s20041 2 250 21516500 12:06:00 21/05/1997
s20041.dat 212 200/mV 12 0 -150 27020 0 0
s20041.dat 212 200/mV 12 0 -95 430 0 1
#Age: 60  Sex: M
#Comments:
#  This is a difficult record. The baseline ST segment
#  is abnormal, it is scooped and slightly depressed.
#  There are a number of episodes of ST depression
#  associated with increased heart rate, some of which
#  are quite prolonged. These events were suggestive of
#  ischemia, and were so labeled.
#  Lead 0 shows many ischemic episodes and a few axis shifts.
#  Lead 1 shows many ischemic episodes, and the morphology of
#  the QRST complexes is quite similar to those of lead 0.
#  Electrode locations were not recorded.
#Symptoms during Holter recording: None reported
#Diagnoses: 
#  Coronary artery disease
#  Previous coronary artery bypass grafting, 1986
#  Congestive heart failure
#  Chronic obstructive pulmonary disease
#  Previous transurethral resection of the prostate
#  Chronic renal failure (serum creatinine = 2.2)
#Treatment:
#  Medications: 
#    Nifedipine
#    Isordil
#    Metoprolol
#    Captopril
#    Lasix
#    KCl
#    Restoril
#    Aspirin
#  Balloon Angioplasty: No
#  Coronary Artery bypass Grafting: Yes, 1986
#History: 
#  Exertional angina, dyspnea on exertion
#  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: Incomplete right bundle branch block
#  Previous Myocardial Infarction: Yes, unknown date
#  Previous tests:
#    ECG stress test: No
#    Thallium/Stress echo: No
#    Left ventricular function: No data
#    Echocardiogram: No data
#    Coronary Arteriography: 
#      June, 1997 - 99%left main coronary artery, 100%left anterior descending coronary artery, 100%left circumflex coronary artery. Internal mammary artery graft open but left anterior descending coronary artery occluded below anastamosis
#    Baseline ECG: 
#      Normal sinus rhythm at 66 bpm
#      Left ventricular hypertrophy
#      Previous anterolateral myocardial infarction
#      Inferior ischemia
#      Possible old inferior myocardial infarction
#Holter Recording:
#  Date: 21/05/1997
#  Recorder: ICR