Record s30751
- Age: 79
- Sex: Male
Additional data
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Comments
This is the same patient as s30752. Patient with coronary artery disease and positive exercise tolerance test. Sinus rhythm with some ventricular ectopic activity. Rate-related ischemic ST depression was noted on a few occasions. The ischemia was evident in all three leads.
- Diagnoses: Coronary artery disease
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Treatment
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Medication
Atenolol Simvastatin
- Balloon Angioplasty: No
- Coronary Artery bypass Grafting: Triple bypass in 1994
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History
- Comments: Angina, coronary heart disease
- Hypertension: Yes
- 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: Left anterior fascicular block
- Previous Myocardial Infarction: No
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Previous tests
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ECG stress test
- Date: July, 1996
- Findings: Abnormal - 2 mm anterior ST segment depressions
- Thallium/Stress echo: Positive for inferior ischemia and wall motion abnormalities
- Left ventricular function: Hypokinesis and dyskinesis of infero-apical and septal walls, ejection fraction 44%
- Echocardiogram: Minimal left ventricular dysfunction & valvular regurgitation.
- Coronary Arteriography: Distal occlusion of posterior descending coronary artery
- Baseline ECG: Normal sinus rhythm, left anterior fascicular block, non-specific lateral ST-T abnormalities.
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Holter Recording
- Date: 08/09/1999
- Recorder: Zymed