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  • Record:
Record s20301
  • Age: 58
  • Sex: Male
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    Additional data

    • Comments

        Lead 0:
    This lead shows ischemic changes with ST depressions as well
    as axis shifts. Of interest there was one complex episode
    characterized by a salvo of rapid transient ischemic episodes
    superimposed on increasing ST depression.
  Lead 1:
    This lead showed very little ST changes, but had
    some significant axis shifts.
  An excerpt of this recording is included in the European
  ST-T Database (record e0125).

    • Diagnoses

        Prinzmetal's angina
  Coronary artery disease
  Previous subendocardial myocardial infarction

    • Treatment

      • Medication

            Nitrates
    Diltiazem
      • Balloon Angioplasty: No data
      • Coronary Artery bypass Grafting: No data

    • History

      • Comments: Smoker, 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 V4-V6
        • Thallium/Stress echo: Positive
        • Left ventricular function: Regional hypokinesia
        • Echocardiogram: No data
        • Coronary Arteriography: Left anterior descending coronary artery 90% stenosis
        • Baseline ECG: Abnormal

    • Holter Recording

      • Date: 16/02/1988
      • Recorder: ICR
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