s30721 3 250 21206500 11:13:00 19/01/2000 s30721.dat 212 200/mV 12 0 -33 9986 0 E-S s30721.dat 212 200/mV 12 0 -58 -7053 0 A-S s30721.dat 212 200/mV 12 0 -14 9189 0 A-I #Age: 85 Sex: F #Comments: # This record shows intraventricular conduction defects # (probably RBBB), normal sinus rhythm, and both rate- # related and ischemic episodes. Two rate-related episodes # occured in lead 0, one at the beginning and one at the # end of the record. There were no significant changes in # leads 1 and 2 at these times. There were also several # clear-cut ischemic episodes, revealed primarily in # leads 1 and 2. These episodes were further complicated # by conduction changes probably associated with the # ischemic process. #Symptoms during Holter recording: None reported #Diagnoses: # Coronary artery disease # Hyperlipidemia # Osteoarthritis #Treatment: # Medications: # Aspirin # Lipitor # Balloon Angioplasty: No # Coronary Artery bypass Grafting: Yes, five grafts #History: # Angina # Hypertension: No # Left ventricular hypertrophy: No # Cardiomyopathy: No # Valve disease: No # Electrolyte abnormalities: No # Hypercapnia, anemia, hypotension, hyperventilation: No # Atrioventricular nodal conduction delay: No data # Intraventricular conduction block: No data # Previous Myocardial Infarction: Probably, based on abnormal wall motion. # Previous tests: # ECG stress test: Yes # Date: January, 2000 # Findings: Negative for ST changes with inadequate heart rate # Thallium/Stress echo: Fixed minor wall motiion abnormalities - inferior, posterior, and septal walls. # Left ventricular function: # Ejection fraction 48% # Echocardiogram: No data # Coronary Arteriography: # Yes, results unavailable # Baseline ECG: No data #Holter Recording: # Date: 19/01/2000 # Recorder: Zymed