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ei NRO la ee NY 92-657 Electrocardiogram: December 13, 1960 Auricular rate 83 ventriculare rate 83 sinus rhythm PR-0,22 QKS-0,12 Abnormal deflections: Q waves: Q in Vl, V2, V3 and V4, T waves: lead I broad S in I, II AVL, V4 through v6. lead II T positive in I, II, AVL. Flat or inverted in other limb leads, lead III T inverted in V1 through V4, Diphasic in V5 * and V6, Evidence of myocardial abnormality: 1. Atrial ventricular block, Prolonged PR-lst. 2. Rignt BB Block, 3. Anterior septal wall infarction, most probably old. Biochemistry: November 2, 1900 transaminase 30 units. blood glucose 117 Sediméntation rate: Novemoer 2, 1960 one hour 10 min. The records further reflected that on November 1, 1960, Mr. GAMBINO was readmitted into the Flower and Fifth ‘ Avenue Hospital because of chest pain. A rather extensive study was done to determine the etiology of this chest pain and serial electrocardiograms demonstrated definite impairment to the clrculation in his heart with progressive damage to tie muscles of his heart indicating degeneration in his general cardiac status, Tne patient was treated in the- same fashion that one would treat an acute occlusion, however, this probably was more of a slowly progressive sclerotic obliteration of nis left coronary vessal, He was dismissed on December 17, 1960, and advised to continue witn his extremely restricted pnysical program, \o°