SUMMARY NOTES IN THE RECORD s30731 (Duration: 23:50:44.984) Starting time, recording date: 09:53:00 21/07/1999 Lead 0: E-S Lead 1: A-S Lead 2: A-I Age: 82 Sex: M Comments: This is the same patient as s30732. There are several ischemic episodes seen in leads 1 and 2. In addition, there were many axis shifts. Start of recording: 9:53:00 Symptoms (from 0 - 10): Relative Absolute 8:18 18:11 angina 1 8:37 18:30 angina 1 21:43 7:36 angina 1 Symptoms during Holter recording: Yes - angina 21/7/1999 @18:11, 21/7/1999 @18:30, 22/07/1999 @7:36am Diagnoses: Coronary artery disease Treatment: Medications: Atenolol Aspirin Balloon Angioplasty: Yes, data incomplete 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: January, 2000 Findings: Positive - 0.2 mV ST depression in II, avF, V4-V6. Thallium/Stress echo: Severe hypokinesis infero-lateral walls on exercise Left ventricular function: Normal - ejection fraction 62% Echocardiogram: No data Coronary Arteriography: Occlusions in three vessels: 100% left anterior descending coronary artery, 90% left circumflex coronary artery, 45% right coronary artery. Baseline ECG: No data Holter Recording: Date: 21/07/1999 Recorder: Zymed ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s30731.sta) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 6 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 4 Duration: 1:01:28 4.30% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 26 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 2: Ischemic episodes: 6 Duration: 1:06:54 4.68% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 20 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 10 Duration: 2:08:22 2.99% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 52 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 6 Duration: 1:07:16 4.70% 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: 6 Duration: 1:07:16 4.70% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s30731.stb) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 6 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 4 Duration: 1:01:28 4.30% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 26 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 2: Ischemic episodes: 4 Duration: 1:04:02 4.48% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 20 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 8 Duration: 2:05:30 2.92% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 52 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 4 Duration: 1:04:24 4.50% 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: 1:04:24 4.50% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s30731.stc) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 6 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 3 Duration: 57:38 4.03% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 26 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 2: Ischemic episodes: 4 Duration: 1:04:02 4.48% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 20 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 7 Duration: 2:01:40 2.83% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 52 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 4 Duration: 1:04:24 4.50% 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: 1:04:24 4.50% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s30731.atr) Total number of beats 106057 Normal beats 105791 Premature ventricular contractions 36 Fusions of ventricular and normal beat 11 Supraventricular premature or ectopic beats 219