s20231 2 250 21086250 08:09:00 17/07/1996 s20231.dat 212 200/mV 12 0 -29 -16260 0 ML2 s20231.dat 212 200/mV 12 0 79 -26026 0 MV2 #Age: 53 Sex: M #Comments: # Lead 0: # Episode of paroxysmal atrial fibrillation, onset at 04:26:37, # offset at 05:45:07. There are rate-related ST episodes in the # same interval. # Lead 1: # Episode of paroxysmal atrial fibrillation, the same period as # in lead 0. There is rate-related ST depression which begins # near atrial fibrillation onset at 04:26:41, but terminates by # 05:25:13. #Symptoms during Holter recording: None reported #Diagnoses: # Congestive heart failure # Atrial fibrillation # Chronic obstructive pulmonary disease #Treatment: # Medications: # Amiodarone # Captopril # Digoxin # Coumadin # Balloon Angioplasty: No # Coronary Artery bypass Grafting: No #History: # No evidence of coronary artery disease # Hypertension: No # Left ventricular hypertrophy: No # Cardiomyopathy: Yes # 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: No # Thallium/Stress echo: No # Left ventricular function: # Abnormal - left ventricular ejection fraction 30% # Echocardiogram: # Global hypokinesis # Ejection fraction 30% # Suggestive of cardiomyopathy # Coronary Arteriography: No # Baseline ECG: # Normal sinus rhythm # Left atrial abnormality # Non-specific ST-T abnormalities #Holter Recording: # Date: 17/07/1996 # Recorder: No data