SUMMARY NOTES IN THE RECORD s20591 (Duration: 22:45:55.000) Starting time, recording date: Lead 0: V2 Lead 1: MLIII Age: 49 Sex: M Comments: Numerous episodes of ST elevation in lead 0 with peaked T waves and with simultaneous reciprocal ST depressions in lead 1. Some episodes in lead 0 were biphasic with initial ST depression. Ischemic episodes were sometimes but not always associated with heart rate increases. In addition, there are many episodes present which did not reach threshold amplitude. An excerpt of this recording is included in the European ST-T Database (record e0604). Symptoms during Holter recording: No data Diagnoses: Coronary artery disease Mixed angina Myocardial infarction Treatment: Medications: Beta-blockers Nifedipine Balloon Angioplasty: No data Coronary Artery bypass Grafting: No data History: No data Hypertension: No data 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: No data Previous tests: ECG stress test: No data Thallium/Stress echo: No data Left ventricular function: No data Echocardiogram: No data Coronary Arteriography: No data Baseline ECG: No data Holter Recording: Date: No data Recorder: Del Mar Avionics ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s20591.sta) Lead 0: Ischemic episodes: 54 Duration: 1:58:18 8.66% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 3 Duration: 8:10 0.60% 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: 57 Duration: 2:06:28 4.63% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 54 Duration: 2:00:38 8.83% 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: 54 Duration: 2:00:38 8.83% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s20591.stb) Lead 0: Ischemic episodes: 46 Duration: 1:45:56 7.76% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 1 Duration: 4:08 0.30% 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: 47 Duration: 1:50:04 4.03% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 46 Duration: 1:47:38 7.88% 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: 46 Duration: 1:47:38 7.88% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s20591.stc) Lead 0: Ischemic episodes: 34 Duration: 1:20:38 5.90% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 1 Duration: 4:08 0.30% 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: 35 Duration: 1:24:46 3.10% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 2 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 34 Duration: 1:22:20 6.03% 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: 34 Duration: 1:22:20 6.03% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s20591.atr) Total number of beats 84161 Normal beats 84105 Premature ventricular contractions 3 Supraventricular premature or ectopic beats 53