SUMMARY NOTES IN THE RECORD s30771 (Duration: 16:53:20.000)
Starting time, recording date: 20:16:00 08/11/1999
Lead 0: E-S
Lead 1: A-S
Lead 2: A-I
Age: 75 Sex: F
Comments:
The record shows ischemic ST depressions in all three
leads which are associated with increased heart rate.
In lead 2, during the first six and a half hours, there
are also ST elevations recognized as rate-related
episodes.
Symptoms during Holter recording: None reported
Diagnoses:
Coronary artery disease
Previous myocardial infarction
Treatment:
Medications:
Atenolol
Aspirin
Pravachol
Balloon Angioplasty: No
Coronary Artery bypass Grafting: No
History:
Coronary artery disease, old myocardial infarction
Hypertension: No
Left ventricular hypertrophy: No
Cardiomyopathy: No data
Valve disease: No data
Electrolyte abnormalities: No data
Hypercapnia, anemia, hypotension, hyperventilation: No data
Atrioventricular nodal conduction delay: No
Intraventricular conduction block: No
Previous Myocardial Infarction: Yes, in 1997
Previous tests:
ECG stress test: Yes
Date: October, 1997
Findings: Lateral precordial ST depression - positive test
Thallium/Stress echo: Infero-apical dyskinesia with exercise.
Left ventricular function:
Ejection fraction 50%
Echocardiogram: No data
Coronary Arteriography:
Lesions in left anterior descending coronary artery, right coronary artery, left circumflex coronary artery
Baseline ECG:
Normal sinus rhythm, non-specific ST-T changes in inferior leads and V6.
Holter Recording:
Date: 08/11/1999
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30771.sta)
Lead 0:
Ischemic episodes: 3 Duration: 14:46 1.46%
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%
Lead 1:
Ischemic episodes: 9 Duration: 54:30 5.38%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 8
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 9 Duration: 59:22 5.86%
Rate-related episodes: 6 Duration: 19:34 1.93%
Axis shifts: 9
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 21 Duration: 2:08:38 4.23%
Rate-related episodes: 6 Duration: 19:34 0.64%
Axis shifts: 17
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 14 Duration: 1:30:00 8.88%
Rate-related episodes: 5 Duration: 4:44 0.47%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 16 Duration: 1:34:44 9.35%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s30771.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: 4 Duration: 44:24 4.38%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 8
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 4 Duration: 37:56 3.74%
Rate-related episodes: 3 Duration: 6:22 0.63%
Axis shifts: 9
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 8 Duration: 1:22:20 2.71%
Rate-related episodes: 3 Duration: 6:22 0.21%
Axis shifts: 17
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 6 Duration: 1:03:52 6.30%
Rate-related episodes: 3 Duration: 6:22 0.63%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 9 Duration: 1:10:14 6.93%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s30771.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: 3 Duration: 43:34 4.30%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 8
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Lead 2:
Ischemic episodes: 1 Duration: 18:30 1.83%
Rate-related episodes: 1 Duration: 3:38 0.36%
Axis shifts: 9
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 4 Duration: 1:02:04 2.04%
Rate-related episodes: 1 Duration: 3:38 0.12%
Axis shifts: 17
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 3 Duration: 44:26 4.38%
Rate-related episodes: 1 Duration: 3:38 0.36%
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined [ischemic or rate-related]:
ST segment episodes: 4 Duration: 48:04 4.74%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s30771.atr)
Total number of beats 78073
Normal beats 74811
Premature ventricular contractions 6
Atrial premature beats 3248
Atrial escape beats 8