s30661 3 250 21368246 12:15:00 11/02/1999
s30661.dat 212 200/mV 12 0 6 1837 0 V4
s30661.dat 212 200/mV 12 0 2 -457 0 V3
s30661.dat 212 200/mV 12 0 10 -29342 0 II
#Age: 72 Sex: M
#Comments:
# This patient with extensive CAD shows a number of ST
# depressions associated with paroxysms of atrial
# tachycardia (PAT). Some ischemic changes were also
# seen in associations with increased heart rate which
# was not PAT. The patient has high-grade atrial ectopic
# activity with many bursts of PAT. Ischemia is most
# prominent in signal 0 (V4).
#Symptoms during Holter recording: No data
#Diagnoses:
# 2-vessel coronary artery disease
# Unstable angina
# Previous coronary artery bypass grafting
# Left internal mammary artery graft to left anterior descending coronary artery
# Chronic obstructive pulmonary disease
# Hypertension
# Benign prostatic hypertrophy
#Treatment:
# Medications:
# Aspirin
# Enalapril
# Metoprolol
# Prilosec
# Cardura
# Azmacort
# Ventolin
# Ipratropium
# Balloon Angioplasty: No
# Coronary Artery bypass Grafting: Four grafts in 1995
#History:
# Unstable angina and coronary artery bypass grafting in 1995
# Hypertension: Yes
# 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: No
# Previous tests:
# ECG stress test: Yes
# Date: October, 1998
# Findings: 2 mm ST depression, stopped due to dyspnea
# Thallium/Stress echo: 1993 - no ischemia
# Left ventricular function:
# Normal - ejection fraction = 60%
# Echocardiogram:
# Normal left ventricular function
# Coronary Arteriography:
# 1992: lesions in left anterior descending coronary artery, right coronary artery disease
# Baseline ECG:
# Normal sinus rhythm
# Nonspecific ST changes
# Atrial premature beats
#Holter Recording:
# Date: 11/02/1999
# Recorder: Zymed