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