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  • Record:
Record s20531
  • Age: 70
  • Sex: Male
HR
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    Additional data

    • Comments

        This record shows intermittent LBBB with numerous changes in conduction.
  At some times the alteration in conduction was so rapid that the ST
  deviation function showed only low-amplitude oscillations, and these
  were "tracked out" by the annotators (see 16:26:10 in lead 1). No
  ischemia was found in this record. The variation in QRS shape also
  resulted in fiducial point slip and subsequent ST-level deviations
  that were not specially annotated but were tracked out.
    • Diagnoses: Dilated cardiomyopathy

    • Treatment

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

    • History

      • Comments: Palpitations
      • Hypertension: No
      • Left ventricular hypertrophy: No
      • Cardiomyopathy: yes, dilated cardiomyopathy
      • Valve disease: No
      • Electrolyte abnormalities: No
      • Hypercapnia, anemia, hypotension, hyperventilation: No
      • Atrioventricular nodal conduction delay: No
      • Intraventricular conduction block: Intermittent
      • Previous Myocardial Infarction: No data

      • Previous tests

        • ECG stress test

          • Thallium/Stress echo: No data
          • Left ventricular function: Abnormal - Left ventricular ejection fraction 38%
          • Echocardiogram: No data
          • Coronary Arteriography: Normal coronary tree
          • Baseline ECG: Left bundle branch block

      • Holter Recording

        • Date: 15/04/1999
        • Recorder: Remco
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