SUMMARY NOTES IN THE RECORD s30731 (Duration: 23:50:44.984)
Starting time, recording date: 09:53:00 21/07/1999
Lead 0: E-S
Lead 1: A-S
Lead 2: A-I
Age: 82 Sex: M
Comments:
This is the same patient as s30732. There are several
ischemic episodes seen in leads 1 and 2. In addition,
there were many axis shifts.
Start of recording: 9:53:00
Symptoms (from 0 - 10):
Relative Absolute
8:18 18:11 angina 1
8:37 18:30 angina 1
21:43 7:36 angina 1
Symptoms during Holter recording: Yes - angina 21/7/1999 @18:11, 21/7/1999 @18:30, 22/07/1999 @7:36am
Diagnoses:
Coronary artery disease
Treatment:
Medications:
Atenolol
Aspirin
Balloon Angioplasty: Yes, data incomplete
Coronary Artery bypass Grafting: No
History:
Angina
Hypertension: No
Left ventricular hypertrophy: No
Cardiomyopathy: No
Valve disease: No
Electrolyte abnormalities: No
Hypercapnia, anemia, hypotension, hyperventilation: No
Atrioventricular nodal conduction delay: No data
Intraventricular conduction block: No data
Previous Myocardial Infarction: No data
Previous tests:
ECG stress test: Yes
Date: January, 2000
Findings: Positive - 0.2 mV ST depression in II, avF, V4-V6.
Thallium/Stress echo: Severe hypokinesis infero-lateral walls on exercise
Left ventricular function:
Normal - ejection fraction 62%
Echocardiogram: No data
Coronary Arteriography:
Occlusions in three vessels: 100% left anterior descending coronary artery, 90% left circumflex coronary artery, 45% right coronary artery.
Baseline ECG: No data
Holter Recording:
Date: 21/07/1999
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30731.sta)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 6
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 4 Duration: 1:01:28 4.30%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 26
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 6 Duration: 1:06:54 4.68%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 20
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 10 Duration: 2:08:22 2.99%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 52
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 6 Duration: 1:07:16 4.70%
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: 6 Duration: 1:07:16 4.70%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s30731.stb)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 6
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 4 Duration: 1:01:28 4.30%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 26
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 4 Duration: 1:04:02 4.48%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 20
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 8 Duration: 2:05:30 2.92%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 52
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 4 Duration: 1:04:24 4.50%
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: 4 Duration: 1:04:24 4.50%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s30731.stc)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 6
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 3 Duration: 57:38 4.03%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 26
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 4 Duration: 1:04:02 4.48%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 20
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 7 Duration: 2:01:40 2.83%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 52
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 4 Duration: 1:04:24 4.50%
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: 4 Duration: 1:04:24 4.50%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s30731.atr)
Total number of beats 106057
Normal beats 105791
Premature ventricular contractions 36
Fusions of ventricular and normal beat 11
Supraventricular premature or ectopic beats 219