s30791 3 250 20849750 01/12/1999 s30791.dat 212 200/mV 12 0 20 13563 0 E-S s30791.dat 212 200/mV 12 0 40 -16202 0 A-S s30791.dat 212 200/mV 12 0 18 26404 0 A-I #Age: 74 Sex: M #Comments: # The electrocardiogram at baseline is abnormal with # ST concave depression. There also seems to be left # axis deviation. The record shows numerous axis shifts. # There are several episodes of ischemia related to # increased heart rate, documented in all three leads. # In the lead 0, however, the ST changes would be # defined as rate-related if considered in isolation. # They have been labeled as "ischemic" in light of # the full 3-lead picture. #Symptoms during Holter recording: None reported #Diagnoses: # Coronary artery disease # Hypertension # Angina #Treatment: # Medications: # Atenolol # Isosorbide (held during holter) # Balloon Angioplasty: No # Coronary Artery bypass Grafting: No #History: # Angina, hypertension # Hypertension: Yes # Left ventricular hypertrophy: Yes # Cardiomyopathy: No # 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: Yes # Date: December, 1998 # Findings: Exercise induced ischemia. ST depression V4-V6 # Thallium/Stress echo: Positive blood pool scan (MUGA) # Left ventricular function: # Good - ejection fraction 60% # Echocardiogram: No data # Coronary Arteriography: # Lesions in right coronary artery (100%), left anterior descending coronary artery (90%), left circumflex coronary artery (sequential 70%, 95%). # Baseline ECG: # Normal sinus rhythm, left ventricular hypertrophy #Holter Recording: # Date: 01/12/1999 # Recorder: Zymed