SUMMARY NOTES IN THE RECORD s30671 (Duration: 23:34:35.984)
Starting time, recording date: 11:59:00 04/11/1998
Lead 0: V6
Lead 1: V5
Lead 2: aVF
Age: 52 Sex: M
Comments:
Patient with coronary artery disease. Episodes of ischemic
changes associated with increased heart rate. Episodes are
seen in all leads, but are most prominent in lead 1.
Symptoms during Holter recording: None reported
Diagnoses:
Insulin dependent diabetes mellitus
Coronary artery disease with angina
Previous myocardial infarction
Treatment:
Medications: No data
Balloon Angioplasty: No
Coronary Artery bypass Grafting: No
History:
Angina, ECG evidence of old inferior 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 by ECG
Previous tests:
ECG stress test: Yes
Date: Not recorded
Findings: Positive, details not available.
Thallium/Stress echo: No data
Left ventricular function:
Ejection fraction 75%: normal
Echocardiogram: No data
Coronary Arteriography:
1996 - 2 vessel disease involving left circumflex coronary artery and right coronary artery. Inferior hypokinesis of left ventricle.
Baseline ECG:
Inferior myocardial infarction and normal sinus rhythm
Holter Recording:
Date: 04/11/1998
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30671.sta)
Lead 0:
Ischemic episodes: 9 Duration: 1:01:12 4.33%
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%
Lead 1:
Ischemic episodes: 14 Duration: 2:53:18 12.25%
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%
Lead 2:
Ischemic episodes: 5 Duration: 26:28 1.87%
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: 28 Duration: 4:20:58 6.15%
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%
Combined:
Ischemic episodes: 14 Duration: 2:53:22 12.26%
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: 14 Duration: 2:53:22 12.26%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s30671.stb)
Lead 0:
Ischemic episodes: 6 Duration: 30:30 2.16%
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%
Lead 1:
Ischemic episodes: 8 Duration: 2:27:46 10.45%
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%
Lead 2:
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: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 14 Duration: 2:58:16 4.20%
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%
Combined:
Ischemic episodes: 8 Duration: 2:27:50 10.45%
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: 2:27:50 10.45%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s30671.stc)
Lead 0:
Ischemic episodes: 1 Duration: 7:26 0.53%
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%
Lead 1:
Ischemic episodes: 7 Duration: 2:19:42 9.88%
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%
Lead 2:
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: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 8 Duration: 2:27:08 3.47%
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%
Combined:
Ischemic episodes: 7 Duration: 2:19:42 9.88%
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: 7 Duration: 2:19:42 9.88%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s30671.atr)
Total number of beats 99040
Normal beats 98545
Premature ventricular contractions 350
Fusions of ventricular and normal beat 2
Supraventricular premature or ectopic beats 143