SUMMARY NOTES IN THE RECORD s20181  (Duration: 24:00:00.000)

Starting time, recording date:  11:00:00 18/10/1988

Lead 0: MLIII
Lead 1: V4

Age: 66  Sex: M
Comments:
  An excerpt of this recording is included in the European
  ST-T Database (record e0162).
Symptoms during Holter recording: No data
Diagnoses: 
  Effort and resting angina
  Coronary artery disease
Treatment:
  Medications: 
    Nitrates
    Diltiazem
  Balloon Angioplasty: No data
  Coronary Artery bypass Grafting: No data
History: 
  Smoker, family history of 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, anterior
  Previous tests:
    ECG stress test: Yes
      Date: No Data
      Findings: Positive - ST depression V4-V6
    Thallium/Stress echo: No data
    Left ventricular function: 
      Globally normal
    Echocardiogram: No data
    Coronary Arteriography: 
      Left anterior descending coronary artery 100% stenosis, circumflex 90% stenosis, right coronary artery 90% stenosis
    Baseline ECG: 
      Antero-septal myocardial infarction
Holter Recording:
  Date: 18/10/1988
  Recorder: ICR


ST ANNOTATIONS

A. Criteria of 30 seconds and  75 microVolts (s20181.sta)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                74 
Conduction-change shifts:    0 
Noisy events:                5 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:          36   Duration:    3:13:54  13.47% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                20 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          36   Duration:    3:13:54   6.73%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                94 
Conduction-change shifts:    0 
Noisy events:                6 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:          36   Duration:    3:13:54  13.47% 
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:        36   Duration:    3:13:54  13.47%
Unreadable intervals:        0   Duration:       0:00   0.00%

B. Criteria of 30 seconds and 100 microVolts (s20181.stb)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                74 
Conduction-change shifts:    0 
Noisy events:                5 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:          12   Duration:    2:09:00   8.96% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                20 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:          12   Duration:    2:09:00   4.48%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                94 
Conduction-change shifts:    0 
Noisy events:                6 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:          12   Duration:    2:09:00   8.96% 
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:        12   Duration:    2:09:00   8.96%
Unreadable intervals:        0   Duration:       0:00   0.00%

C. Criteria of 60 seconds and 100 microVolts (s20181.stc)

Lead 0:
Ischemic episodes:           0   Duration:       0:00   0.00% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                74 
Conduction-change shifts:    0 
Noisy events:                5 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Lead 1:
Ischemic episodes:           7   Duration:    1:37:36   6.78% 
Rate-related episodes:       0   Duration:       0:00   0.00% 
Axis shifts:                20 
Conduction-change shifts:    0 
Noisy events:                1 
Unreadable intervals:        0   Duration:       0:00   0.00% 

Total:
Ischemic episodes:           7   Duration:    1:37:36   3.39%
Rate-related episodes:       0   Duration:       0:00   0.00%
Axis shifts:                94 
Conduction-change shifts:    0 
Noisy events:                6 
Unreadable intervals:        0   Duration:       0:00   0.00%

Combined:
Ischemic episodes:           7   Duration:    1:37:36   6.78% 
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:         7   Duration:    1:37:36   6.78%
Unreadable intervals:        0   Duration:       0:00   0.00%


QRS ATRUTH ANNOTATIONS                   (s20181.atr)

Total number of beats                          106978

Normal beats                                   106836
Aberrated atrial premature beats                    1
Premature ventricular contractions                125
Fusions of ventricular and normal beat              1
Supraventricular premature or ectopic beats        15