s20131 2 250 18827500 13:43:00 17/05/1995 s20131.dat 212 200/mV 12 0 -19 7696 0 ML2 s20131.dat 212 200/mV 12 0 -19 -28418 0 MV2 #Age: 82 Sex: F #Comments: # Lead 0: # From 18:15:06 to 20:17:20 # This entire period shows ST-T changes suggestive of # ischemia, with a number of transient episodes of # worsening ischemic ST depression. # Lead 1: # This lead shows ST changes during heart rate increases # which show only minimal T-wave peaking not suggestive # of ischemia, and they are therefore labeled as # "rate-related". # This record is from the initial Long-Term ST Database of # eleven 24-hour ST annotated ambulatory records (record s21067). #Symptoms during Holter recording: Chest pain #Diagnoses: # Inferolateral myocardial infarction # 3-vessel coronary artery disease # Left ventricular diastolic dysfunction #Treatment: # Medications: # Aspirin # Diltiazem # Isosorbide # Lisinopril # Toprol # Zantac # Balloon Angioplasty: No # Coronary Artery bypass Grafting: No #History: # Coronary artery disease, hypertension # Hypertension: Yes # 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: Myocardial infarction in June 1995 # Previous tests: # ECG stress test: No # Thallium/Stress echo: No # Left ventricular function: # Normal # Echocardiogram: # Mild aortic regurgitation # Normal left ventricular function # Coronary Arteriography: # Severe 3-vessel disease, mid left anterior descending coronary artery total occlusion, moderately severe left ventricular diastolic dysfunction # Baseline ECG: # Normal sinus rhythm # Qs in I, avL, V5,V6 #Holter Recording: # Date: 17/05/1995 # Recorder: No data