Long Term ST Database 1.0.0

File: <base>/notes/s30671.nts (6,676 bytes)

SUMMARY NOTES IN THE RECORD s30671  (Duration: 23:34:35.984)

Starting time, recording date:  11:59:00 04/11/1998

Lead 0: V6
Lead 1: V5
Lead 2: aVF

Age: 52  Sex: M
Comments:
  Patient with coronary artery disease. Episodes of ischemic
  changes associated with increased heart rate. Episodes are
  seen in all leads, but are most prominent in lead 1.
Symptoms during Holter recording: None reported
Diagnoses: 
  Insulin dependent diabetes mellitus
  Coronary artery disease with angina
  Previous myocardial infarction 
Treatment:
  Medications: No data
  Balloon Angioplasty: No
  Coronary Artery bypass Grafting: No
History: 
  Angina, ECG evidence of old inferior 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 by ECG
  Previous tests:
    ECG stress test: Yes
      Date: Not recorded
      Findings: Positive, details not available.
    Thallium/Stress echo: No data
    Left ventricular function: 
      Ejection fraction 75%: normal
    Echocardiogram: No data
    Coronary Arteriography: 
      1996 - 2 vessel disease involving left circumflex coronary artery and right coronary artery. Inferior hypokinesis of left ventricle.
   Baseline ECG: 
      Inferior myocardial infarction and normal sinus rhythm
Holter Recording:
  Date: 04/11/1998
  Recorder: Zymed


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s30671.sta)

Lead 0:
Ischemic episodes:           9   Duration:    1:01:12   4.33% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:          14   Duration:    2:53:18  12.25% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 2:
Ischemic episodes:           5   Duration:      26:28   1.87% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          28   Duration:    4:20:58   6.15%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:          14   Duration:    2:53:22  12.26% 
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:        14   Duration:    2:53:22  12.26%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s30671.stb)

Lead 0:
Ischemic episodes:           6   Duration:      30:30   2.16% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           8   Duration:    2:27:46  10.45% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 2:
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:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          14   Duration:    2:58:16   4.20%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           8   Duration:    2:27:50  10.45% 
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:         8   Duration:    2:27:50  10.45%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s30671.stc)

Lead 0:
Ischemic episodes:           1   Duration:       7:26   0.53% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           7   Duration:    2:19:42   9.88% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 2:
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:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           8   Duration:    2:27:08   3.47%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                 0 
Conduction-change shifts:    0 
Noisy events:                0 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           7   Duration:    2:19:42   9.88% 
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:         7   Duration:    2:19:42   9.88%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s30671.atr)

Total number of beats                           99040

Normal beats                                    98545
Premature ventricular contractions                350
Fusions of ventricular and normal beat              2
Supraventricular premature or ectopic beats       143