Long Term ST Database 1.0.0

File: <base>/notes/s30781.nts (6,669 bytes)

SUMMARY NOTES IN THE RECORD s30781  (Duration: 22:22:35.000)

Starting time, recording date:  11:01:00 20/01/2000

Lead 0: E-S
Lead 1: A-S
Lead 2: A-I

Age: 84  Sex: F
Comments: 
  Right bundle branch block is present in this record.
  Several rate-related ST changes were present in lead
  0. There were clear-cut axis shifts seen most clearly
  in leads 1 and 2. One ischemic episode was found in
  lead 1 and 2. There is QRS fiducial point slippage
  particularly in lead 0.
Symptoms during Holter recording: None reported
Diagnoses: 
  Coronary artery disease
  Previous coronary artery bypass grafting
  Hyperlipidemia
Treatment:
  Medications: 
    Lipitor
    Aspirin
  Balloon Angioplasty: No
  Coronary Artery bypass Grafting: Yes, in 1983
History: 
  Hypertension: No data
  Left ventricular hypertrophy: No data
  Cardiomyopathy: No data
  Valve disease: No data
  Electrolyte abnormalities: No data
  Hypercapnia, anemia, hypotension, hyperventilation: No data
  Atrioventricular nodal conduction delay: No data
  Intraventricular conduction block: Right bundle branch block
  Previous Myocardial Infarction: No data
  Previous tests:
    ECG stress test: Yes
      Date: January, 2000
      Findings: Exercise-induced ischemia
    Thallium/Stress echo: Ejection fraction 40%, postero-basal and infero-apical dyskinesia.
    Left ventricular function: 
      Abnormal - ejection fraction 40%
    Echocardiogram: No data
    Coronary Arteriography: No data
    Baseline ECG: No data
Holter Recording:
  Date: 20/01/2000
  Recorder: Zymed


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s30781.sta)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:      10   Duration:    2:29:08  11.11% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           1   Duration:       5:06   0.38% 
Rate-related episodes:       1   Duration:       4:08   0.31% 
Axis shifts:                 4 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 2:
Ischemic episodes:           1   Duration:       5:58   0.44% 
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:           2   Duration:      11:04   0.27%
Rate-related episodes:      11   Duration:    2:33:16   3.81%
Axis shifts:                 7 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           1   Duration:       6:06   0.45% 
Rate-related episodes:      10   Duration:    2:29:08  11.11%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:        11   Duration:    2:35:14  11.56%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s30781.stb)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       2   Duration:    1:03:54   4.76% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           1   Duration:       5:06   0.38% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 4 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 2:
Ischemic episodes:           1   Duration:       5:58   0.44% 
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:           2   Duration:      11:04   0.27%
Rate-related episodes:       2   Duration:    1:03:54   1.59%
Axis shifts:                 7 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           1   Duration:       6:06   0.45% 
Rate-related episodes:       2   Duration:    1:03:54   4.76%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         3   Duration:    1:10:00   5.21%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s30781.stc)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       1   Duration:      30:10   2.25% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           1   Duration:       5:06   0.38% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 4 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 2:
Ischemic episodes:           1   Duration:       5:58   0.44% 
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:           2   Duration:      11:04   0.27%
Rate-related episodes:       1   Duration:      30:10   0.75%
Axis shifts:                 7 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           1   Duration:       6:06   0.45% 
Rate-related episodes:       1   Duration:      30:10   2.25%
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined [ischemic or rate-related]:
ST segment episodes:         2   Duration:      36:16   2.70%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s30781.atr)

Total number of beats                          110087

Normal beats                                   108331
Premature ventricular contractions                408
Fusions of ventricular and normal beat              7
Supraventricular premature or ectopic beats      1341