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  • Record:
Record s20341
  • Age: 77
  • Sex: Female
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    Additional data

    • Comments

        Lead 0:
    Two major ischemic episodes and several other less
    dramatic ischemic episodes characterized by down-sloping
    ST segments, generally associated with increases in
    heart rate.
  Lead 1:
    This lead, however, showed no evidence of ischemic ST
    changes.
  Electrode locations were not recorded.

    • Diagnoses

        Coronary artery disease
  Hypertension
  Syncope
  Spinal stenosis

    • Treatment

      • Medication

            Captopril
    Hydrochlorothiazide
      • Balloon Angioplasty: No
      • Coronary Artery bypass Grafting: No

    • History

      • Comments: Syncope
      • Hypertension: Yes
      • Left ventricular hypertrophy: Yes
      • 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: No

      • Previous tests

        • ECG stress test

          • Date: No data
          • Findings: Abnormal - infero-lateral ischemia, no angina
        • Thallium/Stress echo: Positive antero-lateral ischemia
        • Left ventricular function: Normal

        • Echocardiogram

                Borderline left ventricular hypertrophy
      Ejection fraction > 55%
        • Coronary Arteriography: Done in 1998. Showed moderate 3-vessel disease, moderate left ventricular diastolic dysfunction, good ejection fraction

        • Baseline ECG

                Sinus bradycardia
      Left ventricular hypertrophy
      Left atrial abnormality
      Non-specific ST-T changes

    • Holter Recording

      • Date: 12/11/1997
      • Recorder: No data
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