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  • Record:
Record s30721
  • Age: 85
  • Sex: Female
HR
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    Additional data

    • Comments

        This record shows intraventricular conduction defects
  (probably RBBB), normal sinus rhythm, and both rate-
  related and ischemic episodes. Two rate-related episodes
  occured in lead 0, one at the beginning and one at the
  end of the record. There were no significant changes in
  leads 1 and 2 at these times. There were also several
  clear-cut ischemic episodes, revealed primarily in 
  leads 1 and 2. These episodes were further complicated
  by conduction changes probably associated with the
  ischemic process.

    • Diagnoses

        Coronary artery disease
  Hyperlipidemia
  Osteoarthritis

    • Treatment

      • Medication

            Aspirin
    Lipitor
      • Balloon Angioplasty: No
      • Coronary Artery bypass Grafting: Yes, five grafts

    • History

      • Comments: Angina
      • Hypertension: No
      • Left ventricular hypertrophy: No
      • Cardiomyopathy: No
      • Valve disease: No
      • Electrolyte abnormalities: No
      • Hypercapnia, anemia, hypotension, hyperventilation: No
      • Atrioventricular nodal conduction delay: No data
      • Intraventricular conduction block: No data
      • Previous Myocardial Infarction: Probably, based on abnormal wall motion.

      • Previous tests

        • ECG stress test

          • Date: January, 2000
          • Findings: Negative for ST changes with inadequate heart rate
        • Thallium/Stress echo: Fixed minor wall motiion abnormalities - inferior, posterior, and septal walls.
        • Left ventricular function: Ejection fraction 48%
        • Echocardiogram: No data
        • Coronary Arteriography: Yes, results unavailable
        • Baseline ECG: No data

    • Holter Recording

      • Date: 19/01/2000
      • Recorder: Zymed
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