Record s30661
- Age: 72
- Sex: Male
Additional data
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Comments
This patient with extensive CAD shows a number of ST depressions associated with paroxysms of atrial tachycardia (PAT). Some ischemic changes were also seen in associations with increased heart rate which was not PAT. The patient has high-grade atrial ectopic activity with many bursts of PAT. Ischemia is most prominent in signal 0 (V4).
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Diagnoses
2-vessel coronary artery disease Unstable angina Previous coronary artery bypass grafting Left internal mammary artery graft to left anterior descending coronary artery Chronic obstructive pulmonary disease Hypertension Benign prostatic hypertrophy
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Treatment
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Medication
Aspirin Enalapril Metoprolol Prilosec Cardura Azmacort Ventolin Ipratropium - Balloon Angioplasty: No
- Coronary Artery bypass Grafting: Four grafts in 1995
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History
- Comments: Unstable angina and coronary artery bypass grafting in 1995
- 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: No
- Previous Myocardial Infarction: No
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Previous tests
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ECG stress test
- Date: October, 1998
- Findings: 2 mm ST depression, stopped due to dyspnea
- Thallium/Stress echo: 1993 - no ischemia
- Left ventricular function: Normal - ejection fraction = 60%
- Echocardiogram: Normal left ventricular function
- Coronary Arteriography: 1992: lesions in left anterior descending coronary artery, right coronary artery disease
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Baseline ECG
Normal sinus rhythm Nonspecific ST changes Atrial premature beats
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Holter Recording
- Date: 11/02/1999
- Recorder: Zymed