SUMMARY NOTES IN THE RECORD s20241 (Duration: 23:22:01.000) Starting time, recording date: 08:17:00 19/08/1996 Lead 0: ML2 Lead 1: MV2 Age: 29 Sex: F Comments: This record shows minimal rate-related reduction in baseline ST elevation, and T-wave flattening. No ischemia, no axis shifts. Symptoms during Holter recording: Palpitations, chest tightness Diagnoses: Mitral valve prolapse Palpitations Treatment: Medications: No data Balloon Angioplasty: No Coronary Artery bypass Grafting: No History: No history of coronary artery disease Hypertension: No Left ventricular hypertrophy: No Cardiomyopathy: No Valve disease: Yes - mitral prolapse 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 Thallium/Stress echo: No Left ventricular function: Normal Echocardiogram: No data Coronary Arteriography: No Baseline ECG: Normal sinus rhythm Non-specific ST changes consistent with early repolarization Holter Recording: Date: 19/08/1996 Recorder: No data ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s20241.sta) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 10 Duration: 2:25:44 10.39% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 15 Duration: 1:26:18 6.16% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 25 Duration: 3:52:02 8.27% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 11 Duration: 2:29:34 10.67% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 11 Duration: 2:29:34 10.67% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s20241.stb) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 7 Duration: 2:14:46 9.61% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 6 Duration: 59:34 4.25% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 13 Duration: 3:14:20 6.93% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 7 Duration: 2:15:52 9.69% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 7 Duration: 2:15:52 9.69% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s20241.stc) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 5 Duration: 1:47:04 7.64% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 2 Duration: 50:20 3.59% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 7 Duration: 2:37:24 5.61% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 5 Duration: 1:48:10 7.72% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 5 Duration: 1:48:10 7.72% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s20241.atr) Total number of beats 92439 Normal beats 92424 Premature ventricular contractions 6 Nodal (junctional) premature beats 1 Supraventricular premature or ectopic beats 3 Nodal (junctional) escape beats 5