DVBCWAW1 ;ALB/CMM ARRHYTHMIAS WKS TEXT - 1 ; 5 MARCH 1997 ;;2.7;AMIE;**12**;Apr 10, 1995 ; ; TXT ; ;;A. Review of Medical Records: ;; ;; ;;B. Medical History (Subjective Complaints): ;; ;; Comment on: ;; 1. Syncope, Stokes-Adams attacks - frequency?, precipitating factors? ;; ;; ;; 2. Other symptoms related to arrhythmia or its treatment. ;; ;; ;; 3. Current treatment, response, side effects. ;; ;; ;; 4. Describe the effects of the condition on the veteran's usual ;; occupation and daily activities. ;; ;; ;;C. Physical Examination (Objective Findings): ;; ;; Address each of the following and fully describe current findings: ;; 1. Heart rate and rhythm. ;; ;; ;; 2. If arrhythmia is paroxysmal, what is frequency? Severity? ;; What are precipitating factors? ;; ;; ;; 3. Pacemaker present? If so, when inserted, effectiveness, side effects. ;; ;; ;;D. Diagnostic and Clinical Tests: ;; ;; 1. EKG. ;; 2. Holter monitor, other tests as indicated. ;; 3. Include results of all diagnostic and clinical tests conducted ;; in the examination report. ;; ;; ;;E. Diagnosis: ;; ;; ;;Signature: Date: ;;END