SUMMARY NOTES IN THE RECORD s20591 (Duration: 22:45:55.000)
Starting time, recording date:
Lead 0: V2
Lead 1: MLIII
Age: 49 Sex: M
Comments:
Numerous episodes of ST elevation in lead 0 with peaked T
waves and with simultaneous reciprocal ST depressions in
lead 1. Some episodes in lead 0 were biphasic with initial
ST depression. Ischemic episodes were sometimes but not
always associated with heart rate increases. In addition,
there are many episodes present which did not reach
threshold amplitude.
An excerpt of this recording is included in the European
ST-T Database (record e0604).
Symptoms during Holter recording: No data
Diagnoses:
Coronary artery disease
Mixed angina
Myocardial infarction
Treatment:
Medications:
Beta-blockers
Nifedipine
Balloon Angioplasty: No data
Coronary Artery bypass Grafting: No data
History:
No data
Hypertension: No data
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: No data
Previous tests:
ECG stress test: No data
Thallium/Stress echo: No data
Left ventricular function: No data
Echocardiogram: No data
Coronary Arteriography: No data
Baseline ECG: No data
Holter Recording:
Date: No data
Recorder: Del Mar Avionics
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20591.sta)
Lead 0:
Ischemic episodes: 54 Duration: 1:58:18 8.66%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 3 Duration: 8:10 0.60%
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%
Total:
Ischemic episodes: 57 Duration: 2:06:28 4.63%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 54 Duration: 2:00:38 8.83%
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: 54 Duration: 2:00:38 8.83%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20591.stb)
Lead 0:
Ischemic episodes: 46 Duration: 1:45:56 7.76%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 4:08 0.30%
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%
Total:
Ischemic episodes: 47 Duration: 1:50:04 4.03%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 46 Duration: 1:47:38 7.88%
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: 46 Duration: 1:47:38 7.88%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20591.stc)
Lead 0:
Ischemic episodes: 34 Duration: 1:20:38 5.90%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 4:08 0.30%
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%
Total:
Ischemic episodes: 35 Duration: 1:24:46 3.10%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 2
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 34 Duration: 1:22:20 6.03%
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: 34 Duration: 1:22:20 6.03%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20591.atr)
Total number of beats 84161
Normal beats 84105
Premature ventricular contractions 3
Supraventricular premature or ectopic beats 53