SUMMARY NOTES IN THE RECORD s20201 (Duration: 20:58:47.000) Starting time, recording date: 15:02:00 11/10/1995 Lead 0: ML2 Lead 1: MV2 Age: 78 Sex: F Comments: Relatively few episodes. No ischemic changes. A few rate-related episodes. A number of significant axis shifts. There is some baseline ST depression. Symptoms during Holter recording: None reported Diagnoses: Syncope Seizure disorder Treatment: Medications: No data Balloon Angioplasty: No Coronary Artery bypass Grafting: No History: No history of coronary artery disease Hypertension: No 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: No Previous tests: ECG stress test: No Thallium/Stress echo: No Left ventricular function: Normal Echocardiogram: Normal left ventricular function Minimal aortic insufficiency Mitral regurgitation Coronary Arteriography: No Baseline ECG: Sinus bradycardia Left ventricular hypertrophy Possible old anterior myocardial infarction Inferior and anterolateral ST depression Holter Recording: Date: 11/10/1995 Recorder: No data ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s20201.sta) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 7 Duration: 25:14 2.00% Axis shifts: 20 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 7 Duration: 25:14 1.00% Axis shifts: 22 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 7 Duration: 25:14 2.00% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 7 Duration: 25:14 2.00% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s20201.stb) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 1 Duration: 12:14 0.97% Axis shifts: 20 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 1 Duration: 12:14 0.49% Axis shifts: 22 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 1 Duration: 12:14 0.97% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 1 Duration: 12:14 0.97% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s20201.stc) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 1 Duration: 12:14 0.97% Axis shifts: 20 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 1 Duration: 12:14 0.49% Axis shifts: 22 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 1 Duration: 12:14 0.97% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 1 Duration: 12:14 0.97% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s20201.atr) Total number of beats 91477 Normal beats 91366 Premature ventricular contractions 11 Supraventricular premature or ectopic beats 100