SUMMARY NOTES IN THE RECORD s20191 (Duration: 24:00:00.000) Starting time, recording date: 10:20:00 16/11/1991 Lead 0: MLIII Lead 1: V4 Age: 66 Sex: M Comments: Lead 0: From 1:11:14 to 1:12:54 This region is too noisy to annotate with any certainty but is quite likely an ischemic episode. Lead 1: From 1:28:42 to 1:30:16 Slight elevation of ST segment and increase in its positive slope is seen. This change correlates with more definite ischemic change in lead 0. Thus, this episode is labeled "ischemic". Symptoms during Holter recording: No data Diagnoses: Prinzmetal's angina Coronary artery disease Treatment: Medications: No Balloon Angioplasty: No data Coronary Artery bypass Grafting: No data History: Smoker, hypercholesterolemia 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: No data Thallium/Stress echo: No data Left ventricular function: Normal Echocardiogram: No data Coronary Arteriography: Left anterior descending coronary artery 50% stenosis, right coronary artery 90% stenosis Baseline ECG: Normal Holter Recording: Date: 16/11/1991 Recorder: Remco ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s20191.sta) Lead 0: Ischemic episodes: 5 Duration: 11:32 0.80% 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: 6:08 0.43% 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: 17:40 0.61% 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: 5 Duration: 12:10 0.84% 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: 5 Duration: 12:10 0.84% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s20191.stb) Lead 0: Ischemic episodes: 3 Duration: 6:20 0.44% 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: 6:08 0.43% 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: 6 Duration: 12:28 0.43% 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: 4 Duration: 7:54 0.55% 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: 4 Duration: 7:54 0.55% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s20191.stc) Lead 0: Ischemic episodes: 1 Duration: 3:06 0.22% 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: 3:38 0.25% 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% Total: Ischemic episodes: 2 Duration: 6:44 0.23% 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: 1 Duration: 3:40 0.25% 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: 1 Duration: 3:40 0.25% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s20191.atr) Total number of beats 97632 Normal beats 97591 Premature ventricular contractions 7 Supraventricular premature or ectopic beats 34