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  • Record:
Record s20161
  • Age: 65
  • Sex: Male
HR
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    Additional data

    • Comments

        This patient has Prinzmetal's angina, with episodes of
  major ST elevation in lead 0. In lead 1 the corresponding
  changes are ST depressions. Of interest, the QRS morphology
  changes slightly during the ischemic episodes, possibly
  due to transient chamber enlargement (Bradie effect). The
  time course of the morphology change is gradual, as opposed
  to the sudden axis shifts characteristic of postural
  changes.
  An excerpt of this recording is included in the European
  ST-T Database (record e0105).

    • Diagnoses

        Prinzmetal's angina
  Coronary artery disease

    • Treatment

      • Medication

            Verapamil
      • Balloon Angioplasty: No data
      • Coronary Artery bypass Grafting: No data

    • History

      • Comments: Hypertriglyceridemia, coronary artery disease, previous myocardial infarction
      • Hypertension: No
      • 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: Yes, inferior

      • Previous tests

        • ECG stress test

          • Date: No Data
          • Findings: Positive - ST depression in leads II, III, avF, and V5-V6
        • Thallium/Stress echo: No data
        • Left ventricular function: Globally normal
        • Echocardiogram: No data
        • Coronary Arteriography: Right coronary artery occlusion, 50% stenosis of left anterior descending coronary artery, 95% stenosis of left circumflex artery

        • Baseline ECG

                Inferior negative T waves
      No arrhythmias

    • Holter Recording

      • Date: 01/12/1986
      • Recorder: ICR
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