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  • Record:
Record s20551
  • Age: 77
  • Sex: Female
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    Additional data

    • Comments

        This record, from a patient with known CAD, shows LBBB, and
  includes 3 ischemic episodes and several axis shifts. There
  were two conduction changes (increased degree of intra-ventricular
  conduction block) that occurred in the midst of the final
  ischemic episode.

    • Diagnoses

        Coronary artery disease
  Left bundle branch block
  Hypertension

    • Treatment

      • Medication

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

    • History

      • Comments: Unstable angina
      • Hypertension: Yes
      • 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: Yes, LBBB
      • Previous Myocardial Infarction: No

      • Previous tests

        • ECG stress test

          • Thallium/Stress echo: Positive
          • Left ventricular function: Abnormal - Left ventricular ejection fraction 41%
          • Echocardiogram: No data
          • Coronary Arteriography: Left anterior descending coronary artery 100% stenosis, right coronary artery 100% stenosis, left circumflex coronary artery 100% stenosis
          • Baseline ECG: Left bundle branch block

      • Holter Recording

        • Date: 19/01/1999
        • Recorder: Remco
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