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  • Record:
Record s20341
  • Age: 77
  • Sex: Female
(22:29:13)
${timeSpan} hours:min:sec from start | 25 mm/second 10 mm/mV
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Additional data

  • Comments

      Lead 0:
    Two major ischemic episodes and several other less
    dramatic ischemic episodes characterized by down-sloping
    ST segments, generally associated with increases in
    heart rate.
  Lead 1:
    This lead, however, showed no evidence of ischemic ST
    changes.
  Electrode locations were not recorded.

  • Diagnoses

      Coronary artery disease
  Hypertension
  Syncope
  Spinal stenosis

  • Treatment

    • Medication

          Captopril
    Hydrochlorothiazide
    • Balloon Angioplasty: No
    • Coronary Artery bypass Grafting: No

  • History

    • Comments: Syncope
    • Hypertension: Yes
    • Left ventricular hypertrophy: Yes
    • 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

    • Previous tests

      • ECG stress test

        • Date: No data
        • Findings: Abnormal - infero-lateral ischemia, no angina
      • Thallium/Stress echo: Positive antero-lateral ischemia
      • Left ventricular function: Normal

      • Echocardiogram

              Borderline left ventricular hypertrophy
      Ejection fraction > 55%
      • Coronary Arteriography: Done in 1998. Showed moderate 3-vessel disease, moderate left ventricular diastolic dysfunction, good ejection fraction

      • Baseline ECG

              Sinus bradycardia
      Left ventricular hypertrophy
      Left atrial abnormality
      Non-specific ST-T changes

  • Holter Recording

    • Date: 12/11/1997
    • Recorder: No data

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