s20171 2 250 23400000 09:10:00 28/05/1988 s20171.dat 212 200/mV 12 0 -16 15905 0 V4 s20171.dat 212 200/mV 12 0 14 -29253 0 MLIII #Age: 44 Sex: M #Comments: # Lead 0: # From 9:34:42 to 9:43:32 # This episode of ischemia has produced a biphasic ST pattern, # beginning with ST-elevation and T-wave peaking, and ending # with ST depression during the recovery phase. This general # pattern is seen in other ischemic episodes in this subject # as well (as at 12:22:28). # From 14:21:04 to 14:25:36 # This episode begins with ST-depression, with subsequent # elevation and terminal depression. # Lead 1: # From 4:54:22 to 4:55:44 # The minor ST-T changes seen include ST flattening and T-wave # inversion with respect to the local reference region. These # changes correspond to clear-cut ischemic changes in lead 0 # at the same time. This phenomena pertains to most of the # episodes marked in this lead. # From 8:08:00 to 8:09:16 # The minor ST-T changes seen include ST flattening and T-wave # inversion with respect to the local reference region. These # changes correspond to clear-cut ischemic changes in lead 0 # at the same time. This phenomena pertains to most of the # episodes marked in this lead. # From 9:01:30 to 9:02:20 # The minor ST-T changes seen include ST flattening and T-wave # inversion with respect to the local reference region. These # changes correspond to clear-cut ischemic changes in lead 0 # at the same time. This phenomena pertains to most of the # episodes marked in this lead. # An excerpt of this recording is included in the European # ST-T Database (record e0127). #Symptoms during Holter recording: No data #Diagnoses: # Prinzmetal's angina # Coronary artery disease # Hypertension #Treatment: # Medications: No # Balloon Angioplasty: No data # Coronary Artery bypass Grafting: No data #History: # Smoker # Hypertension: Yes # Left ventricular hypertrophy: Septum 15 mm # 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: No # Previous tests: # ECG stress test: No data # Thallium/Stress echo: No data # Left ventricular function: # Normal # Echocardiogram: No data # Coronary Arteriography: # Left anterior descending coronary artery 90% stenosis # Baseline ECG: # Normal #Holter Recording: # Date: 28/05/1988 # Recorder: ICR