SUMMARY NOTES IN THE RECORD s20501 (Duration: 23:57:50.000)
Starting time, recording date: 09:50:00 20/03/1999
Lead 0: V4
Lead 1: MLIII
Age: 63 Sex: F
Comments:
This is a patient with hypertrophic cardiomyopathy.
The QRS complexes are bizarre and the record contains
a number of axis shifts but no rate-related or ischemic
episodes.
Symptoms during Holter recording: No data
Diagnoses:
Obstructive hypertrophic cardiomyopathy
Treatment:
Medications:
Verapamil
Balloon Angioplasty: No data
Coronary Artery bypass Grafting: No data
History:
Effort and resting angina
Hypertension: Yes
Left ventricular hypertrophy: Septum 24 mm
Cardiomyopathy: Hcm
Valve disease: No
Electrolyte abnormalities: No
Hypercapnia, anemia, hypotension, hyperventilation: No
Atrioventricular nodal conduction delay: No
Intraventricular conduction block: yes
Previous Myocardial Infarction: No
Previous tests:
ECG stress test: No
Thallium/Stress echo: No data
Left ventricular function:
Normal
Echocardiogram: No data
Coronary Arteriography:
Normal coronary tree
Baseline ECG:
Intraventricular conduction block
Holter Recording:
Date: 20/03/1999
Recorder: Remco
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20501.sta)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 112
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: 120
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 232
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
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: 0 Duration: 0:00 0.00%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20501.stb)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 112
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: 120
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 232
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
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: 0 Duration: 0:00 0.00%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20501.stc)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 112
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: 120
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 232
Conduction-change shifts: 0
Noisy events: 1
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
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: 0 Duration: 0:00 0.00%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20501.atr)
Total number of beats 142725
Normal beats 128106
Premature ventricular contractions 502
Fusions of ventricular and normal beat 1
Supraventricular premature or ectopic beats 14116