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Follow-up contained regular visits at our outpatient clinic at 1, 3, 6, and 12 months including 7-day Holter electrocardiograms. After a blanking period of 6 weeks, recurrence of any atrial arrhythmia was documented in 26 patients (52%). Most arrhythmia recurrences were reentrant AT. to 202.2 ± 21.6 ms
The attending provider wrote “Agree with electrocardiogram interpretation”. At this point, there was no improvement in LV function and he was out of the convalescent phase of his MI, so the decision was made to install an ICD for arrhythmia prophylaxis. The computer diagnostic algorithm diagnosed “Sinus rhythm. Normal EKG”. Normal ECG.
It is relevant to note here that as a physician active clinically in both the inpatient and outpatient arenas, I am an eyewitness to the severe toll COVID19 took on my patients in the Spring or 2020. His cardiac testing completed to date consist of an electrocardiogram and an echocardiogram performed Feb 16th, 2023 that were both normal.
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