Long Term ST Database 1.0.0

File: <base>/notes/s30741.nts (6,610 bytes)

SUMMARY NOTES IN THE RECORD s30741  (Duration: 23:49:59.984)

Starting time, recording date:  13:11:00 09/08/1999

Lead 0: E-S
Lead 1: A-S
Lead 2: A-I

Age: 54  Sex: F
Comments:
  This is the same patient as s30742. There are numerous
  regions of transient ST depression noted in all three
  leads. Episodes are associated with increased heart rate.
  In fact, there is a period of almost three hours with
  increased heart rate associated with ST depression
  in all three leads near the beginning of the record.
  (The global reference actually shows slight ST elevation.)
Symptoms during Holter recording: No data
Diagnoses: 
  Coronary artery disease
  Asthma
  Hypertension
  Stroke
  Congestive heart failure
Treatment:
  Medications:
    Zocor
    Atenolol
    Ketorolac
    Proventil
  Balloon Angioplasty: No
  Coronary Artery bypass Grafting: No
History: 
  Angina, asthma, congestive heart failure, hypertension, stroke, coronary artery disease.
  Hypertension: Yes
  Left ventricular hypertrophy: No
  Cardiomyopathy: No
  Valve disease: No
  Electrolyte abnormalities: No
  Hypercapnia, anemia, hypotension, hyperventilation: No
  Atrioventricular nodal conduction delay: No data
  Intraventricular conduction block: No data
  Previous Myocardial Infarction: Yes, in 1996 and 1997 
  Previous tests:
    ECG stress test: Yes
      Date: April, 1999
      Findings: Normal with inadequate heart rate, but with chest pain
    Thallium/Stress echo: No data
    Left ventricular function: No data
    Echocardiogram: No data
    Coronary Arteriography: No data
    Baseline ECG: No data
Holter Recording:
  Date: 09/08/1999
  Recorder: Zymed


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s30741.sta)

Lead 0:
Ischemic episodes:          17   Duration:    5:38:52  23.70% 
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:          11   Duration:    4:08:54  17.41% 
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:          18   Duration:    5:35:26  23.46% 
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:          46   Duration:   15:23:12  21.52%
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:          20   Duration:    6:28:10  27.14% 
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:        20   Duration:    6:28:10  27.14%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s30741.stb)

Lead 0:
Ischemic episodes:           5   Duration:    3:31:38  14.80% 
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:           3   Duration:    2:45:14  11.55% 
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:           9   Duration:    4:12:22  17.65% 
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:          17   Duration:   10:29:14  14.67%
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:           9   Duration:    4:18:36  18.08% 
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:         9   Duration:    4:18:36  18.08%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s30741.stc)

Lead 0:
Ischemic episodes:           2   Duration:    2:54:02  12.17% 
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:           1   Duration:    2:19:34   9.76% 
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:           6   Duration:    3:47:12  15.89% 
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:           9   Duration:    9:00:48  12.61%
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:           6   Duration:    3:49:46  16.07% 
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:         6   Duration:    3:49:46  16.07%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s30741.atr)

Total number of beats                          123461

Normal beats                                   123461