s20161 2 250 21360250 14:36:00 01/12/1986
s20161.dat 212 200/mV 12 0 -14 25899 0 MLIII
s20161.dat 212 200/mV 12 0 1 -10032 0 V4
#Age: 65 Sex: M
#Comments:
# This patient has Prinzmetal's angina, with episodes of
# major ST elevation in lead 0. In lead 1 the corresponding
# changes are ST depressions. Of interest, the QRS morphology
# changes slightly during the ischemic episodes, possibly
# due to transient chamber enlargement (Bradie effect). The
# time course of the morphology change is gradual, as opposed
# to the sudden axis shifts characteristic of postural
# changes.
# An excerpt of this recording is included in the European
# ST-T Database (record e0105).
#Symptoms during Holter recording: No data
#Diagnoses:
# Prinzmetal's angina
# Coronary artery disease
#Treatment:
# Medications:
# Verapamil
# Balloon Angioplasty: No data
# Coronary Artery bypass Grafting: No data
#History:
# Hypertriglyceridemia, coronary artery disease, previous myocardial infarction
# Hypertension: No
# 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: Yes, inferior
# Previous tests:
# ECG stress test: yes
# Date: No Data
# Findings: Positive - ST depression in leads II, III, avF, and V5-V6
# Thallium/Stress echo: No data
# Left ventricular function:
# Globally normal
# Echocardiogram: No data
# Coronary Arteriography:
# Right coronary artery occlusion, 50% stenosis of left anterior descending coronary artery, 95% stenosis of left circumflex artery
# Baseline ECG:
# Inferior negative T waves
# No arrhythmias
#Holter Recording:
# Date: 01/12/1986
# Recorder: ICR