SUMMARY NOTES IN THE RECORD s30801 (Duration: 23:50:20.984) Starting time, recording date: 00:48:00 26/07/1999 Lead 0: E-S Lead 1: A-S Lead 2: A-I Age: 59 Sex: M Comments: Patient experienced mild angina during recording period. The time is not available. Lead 0 is very noisy. The data showed a few short ischemic episodes noted in leads 1 and 2. Symptoms during Holter recording: Yes-angina 27/07/1999, time unknown Diagnoses: Coronary artery disease Hyperlipidemia Hypertension Treatment: Medications: Cardizem CD Pravachol Aspirin Balloon Angioplasty: Yes, 1997 stenting of vein graft Coronary Artery bypass Grafting: Yes, double bypass in 1987 following failed angioplasty History: Coronary artery disease Hypertension: Yes 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: No data Previous Myocardial Infarction: Inferior myocardial infarction 1986 Previous tests: ECG stress test: Yes Date: 1998 and 2000 Findings: Positive for infero-lateral ischemia in 1998; normal in 2000, with inadequate heart rate Thallium/Stress echo: Positive in 1998 - ST depression in V5, V6; hypokinetic inferior wall. Left ventricular function: Normal- ejection fraction 63% Echocardiogram: Hypokinetic inferior wall. Coronary Arteriography: Yes, 1997: ejection fraction 70%, graft occlusions found Baseline ECG: Sinus bradycardia at 51 bpm, left atrial enlargement, minor T-wave abnormalities in lateral precordium. Holter Recording: Date: 26/07/1999 Recorder: Zymed ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s30801.sta) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 1 Conduction-change shifts: 0 Noisy events: 2 Unreadable intervals: 17 Duration: 5:53:28 24.71% Lead 1: Ischemic episodes: 4 Duration: 10:38 0.74% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 2 Duration: 27:14 1.90% Lead 2: Ischemic episodes: 6 Duration: 21:40 1.51% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 2 Duration: 27:26 1.92% Total: Ischemic episodes: 10 Duration: 32:18 0.75% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 2 Unreadable intervals: 21 Duration: 6:48:08 9.51% Combined: Ischemic episodes: 6 Duration: 21:56 1.53% Rate-related episodes: 0 Duration: 0:00 0.00% Unreadable intervals: 17 Duration: 5:53:46 24.73% Combined [ischemic or rate-related]: ST segment episodes: 6 Duration: 21:56 1.53% Unreadable intervals: 17 Duration: 5:53:46 24.73% B. Criteria of 30 seconds and 100 microVolts (s30801.stb) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 1 Conduction-change shifts: 0 Noisy events: 2 Unreadable intervals: 17 Duration: 5:53:28 24.71% Lead 1: 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: 2 Duration: 27:14 1.90% Lead 2: Ischemic episodes: 3 Duration: 12:44 0.89% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 2 Duration: 27:26 1.92% Total: Ischemic episodes: 3 Duration: 12:44 0.30% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 2 Unreadable intervals: 21 Duration: 6:48:08 9.51% Combined: Ischemic episodes: 3 Duration: 12:44 0.89% Rate-related episodes: 0 Duration: 0:00 0.00% Unreadable intervals: 17 Duration: 5:53:46 24.73% Combined [ischemic or rate-related]: ST segment episodes: 3 Duration: 12:44 0.89% Unreadable intervals: 17 Duration: 5:53:46 24.73% C. Criteria of 60 seconds and 100 microVolts (s30801.stc) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 1 Conduction-change shifts: 0 Noisy events: 2 Unreadable intervals: 17 Duration: 5:53:28 24.71% Lead 1: 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: 2 Duration: 27:14 1.90% Lead 2: Ischemic episodes: 2 Duration: 8:02 0.56% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 2 Duration: 27:26 1.92% Total: Ischemic episodes: 2 Duration: 8:02 0.19% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 2 Unreadable intervals: 21 Duration: 6:48:08 9.51% Combined: Ischemic episodes: 2 Duration: 8:02 0.56% Rate-related episodes: 0 Duration: 0:00 0.00% Unreadable intervals: 17 Duration: 5:53:46 24.73% Combined [ischemic or rate-related]: ST segment episodes: 2 Duration: 8:02 0.56% Unreadable intervals: 17 Duration: 5:53:46 24.73% QRS ATRUTH ANNOTATIONS (s30801.atr) Total number of beats 94373 Normal beats 94358 Supraventricular premature or ectopic beats 15