s20161 2 250 21360250 14:36:00 01/12/1986 s20161.dat 212 200/mV 12 0 -14 25899 0 MLIII s20161.dat 212 200/mV 12 0 1 -10032 0 V4 #Age: 65 Sex: M #Comments: # This patient has Prinzmetal's angina, with episodes of # major ST elevation in lead 0. In lead 1 the corresponding # changes are ST depressions. Of interest, the QRS morphology # changes slightly during the ischemic episodes, possibly # due to transient chamber enlargement (Bradie effect). The # time course of the morphology change is gradual, as opposed # to the sudden axis shifts characteristic of postural # changes. # An excerpt of this recording is included in the European # ST-T Database (record e0105). #Symptoms during Holter recording: No data #Diagnoses: # Prinzmetal's angina # Coronary artery disease #Treatment: # Medications: # Verapamil # Balloon Angioplasty: No data # Coronary Artery bypass Grafting: No data #History: # Hypertriglyceridemia, coronary artery disease, previous myocardial infarction # Hypertension: No # Left ventricular hypertrophy: No # 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: Yes, inferior # Previous tests: # ECG stress test: yes # Date: No Data # Findings: Positive - ST depression in leads II, III, avF, and V5-V6 # Thallium/Stress echo: No data # Left ventricular function: # Globally normal # Echocardiogram: No data # Coronary Arteriography: # Right coronary artery occlusion, 50% stenosis of left anterior descending coronary artery, 95% stenosis of left circumflex artery # Baseline ECG: # Inferior negative T waves # No arrhythmias #Holter Recording: # Date: 01/12/1986 # Recorder: ICR