SUMMARY NOTES IN THE RECORD s30751 (Duration: 23:43:55.000)
Starting time, recording date: 11:29:00 08/09/1999
Lead 0: E-S
Lead 1: A-S
Lead 2: A-I
Age: 79 Sex: M
Comments:
This is the same patient as s30752. Patient with coronary
artery disease and positive exercise tolerance test. Sinus
rhythm with some ventricular ectopic activity. Rate-related
ischemic ST depression was noted on a few occasions. The
ischemia was evident in all three leads.
Symptoms during Holter recording: Chest pressure, time not noted
Diagnoses:
Coronary artery disease
Treatment:
Medications:
Atenolol
Simvastatin
Balloon Angioplasty: No
Coronary Artery bypass Grafting: Triple bypass in 1994
History:
Angina, coronary heart 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: Left anterior fascicular block
Previous Myocardial Infarction: No
Previous tests:
ECG stress test: Yes
Date: July, 1996
Findings: Abnormal - 2 mm anterior ST segment depressions
Thallium/Stress echo: Positive for inferior ischemia and wall motion abnormalities
Left ventricular function:
Hypokinesis and dyskinesis of infero-apical and septal walls, ejection fraction 44%
Echocardiogram:
Minimal left ventricular dysfunction & valvular regurgitation.
Coronary Arteriography:
Distal occlusion of posterior descending coronary artery
Baseline ECG:
Normal sinus rhythm, left anterior fascicular block, non-specific lateral ST-T abnormalities.
Holter Recording:
Date: 08/09/1999
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30751.sta)
Lead 0:
Ischemic episodes: 7 Duration: 36:06 2.54%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 2 Duration: 9:02 0.63%
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 2:
Ischemic episodes: 3 Duration: 10:52 0.76%
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%
Total:
Ischemic episodes: 12 Duration: 56:00 1.31%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 9
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 7 Duration: 36:40 2.58%
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: 36:40 2.58%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s30751.stb)
Lead 0:
Ischemic episodes: 3 Duration: 14:48 1.04%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 2 Duration: 9:02 0.63%
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 2:
Ischemic episodes: 2 Duration: 8:40 0.61%
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%
Total:
Ischemic episodes: 7 Duration: 32:30 0.76%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 9
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 3 Duration: 15:22 1.08%
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: 3 Duration: 15:22 1.08%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s30751.stc)
Lead 0:
Ischemic episodes: 2 Duration: 13:18 0.93%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 1:
Ischemic episodes: 1 Duration: 7:24 0.52%
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 2:
Ischemic episodes: 1 Duration: 7:38 0.54%
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%
Total:
Ischemic episodes: 4 Duration: 28:20 0.66%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 9
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 2 Duration: 13:44 0.96%
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: 2 Duration: 13:44 0.96%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s30751.atr)
Total number of beats 106064
Normal beats 102514
Premature ventricular contractions 3476
Fusions of ventricular and normal beat 8
Supraventricular premature or ectopic beats 66