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  • Record:
Record s20231
  • Age: 53
  • Sex: Male
HR
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    Additional data

    • Comments

        Lead 0:
    Episode of paroxysmal atrial fibrillation, onset at 04:26:37,
    offset at 05:45:07. There are rate-related ST episodes in the
    same interval.
  Lead 1:
    Episode of paroxysmal atrial fibrillation, the same period as
    in lead 0. There is rate-related ST depression which begins
    near atrial fibrillation onset at 04:26:41, but terminates by
    05:25:13.

    • Diagnoses

        Congestive heart failure
  Atrial fibrillation
  Chronic obstructive pulmonary disease

    • Treatment

      • Medication

            Amiodarone
    Captopril
    Digoxin
    Coumadin
      • Balloon Angioplasty: No
      • Coronary Artery bypass Grafting: No

    • History

      • Comments: No evidence of coronary artery disease
      • Hypertension: No
      • Left ventricular hypertrophy: No
      • Cardiomyopathy: Yes
      • Valve disease: No
      • Electrolyte abnormalities: No
      • Hypercapnia, anemia, hypotension, hyperventilation: No
      • Atrioventricular nodal conduction delay: No
      • Intraventricular conduction block: No
      • Previous Myocardial Infarction: No

      • Previous tests

        • ECG stress test

          • Thallium/Stress echo: No
          • Left ventricular function: Abnormal - left ventricular ejection fraction 30%

          • Echocardiogram

                  Global hypokinesis
      Ejection fraction 30%
      Suggestive of cardiomyopathy
          • Coronary Arteriography: No

          • Baseline ECG

                  Normal sinus rhythm
      Left atrial abnormality
      Non-specific ST-T abnormalities

      • Holter Recording

        • Date: 17/07/1996
        • Recorder: No data
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