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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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