SUMMARY NOTES IN THE RECORD s20571 (Duration: 21:08:00.000)
Starting time, recording date: 13:25:00 25/11/1999
Lead 0: V5
Lead 1: MLIII
Age: 76 Sex: M
Comments:
Several ischemic episodes were noted, only appearing on
lead 0, and generally associated with heart rate increases.
Two unreadable periods disrupted analysis.
Symptoms during Holter recording: No data
Diagnoses:
Coronary artery disease
Treatment:
Medications:
Calcium channel blockers
Nitrates
Balloon Angioplasty: No data
Coronary Artery bypass Grafting: No data
History:
Effort angina, previous myocardial infarction
Hypertension: No
Left ventricular hypertrophy: No
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: Yes, anterior
Previous tests:
ECG stress test:
Date: No Data
Findings: Positive - ST depression V4-V6
Thallium/Stress echo: No data
Left ventricular function:
Normal
Echocardiogram: No data
Coronary Arteriography:
Left anterior descending coronary artery 100% stenosis, right coronary artery 100% stenosis, left circumflex coronary artery 100% stenosis
Baseline ECG:
Previous inferior myocardial infarction
Holter Recording:
Date: 25/11/1999
Recorder: Remco
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20571.sta)
Lead 0:
Ischemic episodes: 10 Duration: 52:28 4.14%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 7:00:58 33.20%
Lead 1:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 7:00:58 33.20%
Total:
Ischemic episodes: 10 Duration: 52:28 2.07%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 4 Duration: 14:01:56 33.20%
Combined:
Ischemic episodes: 10 Duration: 52:28 4.14%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 2 Duration: 7:00:58 33.20%
Combined [ischemic or rate-related]:
ST segment episodes: 10 Duration: 52:28 4.14%
Unreadable intervals: 2 Duration: 7:00:58 33.20%
B. Criteria of 30 seconds and 100 microVolts (s20571.stb)
Lead 0:
Ischemic episodes: 6 Duration: 38:10 3.01%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 7:00:58 33.20%
Lead 1:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 7:00:58 33.20%
Total:
Ischemic episodes: 6 Duration: 38:10 1.50%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 4 Duration: 14:01:56 33.20%
Combined:
Ischemic episodes: 6 Duration: 38:10 3.01%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 2 Duration: 7:00:58 33.20%
Combined [ischemic or rate-related]:
ST segment episodes: 6 Duration: 38:10 3.01%
Unreadable intervals: 2 Duration: 7:00:58 33.20%
C. Criteria of 60 seconds and 100 microVolts (s20571.stc)
Lead 0:
Ischemic episodes: 4 Duration: 21:16 1.68%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 7:00:58 33.20%
Lead 1:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 7:00:58 33.20%
Total:
Ischemic episodes: 4 Duration: 21:16 0.84%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 0
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 4 Duration: 14:01:56 33.20%
Combined:
Ischemic episodes: 4 Duration: 21:16 1.68%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 2 Duration: 7:00:58 33.20%
Combined [ischemic or rate-related]:
ST segment episodes: 4 Duration: 21:16 1.68%
Unreadable intervals: 2 Duration: 7:00:58 33.20%
QRS ATRUTH ANNOTATIONS (s20571.atr)
Total number of beats 88968
Normal beats 86442
Premature ventricular contractions 2288
Fusions of ventricular and normal beat 5
Supraventricular premature or ectopic beats 233