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NT cael NY 92-657 Electrocardiogram: December 13, 1960 co SL. eee co Auricular rate 63 ventriculare rate 83 i Sinus rhythm it PR-0,22 : QKS-0,12 Abnormal deflections: @Q waves: Qin Vl, V2, V3 and V4, i T waves: > lead I broad S in I, IE AVL, V4 through v6. oj aL ioe ¥ Seo whet a a ae. ae Bi te. 3 LaF ed ee ae or, fig fead II T positive in I, II, AVL. Flat or inverted in other limb leads, lead III 7 inverted in Vi through V4, Diphasic in V5 i ’ and V6, 5 Evidence of myocardial abnormality: 1. Atrial ventricular ' block, Prolonged PR-list. (3 2. Rignt BB Block, , 3. Anterior septal wall infarction, most probably old. ae Biochemistry: November 2, 1960 ye ee Ce S ; transaminase 30 units. e 7 blood glucose 1i7 ‘4 : ? * - Sediméntation rate: November 2, 1960 rj one nour 10 min, - The records further reflected that on November 1, 1960, ir. GAMBINO was readmitted into the Flower and Fifth Avenue Hiospital because of chest pain. A rather extensive study was done to determine the etiology of this chest ; pain and serial electrocardiograms demonstrated definite a ; impairment to the circulation in his heart with progressive pe damage to tie muscles of his heart indicating degeneration ee in his general cardiac status, Tne patient was treated en in the- same fashion that one would treat an acute occlusion, however, this probably was more of a slowly progressive sclerotic obliteration of nis left coronary vessal. He was dismissed on December 17, 1960, and advised to continue witn his extremely restricted pnysical program, i i \o"