s20274 2 250 20642000 13:15:00 11/09/1992 s20274.dat 212 200/mV 12 0 0 -25134 0 0 s20274.dat 212 200/mV 12 0 0 -3353 0 1 #Age: 61 Sex: M #Comments: # Records s20271, s20272, s20273 and s20274 are from the same patient. # This is the final record. # The onset of ischemia often begins with peaking of T-waves, # followed by ST depression. Rate increases often lead to # ischemic changes sometimes only T-wave peaking, and sometimes # also ST depression. # Lead 0: # It is easier to annotate since the ST deviation function has # less variability. # Lead 1: # It is more difficult because of its higher variability compound # to ischemic episodes. There are regions particularly seen in # lead 1 after ischemia to the end of the record, where there are # numerous ST shifts, generally associated with heart rate changes, # which are felt to be manifestations of ischemia - some T-wave # peaking, some ST depressions. # Electrode locations were not recorded. #Symptoms during Holter recording: No data #Diagnoses: # Coronary artery disease #Treatment: # Medications: # Isordil # Nitroglycerine # Calcium channel blocker # Aspirin # Balloon Angioplasty: Yes # Coronary Artery bypass Grafting: No #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: No # Previous tests: # ECG stress test: No data # Thallium/Stress echo: No data # Left ventricular function: No data # Echocardiogram: No data # Coronary Arteriography: # Lesions in left anterior descending coronary artery, left circumflex coronary artery # Baseline ECG: No data #Holter Recording: # Date: 11/09/1992 # Recorder: No data