s30751 3 250 21358750 11:29:00 08/09/1999
s30751.dat 212 200/mV 12 0 21 -15899 0 E-S
s30751.dat 212 200/mV 12 0 -5 -16505 0 A-S
s30751.dat 212 200/mV 12 0 16 -9323 0 A-I
#Age: 79 Sex: M
#Comments:
# This is the same patient as s30752. Patient with coronary
# artery disease and positive exercise tolerance test. Sinus
# rhythm with some ventricular ectopic activity. Rate-related
# ischemic ST depression was noted on a few occasions. The
# ischemia was evident in all three leads.
#Symptoms during Holter recording: Chest pressure, time not noted
#Diagnoses:
# Coronary artery disease
#Treatment:
# Medications:
# Atenolol
# Simvastatin
# Balloon Angioplasty: No
# Coronary Artery bypass Grafting: Triple bypass in 1994
#History:
# Angina, coronary heart disease
# Hypertension: Yes
# Left ventricular hypertrophy: No
# Cardiomyopathy: No
# Valve disease: No
# Electrolyte abnormalities: No
# Hypercapnia, anemia, hypotension, hyperventilation: No
# Atrioventricular nodal conduction delay: No data
# Intraventricular conduction block: Left anterior fascicular block
# Previous Myocardial Infarction: No
# Previous tests:
# ECG stress test: Yes
# Date: July, 1996
# Findings: Abnormal - 2 mm anterior ST segment depressions
# Thallium/Stress echo: Positive for inferior ischemia and wall motion abnormalities
# Left ventricular function:
# Hypokinesis and dyskinesis of infero-apical and septal walls, ejection fraction 44%
# Echocardiogram:
# Minimal left ventricular dysfunction & valvular regurgitation.
# Coronary Arteriography:
# Distal occlusion of posterior descending coronary artery
# Baseline ECG:
# Normal sinus rhythm, left anterior fascicular block, non-specific lateral ST-T abnormalities.
#Holter Recording:
# Date: 08/09/1999
# Recorder: Zymed