SUMMARY NOTES IN THE RECORD s20651 (Duration: 24:35:00.000)
Starting time, recording date: 14:20:00 19/01/2000
Lead 0: V4
Lead 1: MLIII
Age: 84 Sex: M
Comments:
Patient is one day post anterior myocardial infarction
thrombolysis. He shows a number of transient ST elevations
in lead 0 which are associated with increases in heart
rate. It is felt that these are due to increased dyskinesis
of the anterior wall during increased heart rate. We cannot
rule out the possibility that these changes represent heart
rate induced increases in transmural ischemia, but prefer
to call it "rate-related" and non-ischemic. There were minor
reciprocal ST depressions in lead 1.
Symptoms during Holter recording: No data
Diagnoses:
Anterior acute myocardial infarction
Coronary artery disease
Left ventricular failure
Hypertension
Treatment:
Medications:
Nitrates
Aspirin
Balloon Angioplasty: No data
Coronary Artery bypass Grafting: No data
History:
Previous myocardial infarction
Hypertension: Yes
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: No
Thallium/Stress echo: No
Left ventricular function:
Depressed
Echocardiogram: No data
Coronary Arteriography: No
Baseline ECG:
Subacute anterior myocardial infarction
Holter Recording:
Date: 19/01/2000
Recorder: Remco
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20651.sta)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 19 Duration: 3:14:22 13.18%
Axis shifts: 6
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: 2 Duration: 28:54 1.96%
Axis shifts: 17
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 21 Duration: 3:43:16 7.57%
Axis shifts: 23
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 19 Duration: 3:17:22 13.38%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 19 Duration: 3:17:22 13.38%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20651.stb)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 9 Duration: 2:13:46 9.07%
Axis shifts: 6
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: 17
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 9 Duration: 2:13:46 4.53%
Axis shifts: 23
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 9 Duration: 2:13:46 9.07%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 9 Duration: 2:13:46 9.07%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20651.stc)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 5 Duration: 1:33:28 6.34%
Axis shifts: 6
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: 17
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 5 Duration: 1:33:28 3.17%
Axis shifts: 23
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 5 Duration: 1:33:28 6.34%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 5 Duration: 1:33:28 6.34%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20651.atr)
Total number of beats 103864
Normal beats 98127
Premature ventricular contractions 332
Atrial premature beats 5405