s30791 3 250 20849750 01/12/1999
s30791.dat 212 200/mV 12 0 20 13563 0 E-S
s30791.dat 212 200/mV 12 0 40 -16202 0 A-S
s30791.dat 212 200/mV 12 0 18 26404 0 A-I
#Age: 74 Sex: M
#Comments:
# The electrocardiogram at baseline is abnormal with
# ST concave depression. There also seems to be left
# axis deviation. The record shows numerous axis shifts.
# There are several episodes of ischemia related to
# increased heart rate, documented in all three leads.
# In the lead 0, however, the ST changes would be
# defined as rate-related if considered in isolation.
# They have been labeled as "ischemic" in light of
# the full 3-lead picture.
#Symptoms during Holter recording: None reported
#Diagnoses:
# Coronary artery disease
# Hypertension
# Angina
#Treatment:
# Medications:
# Atenolol
# Isosorbide (held during holter)
# Balloon Angioplasty: No
# Coronary Artery bypass Grafting: No
#History:
# Angina, hypertension
# Hypertension: Yes
# 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: No
# Previous Myocardial Infarction: No
# Previous tests:
# ECG stress test: Yes
# Date: December, 1998
# Findings: Exercise induced ischemia. ST depression V4-V6
# Thallium/Stress echo: Positive blood pool scan (MUGA)
# Left ventricular function:
# Good - ejection fraction 60%
# Echocardiogram: No data
# Coronary Arteriography:
# Lesions in right coronary artery (100%), left anterior descending coronary artery (90%), left circumflex coronary artery (sequential 70%, 95%).
# Baseline ECG:
# Normal sinus rhythm, left ventricular hypertrophy
#Holter Recording:
# Date: 01/12/1999
# Recorder: Zymed