SUMMARY NOTES IN THE RECORD s20321 (Duration: 24:34:00.000) Starting time, recording date: 14:40:00 22/11/1997 Lead 0: V4 Lead 1: MLIII Age: 73 Sex: M Comments: Lead 0: This lead showed ST elevation on one occasion, but the other episodes seen in lead 1 were not visible in lead 0. Lead 1: This lead has baseline T-inversion. There are several episodes of ST elevation and pseudo normalization of T-wave associated with ischemia. Symptoms during Holter recording: No data Diagnoses: Effort angina Coronary artery disease Treatment: Medications: Nitrates Diltiazem Balloon Angioplasty: No data Coronary Artery bypass Grafting: No data History: Family history coronary artery disease, diabetes, elevated uric acid, coronary artery disease, previous myocardial infarction 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: Yes, inferior Previous tests: ECG stress test: yes Date: No Data Findings: Positive - ST depression V4-V6 Thallium/Stress echo: Stress echo Positive Left ventricular function: Normal Echocardiogram: No data Coronary Arteriography: Left anterior descending coronary artery 95% stenosis, circumflex artery 90% stenosis, right coronary artery 90% stenosis Baseline ECG: Inferior myocardial infarction Holter Recording: Date: 22/11/1997 Recorder: Remco ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s20321.sta) Lead 0: Ischemic episodes: 2 Duration: 2:54 0.20% 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: 5:48 0.39% 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: 5 Duration: 8:42 0.30% 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% Combined: Ischemic episodes: 3 Duration: 5:48 0.39% 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: 3 Duration: 5:48 0.39% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s20321.stb) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% 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: 5:48 0.39% 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: 3 Duration: 5:48 0.20% 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% Combined: Ischemic episodes: 3 Duration: 5:48 0.39% 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: 3 Duration: 5:48 0.39% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s20321.stc) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% 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: 5:48 0.39% 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: 3 Duration: 5:48 0.20% 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% Combined: Ischemic episodes: 3 Duration: 5:48 0.39% 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: 3 Duration: 5:48 0.39% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s20321.atr) Total number of beats 91929 Normal beats 91679 Premature ventricular contractions 201 Supraventricular premature or ectopic beats 49