s20551 2 250 21270000 14:24:00 19/01/1999 s20551.dat 212 200/mV 12 0 78 3101 0 MLIII s20551.dat 212 200/mV 12 0 22 -22751 0 V4 #Age: 77 Sex: F #Comments: # This record, from a patient with known CAD, shows LBBB, and # includes 3 ischemic episodes and several axis shifts. There # were two conduction changes (increased degree of intra-ventricular # conduction block) that occurred in the midst of the final # ischemic episode. #Symptoms during Holter recording: No data #Diagnoses: # Coronary artery disease # Left bundle branch block # Hypertension #Treatment: # Medications: # Diltiazem # Nitrates # Heparin # Balloon Angioplasty: No data # Coronary Artery bypass Grafting: No data #History: # Unstable angina # 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: Yes, LBBB # Previous Myocardial Infarction: No # Previous tests: # ECG stress test: No # Thallium/Stress echo: Positive # Left ventricular function: # Abnormal - Left ventricular ejection fraction 41% # Echocardiogram: No data # Coronary Arteriography: # Left anterior descending coronary artery 100% stenosis, right coronary artery 100% stenosis, left circumflex coronary artery 100% stenosis # Baseline ECG: # Left bundle branch block #Holter Recording: # Date: 19/01/1999 # Recorder: Remco