SUMMARY NOTES IN THE RECORD s30742 (Duration: 21:44:04.000)
Starting time, recording date: 11:04:00 10/08/1999
Lead 0: E-S
Lead 1: A-S
Lead 2: A-I
Age: 54 Sex: F
Comments:
This is the same patient as s30741. Record shows
numerous episodes of ischemia, generally associated
with heart rate increases. The changes are seen in
all three leads. The baseline ST segment at global
reference is slightly elevated.
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: 10/08/1999
Recorder: Zymed
ST ANNOTATIONS
A. Criteria of 30 seconds and 75 microVolts (s30742.sta)
Lead 0:
Ischemic episodes: 18 Duration: 5:17:14 24.33%
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: 18 Duration: 3:48:58 17.56%
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: 19 Duration: 4:20:08 19.95%
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: 55 Duration: 13:26:20 20.61%
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: 19 Duration: 5:27:38 25.12%
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: 19 Duration: 5:27:38 25.12%
Unreadable intervals: 0 Duration: 0:00 0.00%
B. Criteria of 30 seconds and 100 microVolts (s30742.stb)
Lead 0:
Ischemic episodes: 12 Duration: 4:19:30 19.90%
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: 2:05:48 9.65%
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%
Lead 2:
Ischemic episodes: 11 Duration: 3:26:36 15.84%
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: 26 Duration: 9:51:54 15.13%
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: 4:38:58 21.39%
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: 4:38:58 21.39%
Unreadable intervals: 0 Duration: 0:00 0.00%
C. Criteria of 60 seconds and 100 microVolts (s30742.stc)
Lead 0:
Ischemic episodes: 8 Duration: 3:42:34 17.07%
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: 2 Duration: 1:56:44 8.95%
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: 7 Duration: 2:56:14 13.51%
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: 8:35:32 13.18%
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: 3:57:08 18.18%
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: 3:57:08 18.18%
Unreadable intervals: 0 Duration: 0:00 0.00%
QRS ATRUTH ANNOTATIONS (s30742.atr)
Total number of beats 113767
Normal beats 113767