SUMMARY NOTES IN THE RECORD s20151 (Duration: 23:40:00.000) Starting time, recording date: 14:30:00 11/12/1986 Lead 0: V4 Lead 1: MLIII Age: 62 Sex: M Comments: Lead 0: Time 3:03:46 This episode demonstrates slight ST scooping depression which corresponds to the terminal portion of the ischemic ST elevation in lead 1. (There are many such episodes in lead 0.) Lead 1: Time 2:26:30 This is an example of a definite ischemic episode, but its amplitude was below the protocol threshold, and hence it was not annotated. There are a number of such examples in this record. An excerpt of this recording is included in the European ST-T Database (record e0103). Symptoms during Holter recording: No data Diagnoses: Prinzmetal's angina Coronary artery disease Treatment: Medications: Nitrates Diltiazem Balloon Angioplasty: No data Coronary Artery bypass Grafting: No data History: Smoker, hypertriglyceridemia 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: No Previous tests: ECG stress test: yes Date: No Data Findings: Inferior ST elevation, no pain Thallium/Stress echo: No data Left ventricular function: Normal Echocardiogram: No data Coronary Arteriography: 90 % stenosis right coronary artery Baseline ECG: Inferior negative T waves No arrhythmias Holter Recording: Date: 11/12/1986 Recorder: ICR ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s20151.sta) Lead 0: Ischemic episodes: 33 Duration: 1:24:46 5.97% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 7 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 39 Duration: 1:37:10 6.84% 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: 72 Duration: 3:01:56 6.41% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 8 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 43 Duration: 2:15:48 9.56% 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: 43 Duration: 2:15:48 9.56% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s20151.stb) Lead 0: Ischemic episodes: 16 Duration: 45:24 3.20% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 7 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 28 Duration: 1:20:56 5.70% 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: 44 Duration: 2:06:20 4.45% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 8 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 31 Duration: 1:41:06 7.12% 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: 31 Duration: 1:41:06 7.12% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s20151.stc) Lead 0: Ischemic episodes: 9 Duration: 26:58 1.90% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 7 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 26 Duration: 1:17:30 5.46% 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: 35 Duration: 1:44:28 3.68% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 8 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 27 Duration: 1:29:28 6.30% 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: 27 Duration: 1:29:28 6.30% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s20151.atr) Total number of beats 79675 Normal beats 79492 Premature ventricular contractions 166 Fusions of ventricular and normal beat 11 Supraventricular premature or ectopic beats 6