SUMMARY NOTES IN THE RECORD s20351 (Duration: 22:49:10.000) Starting time, recording date: 11:53:00 21/11/1991 Lead 0: 0 Lead 1: 1 Age: 62 Sex: M Comments: Lead 0: It shows labile T-waves, four major ischemic episodes, and one minor ST episode thought to be ischemic. Lead 1: This lead shows the same changes. Electrode locations were not recorded. Symptoms during Holter recording: No data Diagnoses: Coronary artery disease Previous myocardial infarction Hypercholesterolemia Treatment: Medications: Nitroglycerine Beta-blocker Aspirin Lipitor Balloon Angioplasty: No Coronary Artery bypass Grafting: No History: Previous myocardial infarction Hypertension: No Left ventricular hypertrophy: No data Cardiomyopathy: No data Valve disease: No data Electrolyte abnormalities: No data Hypercapnia, anemia, hypotension, hyperventilation: No data Atrioventricular nodal conduction delay: No data Intraventricular conduction block: No data Previous Myocardial Infarction: Yes 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, left anterior descending coronary artery, left circumflex coronary artery Baseline ECG: No data Holter Recording: Date: 21/11/1991 Recorder: No data ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s20351.sta) Lead 0: Ischemic episodes: 4 Duration: 48:40 3.55% Rate-related episodes: 1 Duration: 5:54 0.43% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 5 Duration: 49:10 3.59% Rate-related episodes: 1 Duration: 6:18 0.46% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 9 Duration: 1:37:50 3.57% Rate-related episodes: 2 Duration: 12:12 0.45% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 5 Duration: 51:24 3.75% Rate-related episodes: 1 Duration: 6:22 0.47% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 6 Duration: 57:46 4.22% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s20351.stb) Lead 0: Ischemic episodes: 4 Duration: 48:40 3.55% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 4 Duration: 47:32 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% Total: Ischemic episodes: 8 Duration: 1:36:12 3.51% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 4 Duration: 49:46 3.63% 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: 49:46 3.63% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s20351.stc) Lead 0: Ischemic episodes: 4 Duration: 48:40 3.55% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 4 Duration: 47:32 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% Total: Ischemic episodes: 8 Duration: 1:36:12 3.51% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 4 Duration: 49:46 3.63% 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: 49:46 3.63% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s20351.atr) Total number of beats 119652 Normal beats 118847 Premature ventricular contractions 796 Supraventricular premature or ectopic beats 9