s20041 2 250 21516500 12:06:00 21/05/1997
s20041.dat 212 200/mV 12 0 -150 27020 0 0
s20041.dat 212 200/mV 12 0 -95 430 0 1
#Age: 60 Sex: M
#Comments:
# This is a difficult record. The baseline ST segment
# is abnormal, it is scooped and slightly depressed.
# There are a number of episodes of ST depression
# associated with increased heart rate, some of which
# are quite prolonged. These events were suggestive of
# ischemia, and were so labeled.
# Lead 0 shows many ischemic episodes and a few axis shifts.
# Lead 1 shows many ischemic episodes, and the morphology of
# the QRST complexes is quite similar to those of lead 0.
# Electrode locations were not recorded.
#Symptoms during Holter recording: None reported
#Diagnoses:
# Coronary artery disease
# Previous coronary artery bypass grafting, 1986
# Congestive heart failure
# Chronic obstructive pulmonary disease
# Previous transurethral resection of the prostate
# Chronic renal failure (serum creatinine = 2.2)
#Treatment:
# Medications:
# Nifedipine
# Isordil
# Metoprolol
# Captopril
# Lasix
# KCl
# Restoril
# Aspirin
# Balloon Angioplasty: No
# Coronary Artery bypass Grafting: Yes, 1986
#History:
# Exertional angina, dyspnea on exertion
# Hypertension: No
# Left ventricular hypertrophy: Yes
# Cardiomyopathy: No
# Valve disease: No
# Electrolyte abnormalities: No
# Hypercapnia, anemia, hypotension, hyperventilation: No
# Atrioventricular nodal conduction delay: No
# Intraventricular conduction block: Incomplete right bundle branch block
# Previous Myocardial Infarction: Yes, unknown date
# Previous tests:
# ECG stress test: No
# Thallium/Stress echo: No
# Left ventricular function: No data
# Echocardiogram: No data
# Coronary Arteriography:
# June, 1997 - 99%left main coronary artery, 100%left anterior descending coronary artery, 100%left circumflex coronary artery. Internal mammary artery graft open but left anterior descending coronary artery occluded below anastamosis
# Baseline ECG:
# Normal sinus rhythm at 66 bpm
# Left ventricular hypertrophy
# Previous anterolateral myocardial infarction
# Inferior ischemia
# Possible old inferior myocardial infarction
#Holter Recording:
# Date: 21/05/1997
# Recorder: ICR