SUMMARY NOTES IN THE RECORD s30752 (Duration: 23:48:56.000)
Starting time, recording date: 10:33:00 15/12/1999
Lead 0: E-S
Lead 1: A-S
Lead 2: A-I
Age: 79 Sex: M
Comments:
This is the same patient as s30751. During this recording
period there were a few minor ST depressions associated
with increased heart rate. Only one event reached criteria
for a significant episode, actually split into two episodes,
in lead 0, and another one in lead 2.
Symptoms during Holter recording: None reported
Diagnoses:
Coronary artery disease
Treatment:
Medications:
Atenolol
Simvastatin
Balloon Angioplasty: No data
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: 15/12/1999
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30752.sta)
Lead 0:
Ischemic episodes: 2 Duration: 9:04 0.63%
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: 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 2:
Ischemic episodes: 2 Duration: 5:08 0.36%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 3
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 4 Duration: 14:12 0.33%
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: 4 Duration: 14:12 0.99%
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: 14:12 0.99%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s30752.stb)
Lead 0:
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%
Lead 1:
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 2:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 3
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: 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: 0 Duration: 0:00 0.00%
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: 0 Duration: 0:00 0.00%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s30752.stc)
Lead 0:
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%
Lead 1:
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 2:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 3
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: 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: 0 Duration: 0:00 0.00%
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: 0 Duration: 0:00 0.00%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s30752.atr)
Total number of beats 120567
Normal beats 114473
Premature ventricular contractions 5991
Fusions of ventricular and normal beat 22
Supraventricular premature or ectopic beats 81