SUMMARY NOTES IN THE RECORD s30741 (Duration: 23:49:59.984)
Starting time, recording date: 13:11:00 09/08/1999
Lead 0: E-S
Lead 1: A-S
Lead 2: A-I
Age: 54 Sex: F
Comments:
This is the same patient as s30742. There are numerous
regions of transient ST depression noted in all three
leads. Episodes are associated with increased heart rate.
In fact, there is a period of almost three hours with
increased heart rate associated with ST depression
in all three leads near the beginning of the record.
(The global reference actually shows slight ST elevation.)
Symptoms during Holter recording: No data
Diagnoses:
Coronary artery disease
Asthma
Hypertension
Stroke
Congestive heart failure
Treatment:
Medications:
Zocor
Atenolol
Ketorolac
Proventil
Balloon Angioplasty: No
Coronary Artery bypass Grafting: No
History:
Angina, asthma, congestive heart failure, hypertension, stroke, coronary artery disease.
Hypertension: Yes
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: Yes, in 1996 and 1997
Previous tests:
ECG stress test: Yes
Date: April, 1999
Findings: Normal with inadequate heart rate, but with chest pain
Thallium/Stress echo: No data
Left ventricular function: No data
Echocardiogram: No data
Coronary Arteriography: No data
Baseline ECG: No data
Holter Recording:
Date: 09/08/1999
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30741.sta)
Lead 0:
Ischemic episodes: 17 Duration: 5:38:52 23.70%
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: 11 Duration: 4:08:54 17.41%
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: 18 Duration: 5:35:26 23.46%
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: 46 Duration: 15:23:12 21.52%
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: 20 Duration: 6:28:10 27.14%
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: 20 Duration: 6:28:10 27.14%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s30741.stb)
Lead 0:
Ischemic episodes: 5 Duration: 3:31:38 14.80%
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: 3 Duration: 2:45:14 11.55%
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: 9 Duration: 4:12:22 17.65%
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: 17 Duration: 10:29:14 14.67%
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: 9 Duration: 4:18:36 18.08%
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: 9 Duration: 4:18:36 18.08%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s30741.stc)
Lead 0:
Ischemic episodes: 2 Duration: 2:54:02 12.17%
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: 1 Duration: 2:19:34 9.76%
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: 6 Duration: 3:47:12 15.89%
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: 9 Duration: 9:00:48 12.61%
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: 6 Duration: 3:49:46 16.07%
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: 3:49:46 16.07%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s30741.atr)
Total number of beats 123461
Normal beats 123461