Document MomEmjmZz608ng5my4Ekg8qZy

SMC 00020 BELLEVUE CARDIOLOGY G P A Member ofthe Swedish Heart I^^ite 24-HOUR HOLIER MONITOR RECORDING SMITH, DEANE 5/14/03 lnc*8ca*lc,s: Hotter monitor is requested for evaluation of palpitations, dyspnea, and . johnT Holder; md, facc episodes of dizziness. Michael A Swatak. MJX FACC. FCCP peter r. Kures, mu. facc Findings: Baseline rhythm reveals atrial fibrillation. Average heart rate is 75 beats jamas o.Watson, mix facc ^ per minute, minimum of 39, and a maximum of ISO beats per minute. Atrial fibrillation Gayie RobersoivwiiejtAAN.. wj^ ventricular response is present during multiple regions of this recording. Pauses are present, the longest being 2.6 seconds during this recording. This Is dtanmMWqrcikiie associated with dizziness. Approximately 357 PVCs were present. Cascade MsxJcal Center 14.4- ' 16thNX.SuiteE Be: evue-WA 98004 (425) 45S-9555 Plan: Recommendation for permanent pacemaker for bradycardia control and advanced medical therapy for tachycardia control. PRK/cmt Imqueh Cardiology CBnlc Meoei' Center of laaquafi 450 N.W. Qlman Bhd. State 302 luagjahWA 98077 (425) 391-8424 cc: Barry Marmorsteln, M.D. OICTATH). BUT MAILED WITHOUT SIGNATURE TO AVOID DBAY Peter R. Kures, M.D. i { I i i ii ti ! 1 i: ^ SWEDISH HEART INSTITUTE i 4r \ Ij i ti 1 SMC 000207