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            Last change
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| 1 | DVBCWAW1 ;ALB/CMM ARRHYTHMIAS WKS TEXT - 1 ; 5 MARCH 1997
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| 2 |  ;;2.7;AMIE;**12**;Apr 10, 1995
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| 3 |  ;
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| 4 |  ;
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| 5 | TXT ;
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| 6 |  ;;A.  Review of Medical Records:
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| 7 |  ;;
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| 8 |  ;;
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| 9 |  ;;B.  Medical History (Subjective Complaints):
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| 10 |  ;;
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| 11 |  ;;    Comment on:
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| 12 |  ;;    1.  Syncope, Stokes-Adams attacks - frequency?, precipitating factors?
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| 13 |  ;;
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| 14 |  ;;
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| 15 |  ;;    2.  Other symptoms related to arrhythmia or its treatment.
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| 16 |  ;;
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| 17 |  ;;
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| 18 |  ;;    3.  Current treatment, response, side effects.
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| 19 |  ;;
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| 20 |  ;;
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| 21 |  ;;    4.  Describe the effects of the condition on the veteran's usual 
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| 22 |  ;;        occupation and daily activities.
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| 23 |  ;;
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| 24 |  ;;
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| 25 |  ;;C.  Physical Examination (Objective Findings):
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| 26 |  ;;
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| 27 |  ;;    Address each of the following and fully describe current findings:
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| 28 |  ;;    1.  Heart rate and rhythm.
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| 29 |  ;;
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| 30 |  ;;
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| 31 |  ;;    2.  If arrhythmia is paroxysmal, what is frequency?  Severity?  
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| 32 |  ;;        What are precipitating factors?
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| 33 |  ;;
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| 34 |  ;;
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| 35 |  ;;    3.  Pacemaker present?  If so, when inserted, effectiveness, side effects.
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| 36 |  ;;
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| 37 |  ;;
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| 38 |  ;;D.  Diagnostic and Clinical Tests:
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| 39 |  ;;
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| 40 |  ;;    1.  EKG.
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| 41 |  ;;    2.  Holter monitor, other tests as indicated.
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| 42 |  ;;    3.  Include results of all diagnostic and clinical tests conducted
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| 43 |  ;;        in the examination report.
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| 44 |  ;;
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| 45 |  ;;
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| 46 |  ;;E.  Diagnosis:
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| 47 |  ;;
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| 48 |  ;;
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| 49 |  ;;Signature:                             Date:
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| 50 |  ;;END
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