PRINCIPAL DIAGNOSIS :
Wolfe-Parkinson White Syndrome .
ASSOCIATED DIAGNOSIS :
Atrial fibrillation , coronary artery disease , hypertension , dementia , and diabetes .
HISTORY OF PRESENT ILLNESS :
The patient is a 72 year old white male who was transferred from Cay Memorial Hospital Of for cardiac catheterization and Electrophysiology Studies .
His cardiac risk factors include :
hypercholesterolemia , hypertension and insulin dependent diabetes mellitus .
He has a history of chest pain and in January 1993 underwent a cardiac catheterization at Ph University Of Medical Center which revealed an occluded right coronary artery and a 40-50% proximal stenosis .
He subsequently had an echocardiogram in December 1994 which showed normal left ventricular size and systolic function .