Extracted text

OCR Page 1 of 3
Standard Form 520 Promulgated August 1948 By Bureau of the Budget Circular A-32 CLINICAL RECORD PREVIOUS ECG LECTROCARDIOGRAPHIC REPORT YES NO CLINICAL IMPRESSION MEDICATION EMERGENCY BEDSIDE ROUTINE AMBULANT AGE SEX RACE HEIGHT WEIGHT B.P. SIGNATURE OF WARD PHYSICIAN DATE 1800 WILLIAM H. GRAHAM, Brig. Gen. MC 20 Sep 49 RHYTHM AXIS DEVIATION (QRS) RATES Normal sinus Normal AURIC. 65 VENT. 65 INTERVALS P WAVES PR 0.20-0.22 QRS 0.8 QT -- Normal QRS COMPLEXES Normal shape and duration RS-T SEGMENT T WAVES Normal T3 low, variable PRECORDIAL LEADS (Specify) V1-V6 and IVF; augmented unipolar extremity leads not recorded SUMMARY, SERIAL CHANGES, AND IMPLICATIONS: Only electrocardiographie abnormalities present are a slight and variable prolongation of A-V conduction time (incomplete heart block), which has been, if I recall, present in some tracings made previously. No ECG evidence of acute myocardial ischemia or injury or other abnormalities are noted. NO. SIGNATURE Davity TITLE DATE ECG AMES S. TAYLOR, Colonel MC 20 Sep 49 IAL 10 MOUNT TRACINGS HERE (Continue on reverse) PATIENT'S LAST NAME-FIRST NAME-MIDDLE NAME REGISTER NO. WARD NO. ELECTROCARDIOGRAPHIC REPORT (NAME OF HOSPITAL OR OTHER MEDICAL FACILITY) Standard Form 520 U. s. GOVERNMENT PRINT'NG OFFICE 16-56209-1 adams States,

Relations