SUMMARY NOTES IN THE RECORD s20051 (Duration: 21:18:44.000)
Starting time, recording date: 15/02/1994
Lead 0: ML2
Lead 1: MV2
Age: 87 Sex: F
Comments:
In this patient with RBBB and known left ventricular hypertrophy
the transient ST changes noted are characterized by ST depression
and downsloping which suggests ischemia.
This record is from the initial Long-Term ST Database of
eleven 24-hour ST annotated ambulatory records (record s19922).
Symptoms during Holter recording: No data
Diagnoses:
Hypertension
Treatment:
Medications:
Atenolol
Hydrochlorothiazide
Procardia XL
Balloon Angioplasty: No
Coronary Artery bypass Grafting: No
History:
No evidence of coronary artery disease
Hypertension: Yes
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: Right bundle branch block
Previous Myocardial Infarction: No
Previous tests:
ECG stress test: No
Thallium/Stress echo: No
Left ventricular function:
Good left ventricular function
Echocardiogram:
Symmetrical left ventricular hypertrophy
Good left ventricular function
Coronary Arteriography: No
Baseline ECG:
Normal sinus rhythm
Left ventricular hypertrophy
Right bundle branch block
Slightly long QT interval
Holter Recording:
Date: 15/02/1994
Recorder: No data
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20051.sta)
Lead 0:
Ischemic episodes: 2 Duration: 2:46 0.22%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 24
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: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 2 Duration: 2:46 0.11%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 25
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 2 Duration: 2:46 0.22%
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: 2:46 0.22%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s20051.stb)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 24
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: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 25
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
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: 0 Duration: 0:00 0.00%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s20051.stc)
Lead 0:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 24
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: 1
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Total:
Ischemic episodes: 0 Duration: 0:00 0.00%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 25
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 0 Duration: 0:00 0.00%
Combined:
Ischemic episodes: 0 Duration: 0:00 0.00%
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: 0 Duration: 0:00 0.00%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s20051.atr)
Total number of beats 112891
Normal beats 112853
Premature ventricular contractions 2
Fusions of ventricular and normal beat 2
Supraventricular premature or ectopic beats 34