SUMMARY NOTES IN THE RECORD s20291 (Duration: 23:00:51.996)
Starting time, recording date: 16:31:00 18/11/1983
Lead 0: MLIII
Lead 1: V4
Age: 47 Sex: M
Comments:
Clean record. Numerous episodes of ST elevation in lead 1,
and mirrored ST depressions in lead 0.
An excerpt of this recording is included in the European
ST-T Database (record e0104).
Symptoms during Holter recording: No data
Diagnoses:
Prinzmetal's angina
Coronary artery disease
Treatment:
Medications:
Nitrates
Verapamil
Balloon Angioplasty: No data
Coronary Artery bypass Grafting: No data
History:
Smoker, coronary artery disease, previous myocardial infarction
Hypertension: No
Left ventricular hypertrophy: No
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, inferior, non Q-wave
Previous tests:
ECG stress test: Yes
Findings: Negative
Thallium/Stress echo: No data
Left ventricular function:
Globally normal
Echocardiogram: No data
Coronary Arteriography:
Left circumflex occlusion, left anterior descending coronary artery 75% stenosis, collateral circulation from left anterior descending coronary artery to left circumflex
Baseline ECG:
Inferior Q waves
Holter Recording:
Date: 18/11/1983
Recorder: ICR
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s20291.sta)
Lead 0:
Ischemic episodes: 32 Duration: 1:03:44 4.62%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 3
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 1 Duration: 1:58 0.14%
Lead 1:
Ischemic episodes: 37 Duration: 1:19:52 5.78%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 19
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 1 Duration: 1:58 0.14%
Total:
Ischemic episodes: 69 Duration: 2:23:36 5.20%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 22
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 3:56 0.14%
Combined:
Ischemic episodes: 38 Duration: 1:23:34 6.05%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 1 Duration: 1:58 0.14%
Combined [ischemic or rate-related]:
ST segment episodes: 38 Duration: 1:23:34 6.05%
Unreadable intervals: 1 Duration: 1:58 0.14%
B. Criteria of 30 seconds and 100 microVolts (s20291.stb)
Lead 0:
Ischemic episodes: 26 Duration: 54:28 3.94%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 3
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 1 Duration: 1:58 0.14%
Lead 1:
Ischemic episodes: 31 Duration: 1:09:58 5.07%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 19
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 1 Duration: 1:58 0.14%
Total:
Ischemic episodes: 57 Duration: 2:04:26 4.51%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 22
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 3:56 0.14%
Combined:
Ischemic episodes: 31 Duration: 1:11:50 5.20%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 1 Duration: 1:58 0.14%
Combined [ischemic or rate-related]:
ST segment episodes: 31 Duration: 1:11:50 5.20%
Unreadable intervals: 1 Duration: 1:58 0.14%
C. Criteria of 60 seconds and 100 microVolts (s20291.stc)
Lead 0:
Ischemic episodes: 20 Duration: 46:12 3.35%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 3
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 1 Duration: 1:58 0.14%
Lead 1:
Ischemic episodes: 24 Duration: 57:24 4.16%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 19
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 1 Duration: 1:58 0.14%
Total:
Ischemic episodes: 44 Duration: 1:43:36 3.75%
Rate-related episodes: 0 Duration: 0:00 0.00%
Axis shifts: 22
Conduction-change shifts: 0
Noisy events: 0
Unreadable intervals: 2 Duration: 3:56 0.14%
Combined:
Ischemic episodes: 24 Duration: 59:04 4.28%
Rate-related episodes: 0 Duration: 0:00 0.00%
Unreadable intervals: 1 Duration: 1:58 0.14%
Combined [ischemic or rate-related]:
ST segment episodes: 24 Duration: 59:04 4.28%
Unreadable intervals: 1 Duration: 1:58 0.14%
QRS ATRUTH ANNOTATIONS (s20291.atr)
Total number of beats 76587
Normal beats 75971
Premature ventricular contractions 410
Supraventricular premature or ectopic beats 206