◆ SpookStack

Se ee ee a a be ie Ee s ae ¥ ae w: Lae ye Ps te aE tla. ee tere ee, NY 92-657 Some damage in the septal region is probably involving botn the malin stem and the Right BB Branch. However the — . presence o1 right axis deviation with a right BB Bliock is further abnormality and might be evidence of | some tignt sided strain. As compared to Novemoer 3, 1900: I believe tnere is a little more sagging of the RS-T segment in II and again in AVF which presumably 1s a digitalis effect. Chest leads show minor differences but tne overall pattern is about the same, Evidence of myocardial abnormality: 2 plus - 3 plus: Heart block of two types due to degenerative arteriosclerotic diseases including coronary changes. Electroeardiogram: November 16, 1960 Sinus rhythm rate 66-70. Tnere is no definite axis deviation, Grade I AV Block: PR-2 equals 0,22 sec, Right BB Block of broad GG. wype. Some evidence of a digitulis effect, presumably responsible for instances for tne lowering of RS-T in II. Also tne drug prebtably makes some of the T Waves a little smaller tnan they otherwise would be. Cnest leads from the rignt show the characteristic evidence of late activation of the right ventricle. Beyond this tne chest leads on the left show a little more depression of KS-T and T in V5 and VO whicn 1s presumably a drug effect. Infarction: A coronary background would appear probably put cannot be proven by this record, Evidence of myocardial abnormality: @2@ plus + 3 pilus. Electrocirdiogram: November 22, 19060 Sinus rhytnm, rate 90. AV conduction is normal; PR-2 equals 0,20 sec. wnicn may be relatively long for this dominant rate but stili is tecunically within the normal range. Tnere is rignt axis deviation with right BB Block of broad Si type. Ta oa