Record s20051
- Age: 87
- Sex: Female
Additional data
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Comments
In this patient with RBBB and known left ventricular hypertrophy the transient ST changes noted are characterized by ST depression and downsloping which suggests ischemia. This record is from the initial Long-Term ST Database of eleven 24-hour ST annotated ambulatory records (record s19922).
- Diagnoses: Hypertension
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Treatment
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Medication
Atenolol Hydrochlorothiazide Procardia XL
- Balloon Angioplasty: No
- Coronary Artery bypass Grafting: No
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History
- Comments: No evidence of coronary artery disease
- 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: Right bundle branch block
- Previous Myocardial Infarction: No
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Previous tests
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ECG stress test
- Thallium/Stress echo: No
- Left ventricular function: Good left ventricular function
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Echocardiogram
Symmetrical left ventricular hypertrophy Good left ventricular function
- Coronary Arteriography: No
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Baseline ECG
Normal sinus rhythm Left ventricular hypertrophy Right bundle branch block Slightly long QT interval
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Holter Recording
- Date: 15/02/1994
- Recorder: No data