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