s20341 2 250 20238250 13:08:00 12/11/1997
s20341.dat 212 200/mV 12 0 56 21753 0 0
s20341.dat 212 200/mV 12 0 46 -5491 0 1
#Age: 77 Sex: F
#Comments:
# Lead 0:
# Two major ischemic episodes and several other less
# dramatic ischemic episodes characterized by down-sloping
# ST segments, generally associated with increases in
# heart rate.
# Lead 1:
# This lead, however, showed no evidence of ischemic ST
# changes.
# Electrode locations were not recorded.
#Symptoms during Holter recording: None reported
#Diagnoses:
# Coronary artery disease
# Hypertension
# Syncope
# Spinal stenosis
#Treatment:
# Medications:
# Captopril
# Hydrochlorothiazide
# Balloon Angioplasty: No
# Coronary Artery bypass Grafting: No
#History:
# Syncope
# 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: No data
# Findings: Abnormal - infero-lateral ischemia, no angina
# Thallium/Stress echo: Positive antero-lateral ischemia
# Left ventricular function:
# Normal
# Echocardiogram:
# Borderline left ventricular hypertrophy
# Ejection fraction > 55%
# Coronary Arteriography:
# Done in 1998. Showed moderate 3-vessel disease, moderate left ventricular diastolic dysfunction, good ejection fraction
# Baseline ECG:
# Sinus bradycardia
# Left ventricular hypertrophy
# Left atrial abnormality
# Non-specific ST-T changes
#Holter Recording:
# Date: 12/11/1997
# Recorder: No data