent than lead 0. There is baseline ST
elevation in this record.
Lead 0:
It shows 9 episodes of ischemia. They are associated
with heart rate increases.
Lead 1:
It shows 14 ischemic episodes, corresponding to those
above.
Electrode locations were not recorded.
Symptoms during Holter recording: No data
Diagnoses:
Coronary artery disease
Treatment:
Medications:
Beta-blocker
Aspirin
Angiotensin converting enzyme inhibitor (ACEI)
Balloon Angioplasty: No
Coronary Artery bypass Grafting: No
History:
Previous myocardial infarction
Hypertension: Yes
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: 08/05/1992
Recorder: No data
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20411.sta)
Lead 0:
Ischemic episodes: 9 Duration: 1:44:04 7.49%
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: 14 Duration: 2:10:52 9.42%
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%
Total:
Ischemic episodes: 23 Duration: 3:54:56 8.46%
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%
Combined:
Ischemic episodes: 14 Duration: 2:17:42 9.92%
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: 14 Duration: 2:17:42 9.92%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20411.stb)
Lead 0:
Ischemic episodes: 6 Duration: 1:28:22 6.36%
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: 10 Duration: 1:54:56 8.28%
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%
Total:
Ischemic episodes: 16 Duration: 3:23:18 7.32%
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%
Combined:
Ischemic episodes: 10 Duration: 2:01:14 8.73%
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: 10 Duration: 2:01:14 8.73%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20411.stc)
Lead 0:
Ischemic episodes: 5 Duration: 1:23:24 6.01%
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: 8 Duration: 1:40:32 7.24%
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%
Total:
Ischemic episodes: 13 Duration: 3:03:56 6.62%
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%
Combined:
Ischemic episodes: 8 Duration: 1:45:38 7.61%
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: 1:45:38 7.61%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20411.atr)
Total number of beats 84707
Normal beats 84385
Premature ventricular contractions 23
Supraventricular premature or ectopic beats 299