s30761 3 250 20467250 11:10:00 22/11/1999 s30761.dat 212 200/mV 12 0 42 -31061 0 E-S s30761.dat 212 200/mV 12 0 -65 -21151 0 A-S s30761.dat 212 200/mV 12 0 -15 -12596 0 A-I #Age: 72 Sex: F #Comments: # Patient with coronary artery disease, and resting # electrocardiogram is quite abnormal with ST down-sloping # and biphasic T waves in leads 1 and 2. Ischemic episodes # were present associated with increased heart rate. The # changes were most convincing in lead 2 (with respect to # ST morphology) but episodes were more frequent in lead 1. #Symptoms during Holter recording: None reported #Diagnoses: # Coronary artery disease # Angina # Hypertension # Previous myocardial infarction # Hypercholesterolemia #Treatment: # Medications: # Atenolol # Imdur # Cozar # Lipitor # Aspirin # Lasix # Synthroid (held during Holter) # Balloon Angioplasty: No # Coronary Artery bypass Grafting: Yes #History: # Angina # Hypertension: Yes # Left ventricular hypertrophy: No data # Cardiomyopathy: No data # Valve disease: No data # Electrolyte abnormalities: No data # Hypercapnia, anemia, hypotension, hyperventilation: No data # Atrioventricular nodal conduction delay: No # Intraventricular conduction block: No # Previous Myocardial Infarction: Yes, 1998 # Previous tests: # ECG stress test: Yes # Date: No data # Findings: Positive, infero-lateral ischemia # Thallium/Stress echo: Ejection fraction 50%, inferior hypokinesis # Left ventricular function: # Abnormal - ejection fraction 40% - 50% # Echocardiogram: No data # Coronary Arteriography: # Lesion in right coronary artery # Baseline ECG: # Sinus bradycardia at 55 bpm, infero-lateral ST depression and down-sloping. #Holter Recording: # Date: 22/11/1999 # Recorder: Zymed