| 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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