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  • Record:
Record s20131
  • Age: 82
  • Sex: Female
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    Additional data

    • Comments

        Lead 0:
    From 18:15:06 to 20:17:20
    This entire period shows ST-T changes suggestive of
    ischemia, with a number of transient episodes of
    worsening ischemic ST depression.
  Lead 1:
    This lead shows ST changes during heart rate increases
    which show only minimal T-wave peaking not suggestive
    of ischemia, and they are therefore labeled as
    "rate-related".
  This record is from the initial Long-Term ST Database of
  eleven 24-hour ST annotated ambulatory records (record s21067).

    • Diagnoses

        Inferolateral myocardial infarction
  3-vessel coronary artery disease
  Left ventricular diastolic dysfunction

    • Treatment

      • Medication

            Aspirin
    Diltiazem
    Isosorbide
    Lisinopril
    Toprol
    Zantac
      • Balloon Angioplasty: No
      • Coronary Artery bypass Grafting: No

    • History

      • Comments: Coronary artery disease, hypertension
      • 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: No
      • Previous Myocardial Infarction: Myocardial infarction in June 1995

      • Previous tests

        • ECG stress test

          • Thallium/Stress echo: No
          • Left ventricular function: Normal

          • Echocardiogram

                  Mild aortic regurgitation
      Normal left ventricular function
          • Coronary Arteriography: Severe 3-vessel disease, mid left anterior descending coronary artery total occlusion, moderately severe left ventricular diastolic dysfunction

          • Baseline ECG

                  Normal sinus rhythm
      Qs in I, avL, V5,V6

      • Holter Recording

        • Date: 17/05/1995
        • Recorder: No data
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