SUMMARY NOTES IN THE RECORD s20251 (Duration: 23:46:00.000) Starting time, recording date: 09:22:00 07/05/1992 Lead 0: 0 Lead 1: 1 Age: 65 Sex: M Comments: There are clear ischemic ST depression and downsloping, associated with heart rate increase seen in both leads, more prominent in lead 1. Three episodes were early in the record prior to 5 hours. After 5 hours no episodes were seen. Electrode locations were not recorded. Symptoms during Holter recording: No data Diagnoses: Coronary artery disease Treatment: Medications: Nitroglycerine Beta-blocker Calcium channel blocker Aspirin Balloon Angioplasty: No Coronary Artery bypass Grafting: No History: Angina, coronary artery disease Hypertension: No Left ventricular hypertrophy: No data Cardiomyopathy: No Valve disease: No Electrolyte abnormalities: No data Hypercapnia, anemia, hypotension, hyperventilation: No data Atrioventricular nodal conduction delay: No data Intraventricular conduction block: No data Previous Myocardial Infarction: No Previous tests: ECG stress test: No data Thallium/Stress echo: No data Left ventricular function: No data Echocardiogram: No data Coronary Arteriography: Lesions in right coronary artery and left circumflex coronary artery Baseline ECG: No data Holter Recording: Date: 07/05/1992 Recorder: No data ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s20251.sta) Lead 0: Ischemic episodes: 2 Duration: 7:58 0.56% 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: 5 Duration: 33:44 2.37% 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% Total: Ischemic episodes: 7 Duration: 41:42 1.46% 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% Combined: Ischemic episodes: 5 Duration: 33:44 2.37% 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: 5 Duration: 33:44 2.37% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s20251.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: 23:46 1.67% 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% Total: Ischemic episodes: 3 Duration: 23:46 0.83% 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% Combined: Ischemic episodes: 3 Duration: 23:46 1.67% 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: 23:46 1.67% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s20251.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: 2 Duration: 16:30 1.16% 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% Total: Ischemic episodes: 2 Duration: 16:30 0.58% 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% Combined: Ischemic episodes: 2 Duration: 16:30 1.16% 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: 16:30 1.16% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s20251.atr) Total number of beats 108373 Normal beats 108326 Premature ventricular contractions 7 Supraventricular premature or ectopic beats 40