SUMMARY NOTES IN THE RECORD s30701 (Duration: 22:24:00.000) Starting time, recording date: 10:19:00 29/09/1999 Lead 0: E-S Lead 1: A-S Lead 2: A-I Age: 67 Sex: M Comments: Patient with angina and coronary artery disease. This record shows very little ST lability. There are two minor ischemic episodes near the end of the monitoring period, both associated with increased heart rate. The final episode convinced the annotators that they were observing ischemia triggered by increased heart rate rather than rate-related changes. Symptoms during Holter recording: None reported. Diagnoses: Coronary artery disease Treatment: Medications: Atenolol Lipitor Balloon Angioplasty: Yes, 1997-stents, additional in 1999 Coronary Artery bypass Grafting: No History: Angina 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 data. Previous tests: ECG stress test: Yes Date: Not recorded Findings: Not available Thallium/Stress echo: Slightly hypokinetic infero-apical and postero-lateral walls. Left ventricular function: Normal ejection fraction - 53% Echocardiogram: No Coronary Arteriography: Yes Two-vessel disease, details not available. Baseline ECG: No data Holter Recording: Date: 29/09/1999 Recorder: Zymed ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s30701.sta) Lead 0: Ischemic episodes: 3 Duration: 13:30 1.00% 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% Lead 1: Ischemic episodes: 2 Duration: 40:50 3.04% 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% Lead 2: Ischemic episodes: 4 Duration: 39:24 2.93% 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: 9 Duration: 1:33:44 2.32% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 4 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 2 Duration: 40:58 3.05% 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: 2 Duration: 40:58 3.05% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s30701.stb) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% 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% Lead 1: Ischemic episodes: 2 Duration: 40:50 3.04% 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% Lead 2: Ischemic episodes: 4 Duration: 39:24 2.93% 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: 6 Duration: 1:20:14 1.99% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 4 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 2 Duration: 40:58 3.05% 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: 2 Duration: 40:58 3.05% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s30701.stc) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% 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% Lead 1: Ischemic episodes: 2 Duration: 40:50 3.04% 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% Lead 2: Ischemic episodes: 2 Duration: 25:32 1.90% 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: 4 Duration: 1:06:22 1.65% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 4 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 2 Duration: 40:50 3.04% 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: 2 Duration: 40:50 3.04% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s30701.atr) Total number of beats 107078 Normal beats 107061 Supraventricular premature or ectopic beats 17