SUMMARY NOTES IN THE RECORD s20121  (Duration: 21:21:44.000)

Starting time, recording date:  09:21:00 30/01/1995

Lead 0: ML2
Lead 1: 

Age: 48  Sex: F
Comments:
  This record is from the initial Long-Term ST Database of
  eleven 24-hour ST annotated ambulatory records (record s20788).
Symptoms during Holter recording: Chest pain
Diagnoses: 
  3-vessel coronary artery disease
  Insulin-dependent diabetes mellitus
  Peripheral arterial insufficiency
  Previous strokes x4
  Previous femoral-popliteal bypass
  Hyperlipidemia
Treatment:
  Medications: 
    Cardizem
    Corgard
    Aspirin
    Nitropaste
  Balloon Angioplasty: 1994 - opened venous graft
  Coronary Artery bypass Grafting: Yes, 1982
History: 
  Coronary artery disease, congestive heart failure
  Hypertension: No
  Left ventricular hypertrophy: Yes
  Cardiomyopathy: No
  Valve disease: No
  Electrolyte abnormalities: No
  Hypercapnia, anemia, hypotension, hyperventilation: No
  Atrioventricular nodal conduction delay: No
  Intraventricular conduction block: No
  Previous Myocardial Infarction: Yes, had myocardial infarction in 1995
  Previous tests:
    ECG stress test: No
    Thallium/Stress echo: No
    Left ventricular function: 
      Normal
    Echocardiogram: 
      Borderline concentric left ventricular hypertrophy
      Pulmonary hypertension
    Coronary Arteriography: 
      Severe native 3-vessel coronary artery disease
    Baseline ECG: 
      Normal sinus rhythm
      Rare ventricular premature beats
      ST-T horizontal depressions infero-lateral leads
Holter Recording:
  Date: 30/01/1995
  Recorder: No data


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20121.sta)

Lead 0:
Ischemic episodes:           9   Duration:    1:11:22   5.57% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                15 
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:                 8 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           9   Duration:    1:11:22   2.78%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                23 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           9   Duration:    1:11:22   5.57% 
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:         9   Duration:    1:11:22   5.57%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20121.stb)

Lead 0:
Ischemic episodes:           2   Duration:      17:32   1.37% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                15 
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:                 8 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           2   Duration:      17:32   0.68%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                23 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           2   Duration:      17:32   1.37% 
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:      17:32   1.37%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20121.stc)

Lead 0:
Ischemic episodes:           1   Duration:      13:40   1.07% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                15 
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:                 8 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           1   Duration:      13:40   0.53%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                23 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           1   Duration:      13:40   1.07% 
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:         1   Duration:      13:40   1.07%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20121.atr)

Total number of beats                           85526

Normal beats                                    84927
Premature ventricular contractions                580
Supraventricular premature or ectopic beats        19