s20551 2 250 21270000 14:24:00 19/01/1999
s20551.dat 212 200/mV 12 0 78 3101 0 MLIII
s20551.dat 212 200/mV 12 0 22 -22751 0 V4
#Age: 77 Sex: F
#Comments:
# This record, from a patient with known CAD, shows LBBB, and
# includes 3 ischemic episodes and several axis shifts. There
# were two conduction changes (increased degree of intra-ventricular
# conduction block) that occurred in the midst of the final
# ischemic episode.
#Symptoms during Holter recording: No data
#Diagnoses:
# Coronary artery disease
# Left bundle branch block
# Hypertension
#Treatment:
# Medications:
# Diltiazem
# Nitrates
# Heparin
# Balloon Angioplasty: No data
# Coronary Artery bypass Grafting: No data
#History:
# Unstable angina
# 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: Yes, LBBB
# Previous Myocardial Infarction: No
# Previous tests:
# ECG stress test: No
# Thallium/Stress echo: Positive
# Left ventricular function:
# Abnormal - Left ventricular ejection fraction 41%
# Echocardiogram: No data
# Coronary Arteriography:
# Left anterior descending coronary artery 100% stenosis, right coronary artery 100% stenosis, left circumflex coronary artery 100% stenosis
# Baseline ECG:
# Left bundle branch block
#Holter Recording:
# Date: 19/01/1999
# Recorder: Remco