Beecardia - Physiobank - Long-Term ST

Record s20274

Age: 61
Sex: Male

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Additional data

Comments

  Records s20271, s20272, s20273 and s20274 are from the same patient.
  This is the final record.
  The onset of ischemia often begins with peaking of T-waves,
  followed by ST depression. Rate increases often lead to
  ischemic changes sometimes only T-wave peaking, and sometimes
  also ST depression.
  Lead 0:
    It is easier to annotate since the ST deviation function has
    less variability.
  Lead 1:
    It is more difficult because of its higher variability compound
    to ischemic episodes. There are regions particularly seen in
    lead 1 after ischemia to the end of the record, where there are
    numerous ST shifts, generally associated with heart rate changes,
    which are felt to be manifestations of ischemia - some T-wave
    peaking, some ST depressions.               
  Electrode locations were not recorded.

Diagnoses: Coronary artery disease
Treatment
- Medication
```
    Isordil
    Nitroglycerine
    Calcium channel blocker
    Aspirin
```
- Balloon Angioplasty: Yes
- Coronary Artery bypass Grafting: No
History
- Comments: Angina
- Hypertension: No
- Left ventricular hypertrophy: No
- Cardiomyopathy: No
- Valve disease: No
- Electrolyte abnormalities: No
- Hypercapnia, anemia, hypotension, hyperventilation: No
- Atrioventricular nodal conduction delay: No data
- Intraventricular conduction block: No data
- Previous Myocardial Infarction: No
- Previous tests
  - ECG stress test
  - Thallium/Stress echo: No data
  - Left ventricular function: No data
  - Echocardiogram: No data
  - Coronary Arteriography: Lesions in left anterior descending coronary artery, left circumflex coronary artery
  - Baseline ECG: No data
Holter Recording
- Date: 11/09/1992
- Recorder: No data

Record s20274

Additional data

Comments

Treatment

Medication

History

Previous tests

ECG stress test

Holter Recording

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