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  • Record:
Record s30661
  • Age: 72
  • Sex: Male
(23:44:32)
00:00:00-00:00:12 hours:min:sec from start | 25 mm/second 10 mm/mV
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Amp: mm/mV
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Additional data

  • 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).

  • 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

  • Treatment

    • Medication

          Aspirin
    Enalapril
    Metoprolol
    Prilosec
    Cardura
    Azmacort
    Ventolin
    Ipratropium
    • Balloon Angioplasty: No
    • Coronary Artery bypass Grafting: Four grafts in 1995

  • 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

    • Previous tests

      • 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

      • Baseline ECG

              Normal sinus rhythm
      Nonspecific ST changes
      Atrial premature beats

  • Holter Recording

    • Date: 11/02/1999
    • Recorder: Zymed

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