SUMMARY NOTES IN THE RECORD s30671 (Duration: 23:34:35.984) Starting time, recording date: 11:59:00 04/11/1998 Lead 0: V6 Lead 1: V5 Lead 2: aVF Age: 52 Sex: M Comments: Patient with coronary artery disease. Episodes of ischemic changes associated with increased heart rate. Episodes are seen in all leads, but are most prominent in lead 1. Symptoms during Holter recording: None reported Diagnoses: Insulin dependent diabetes mellitus Coronary artery disease with angina Previous myocardial infarction Treatment: Medications: No data Balloon Angioplasty: No Coronary Artery bypass Grafting: No History: Angina, ECG evidence of old inferior 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 by ECG Previous tests: ECG stress test: Yes Date: Not recorded Findings: Positive, details not available. Thallium/Stress echo: No data Left ventricular function: Ejection fraction 75%: normal Echocardiogram: No data Coronary Arteriography: 1996 - 2 vessel disease involving left circumflex coronary artery and right coronary artery. Inferior hypokinesis of left ventricle. Baseline ECG: Inferior myocardial infarction and normal sinus rhythm Holter Recording: Date: 04/11/1998 Recorder: Zymed ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s30671.sta) Lead 0: Ischemic episodes: 9 Duration: 1:01:12 4.33% 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: 14 Duration: 2:53:18 12.25% 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 2: Ischemic episodes: 5 Duration: 26:28 1.87% 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: 28 Duration: 4:20:58 6.15% 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: 14 Duration: 2:53:22 12.26% 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: 14 Duration: 2:53:22 12.26% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s30671.stb) Lead 0: Ischemic episodes: 6 Duration: 30:30 2.16% 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% Lead 1: Ischemic episodes: 8 Duration: 2:27:46 10.45% 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 2: 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% Total: Ischemic episodes: 14 Duration: 2:58:16 4.20% 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: 8 Duration: 2:27:50 10.45% 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: 8 Duration: 2:27:50 10.45% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s30671.stc) Lead 0: Ischemic episodes: 1 Duration: 7:26 0.53% 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: 7 Duration: 2:19:42 9.88% 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 2: 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% Total: Ischemic episodes: 8 Duration: 2:27:08 3.47% 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: 7 Duration: 2:19:42 9.88% 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: 2:19:42 9.88% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s30671.atr) Total number of beats 99040 Normal beats 98545 Premature ventricular contractions 350 Fusions of ventricular and normal beat 2 Supraventricular premature or ectopic beats 143