s30751 3 250 21358750 11:29:00 08/09/1999 s30751.dat 212 200/mV 12 0 21 -15899 0 E-S s30751.dat 212 200/mV 12 0 -5 -16505 0 A-S s30751.dat 212 200/mV 12 0 16 -9323 0 A-I #Age: 79 Sex: M #Comments: # This is the same patient as s30752. Patient with coronary # artery disease and positive exercise tolerance test. Sinus # rhythm with some ventricular ectopic activity. Rate-related # ischemic ST depression was noted on a few occasions. The # ischemia was evident in all three leads. #Symptoms during Holter recording: Chest pressure, time not noted #Diagnoses: # Coronary artery disease #Treatment: # Medications: # Atenolol # Simvastatin # Balloon Angioplasty: No # Coronary Artery bypass Grafting: Triple bypass in 1994 #History: # Angina, coronary heart disease # Hypertension: Yes # 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: Left anterior fascicular block # Previous Myocardial Infarction: No # Previous tests: # ECG stress test: Yes # Date: July, 1996 # Findings: Abnormal - 2 mm anterior ST segment depressions # Thallium/Stress echo: Positive for inferior ischemia and wall motion abnormalities # Left ventricular function: # Hypokinesis and dyskinesis of infero-apical and septal walls, ejection fraction 44% # Echocardiogram: # Minimal left ventricular dysfunction & valvular regurgitation. # Coronary Arteriography: # Distal occlusion of posterior descending coronary artery # Baseline ECG: # Normal sinus rhythm, left anterior fascicular block, non-specific lateral ST-T abnormalities. #Holter Recording: # Date: 08/09/1999 # Recorder: Zymed