SUMMARY NOTES IN THE RECORD s20511 (Duration: 19:43:30.000)
Starting time, recording date: 14:32:00 29/11/1998
Lead 0: V4
Lead 1: MLIII
Age: 61 Sex: F
Comments:
At 12:28:54 in lead 0 there is an ischemic episode which
has an episode of noise within it, and the auto-detected
extrema was falsely placed at the noise location. The
extrema was relocated manually, and noise annotation was
added. The same was done in lead 1.
Symptoms during Holter recording: No data
Diagnoses:
Unstable angina,
Coronary artery disease
Treatment:
Medications:
Nifedipine
Nitrates
Aspirin
Balloon Angioplasty: No data
Coronary Artery bypass Grafting: No data
History:
Resting angina
Hypertension: No data
Left ventricular hypertrophy: Septum 13 mm
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:
Date: No Data
Findings: Positive - ST depressions in V4-V6
Thallium/Stress echo: No data
Left ventricular function:
Normal
Echocardiogram: No data
Coronary Arteriography:
Left anterior descending coronary artery 90% stenosis, left circumflex coronary artery 60% stenosis
Baseline ECG:
Normal
Holter Recording:
Date: 29/11/1998
Recorder: Remco
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20511.sta)
Lead 0:
Ischemic episodes: 8 Duration: 31:34 2.67%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 3
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 5 Duration: 15:26 1.30%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 3
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 13 Duration: 47:00 1.99%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 6
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 8 Duration: 31:34 2.67%
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: 31:34 2.67%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20511.stb)
Lead 0:
Ischemic episodes: 5 Duration: 25:02 2.12%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 3
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 4:20 0.37%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 3
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 6 Duration: 29:22 1.24%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 6
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 5 Duration: 25:02 2.12%
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: 5 Duration: 25:02 2.12%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20511.stc)
Lead 0:
Ischemic episodes: 5 Duration: 25:02 2.12%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 3
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 4:20 0.37%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 3
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 6 Duration: 29:22 1.24%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 6
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 5 Duration: 25:02 2.12%
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: 5 Duration: 25:02 2.12%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20511.atr)
Total number of beats 82723
Normal beats 82678
Premature ventricular contractions 8
Fusions of ventricular and normal beat 2
Supraventricular premature or ectopic beats 35