s20341 2 250 20238250 13:08:00 12/11/1997 s20341.dat 212 200/mV 12 0 56 21753 0 0 s20341.dat 212 200/mV 12 0 46 -5491 0 1 #Age: 77 Sex: F #Comments: # Lead 0: # Two major ischemic episodes and several other less # dramatic ischemic episodes characterized by down-sloping # ST segments, generally associated with increases in # heart rate. # Lead 1: # This lead, however, showed no evidence of ischemic ST # changes. # Electrode locations were not recorded. #Symptoms during Holter recording: None reported #Diagnoses: # Coronary artery disease # Hypertension # Syncope # Spinal stenosis #Treatment: # Medications: # Captopril # Hydrochlorothiazide # Balloon Angioplasty: No # Coronary Artery bypass Grafting: No #History: # Syncope # 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: No data # Findings: Abnormal - infero-lateral ischemia, no angina # Thallium/Stress echo: Positive antero-lateral ischemia # Left ventricular function: # Normal # Echocardiogram: # Borderline left ventricular hypertrophy # Ejection fraction > 55% # Coronary Arteriography: # Done in 1998. Showed moderate 3-vessel disease, moderate left ventricular diastolic dysfunction, good ejection fraction # Baseline ECG: # Sinus bradycardia # Left ventricular hypertrophy # Left atrial abnormality # Non-specific ST-T changes #Holter Recording: # Date: 12/11/1997 # Recorder: No data