SUMMARY NOTES IN THE RECORD s30732 (Duration: 21:26:01.000) Starting time, recording date: 10:04:00 22/07/1999 Lead 0: E-S Lead 1: A-S Lead 2: A-I Age: 82 Sex: M Comments: This is the same patient as s30731. This record contain numerous axis shifts and one ischemic episode that is most prominent in leads 1 and 2, and did not reach threshold in lead 0. Start of recording: 10:04:00 Symptoms (from 0 - 10): Relative Absolute 0:58 11:02 angina 4 19:33 5:37 angina 1 Symptoms during Holter recording: Yes - angina 22/07/1999 @11:02am, 23/07/1999 @5:37am 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: 22/07/1999 Recorder: Zymed ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s30732.sta) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 12 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 1 Duration: 32:26 2.52% 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: 1 Duration: 32:02 2.49% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 27 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 2 Duration: 1:04:28 1.67% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 65 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 1 Duration: 32:40 2.54% 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: 32:40 2.54% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s30732.stb) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 12 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 1 Duration: 32:26 2.52% 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: 1 Duration: 32:02 2.49% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 27 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 2 Duration: 1:04:28 1.67% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 65 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 1 Duration: 32:40 2.54% 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: 32:40 2.54% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s30732.stc) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 12 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 1 Duration: 32:26 2.52% 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: 1 Duration: 32:02 2.49% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 27 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 2 Duration: 1:04:28 1.67% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 65 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 1 Duration: 32:40 2.54% 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: 32:40 2.54% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s30732.atr) Total number of beats 96615 Normal beats 96334 Premature ventricular contractions 25 Fusions of ventricular and normal beat 2 Supraventricular premature or ectopic beats 254