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  • Record:
Record s20051
  • Age: 87
  • Sex: Female
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    Additional data

    • 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

    • Treatment

      • Medication

            Atenolol
    Hydrochlorothiazide
    Procardia XL
      • Balloon Angioplasty: No
      • Coronary Artery bypass Grafting: No

    • 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

      • Previous tests

        • ECG stress test

          • Thallium/Stress echo: No
          • Left ventricular function: Good left ventricular function

          • Echocardiogram

                  Symmetrical left ventricular hypertrophy
      Good left ventricular function
          • Coronary Arteriography: No

          • Baseline ECG

                  Normal sinus rhythm
      Left ventricular hypertrophy
      Right bundle branch block
      Slightly long QT interval

      • Holter Recording

        • Date: 15/02/1994
        • Recorder: No data
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