s20531 2 250 17805000 15:09:00 15/04/1999 s20531.dat 212 200/mV 12 0 59 -9149 0 V4 s20531.dat 212 200/mV 12 0 -4 6391 0 MLIII #Age: 70 Sex: M #Comments: # This record shows intermittent LBBB with numerous changes in conduction. # At some times the alteration in conduction was so rapid that the ST # deviation function showed only low-amplitude oscillations, and these # were "tracked out" by the annotators (see 16:26:10 in lead 1). No # ischemia was found in this record. The variation in QRS shape also # resulted in fiducial point slip and subsequent ST-level deviations # that were not specially annotated but were tracked out. #Symptoms during Holter recording: No data #Diagnoses: # Dilated cardiomyopathy #Treatment: # Medications: No # Balloon Angioplasty: No data # Coronary Artery bypass Grafting: No data #History: # Palpitations # Hypertension: No # Left ventricular hypertrophy: No # Cardiomyopathy: yes, dilated cardiomyopathy # Valve disease: No # Electrolyte abnormalities: No # Hypercapnia, anemia, hypotension, hyperventilation: No # Atrioventricular nodal conduction delay: No # Intraventricular conduction block: Intermittent # Previous Myocardial Infarction: No data # Previous tests: # ECG stress test: No data # Thallium/Stress echo: No data # Left ventricular function: # Abnormal - Left ventricular ejection fraction 38% # Echocardiogram: No data # Coronary Arteriography: # Normal coronary tree # Baseline ECG: # Left bundle branch block #Holter Recording: # Date: 15/04/1999 # Recorder: Remco