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{"status": "completed", "conte {"status": "completed", "content": "Advanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nNUCLEAR MYOCARDIAL PERFUSION IMAGING EXERCISE STRESS STUDY\nDecember 11, 2025 Chart No: A43819\nRef. Dr.: Dr. Ali Debek Family Dr.:\nRE: Div Kash Supervising MD:Dr. Daniel Anselm\nPHN: 666777888 Technologist:\nDOB: 12 December, 2025 Gender: Female\nClinical History:Z\n- Chest Pain\nECG Information Resting ECG: zx\n- Horizontal ST changes in the Inferolateral Lead\nExercise Stress Test Information\nInterpretation by: Dr. Daniel Anselm Stress Interpretation ECG:\nProtocol: Symptoms During Test: METS achieved:\nPeak HR: zxzxz Peak HR % Achieved: Exercise Duration:\nReason of Termination: zx\nProtocol completed\nStage Heart Rate (bpm) Blood Pressure\nRest\n1 zx\n2\n3\n4\n5\nRecovery\nMPI Technique:\nMbq of 99m Tc-Tetrofosmin was administered intravenously at rest and\nMbq of 99m Tc-Tetrofosmin was administered intravenously at peak stress following Exercise Myocardial Perfusion.\nMultiple gated tomographic emission images were obtained post stress and at rest. These images were reconstructing\ninto short axis, vertical long axis and horizontal long axis planes.\nImage quality:\nFindings:\nThere is normal myocardial perfusion. No fixed or reversible perfusion abnormalities are identified.\nThe left ventricle is normal in size. All left ventricular segments thicken and contract normally. The left ventricular ejection\nfraction is >50% post stress and >50% at rest. There is no visual evidence of TID.\nImpression:\nNormal myocardial perfusion and left ventricular systolic function.\nMPI Interpreting Physician: Ramu Report Date: December 11, 2025\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the reader of this\nmessage is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication or any\nof its contents is strictly prohibited. If you received this communication in error please return it to the sender and contact Advanced\nCardiology on 403-8797899 .\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025 Page 1 Of 1"}...
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{"status": "completed", "conte {"status": "completed", "content": "Advanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nNUCLEAR MYOCARDIAL PERFUSION IMAGING PHARMACOLOGICAL STRESS STUDY\nJanuary 02, 2026 Chart No: A4381909\nRef. Dr.: Don Bradman Family Dr.: Anna(Libby) Morrison\nFax : 4032470014\nRE: Div Kash Supervising MD:Ravi Sharma\nPHN: 57878887871 Technologist: Michelle Mitschke\nDOB: 11 December, 1998 Clinical History:- Chest Pain\nGender: Male\nECG Information \nResting ECG: - Horizontal ST changes in the Anterolateral Lead\nPharmacological Stress Test Information\nInterpretation by: Ravi Sharma Stress Interpretation ECG: - Atrial flutter\nProtocol: Dipyridamole ECG Gating: No Dipyridamole Dose:\nReason of Termination: Protocol completed\nProtocol completed\nMedication During Test: Aminophylline mg,\nStage Heart Rate (bpm) Blood Pressure\nPre-Pharmacological Stress 50\nPharmacological Stress 2 Min\nPharmacological Stress 4 Min\nPharmacological Stress 6 Min\nPharmacological Stress 8 Min\nRecovery\nMPI Technique:\nMbq of 99m Tc-Tetrofosmin was administered intravenously at rest and\nMbq of 99m Tc-Tetrofosmin was administered intravenously post pharmacological stress\n(0.56 mg/kg - pharmacological over 4 minutes with injection at 7 minutes). Multiple gated tomographic emission\nimages were obtained post stress and at rest. These images were reconstructing into short axis, vertical long axis and\nhorizontal long axis planes.\nImage quality:\nFindings:\nThere is normal myocardial perfusion. No fixed or reversible perfusion abnormalities are identified.\nThe left ventricle is normal in size. All left ventricular segments thicken and contract normally. The left ventricular ejection\nfraction is >50% post stress and >50% at rest. There is no visual evidence of TID.\nImpression:\nNormal myocardial perfusion and left ventricular systolic function.\nMPI Interpreting Physician: Ramu Report Date: January 02, 2026\nPage 1 of 1 PHN / ULI: 57878887871 Report Date: 12/30/2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "201 3151 27st NE\nCalgary, Alberta, T1Y 0B4\nP: (403) 235-4109\nF : F:403.235.4147,\nE: admin@advancedcardiology.ca\nDear Div Kash\nThis is a reminder email for your appointment on 23 December 2025 11:00 AM for New Consult at #250 \n,8500 Blackfoot Trail SE.\nKindly arrive 10min before time to fill out paper work.\nPreparations for the appointment:\n*Our Clinic is a Scent free Zone\n*\tBring all your medication/ Medication List.\n*\tThe appointment will include a taking vitals and an ECG, plus Medical history collection\nAdvanced Cardiology\n\u2022The New Clinic Address\u00a0\n#250 ,8500 Blackfoot Trail se\nCalgary ,Ab T2J7E1\nKindly call the office on 403-879-7911 if you are unable to make this appointment.\nParking instructions:\u00a0\nThe Meadows Mile Professional Building offers two (2) tiers of paid underground parking and paid surface \nparking. There is no free parking available at the building on the surface or underground as all parking \nrequires payment. Please do not park in the staff parking lots or your car will be ticketed ($94 fine) and/or \ntowed for any violations. Payment stations are located near stairwell 1 on P1, P2 and the main lobby of \nMeadows Mile Professional Building, near the elevators.\nRegards\nAdvanced Cardiology Consultants and Diagnostics Inc"}...
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{"name": "letters-86188_2310251204.hl7 {"name": "letters-86188_2310251204.hl7.pdf", "content_type": "application/octet-stream", "size": 97441, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-69b8f3c9-d4fd-484a-bd4e-76053d75ca08"}...
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90e15aa58f13e65a4214977200081df580e08f845551663ac9 90e15aa58f13e65a4214977200081df580e08f845551663ac9698048f3705776...
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{"status": "completed", "conte {"status": "completed", "content": "Page 1 of 2 PHN/ULI: 500855080 Exam Date (Y/M/D): 2025-10-21\n201, 3151 27 st NE Calgary, Alberta T1Y 0B4T: 403.235.4109F: 403.235.4147www.advancedcardiology.ca\n Meadow MilesSuite 250 \u2013 8500 Blackfoot Trail SECalgary AB, T2J 7E1Tel 403-879-7911Fax 403-879-7899 Transthoracic EchocardiographySukhwinder NarainDOB(D/M/Y): 1972-05-20 (53 years)PHN#: 500855080Sex: female Height: 165 cmWeight: 64 kgBSA: 1.71 m2BP: 133/88Report finalized\nDate of Study: 2025-10-21Report Date: 2025-10-21Sonographer: BXInterpreted by: Ravi Varshney, MD FRCPCReferred by: Loca>on: ACCD NEMeasureM mode LVRWT 0.33 [0.22-0.42] TAPSE 2.0cm [>=1.7]2D mode IVSd 0.7cm LVIDd 4.9cm [3.8-5.2] LVIDs 3.0cm [2.2-3.5] LV FS 39%\n LVPWd 0.8cm LVd Mass (ASE) 122g LVd Mass Index (ASE) 71g/m\u00b2 LA Diam 3.2cm [2.7-3.8] Ao Root Diam\n 3.3cm [2.1-2.5] Ao Asc Diam\n 3.7cm [2.3-3.1]Doppler MV E Velocity 0.7m/s MV A Velocity 0.6m/s MV E / A 1.2 [0.8-1.8] MV Dec. Time\n 246ms [143-219] MV Dec. Slope 3.0m/s\u00b2TDI MV E' Sept 10.0cm/s [7.6-16.8] MV E / E' Sept 7.5 MV E' Lat\n 10.5cm/s [11.5-20.7] MV E / E' Lat 7.1 MV E' Avg 10cm/s MV E / E' Avg 7.3Indica>onChest PainStudy Type/Study QualityA transthoracic study was performed including 2D, M-mode, spectral, color-flow and TissueDoppler imaging. View: The image quality was adequateECG/RhythmSinus rhythm. LeB VentricleThe leF ventricular cavity size is normal. LV wall thickness is normal. Global systolic funcJon: Systolic funcJon is normal with an EF > 60%. Regional systolic funcJon: \nWall moJon: All segments contract normally. Page 2 of 2 PHN/ULI: 500855080 Exam Date (Y/M/D): 2025-10-21\nThe leF ventricular cavity size is normal. LV wall thickness is normal. Global systolic funcJon: Systolic funcJon is normal with an EF > 60%. Regional systolic funcJon: \nWall moJon: All segments contract normally. DiastolicFunc>onThe diastolic filling paLern is normal . Right VentricleNormal right ventricular size and systolic funcJon. LeB AtriumThe leF atrial size is normal. Right AtriumThe right atrial size is normal. Aor>c ValveThe aorJc valve is trileaflet and structurally normal. No evidence of valvular aorJc stenosis.There is no aorJc insufficiency by color or spectral Doppler. Mitral ValveThe mitral valve is structurally normal. No evidence of mitral stenosis is seen. There is tracemitral regurgitaJon present. Tricuspid ValveThe tricuspid valve is structurally normal. There is no evidence of tricuspid valve stenosis.There is trace tricuspid regurgitaJon present. There is inadequate tricuspid regurgitaJon to esJmate right ventricular systolic pressure. Pulmonic ValvePulmonic valve appears structurally normal. No evidence of pulmonic stenosis. Trace pulmonic regurgitaJon.PericardiumThe pericardium is normal. There is no pericardial effusion present. Shunts Patent foramen ovale: There was no Patent Foramen Ovale detected by colour Doppler.IVC/Hepa>cVeins Normal inferior vena cava. Normal inspiratory response. Aorta The aorJc root, ascending aorta , aorJc arch are normal in size. PulmonaryArteryNormal pulmonary arteries. PulmonaryVeins The flow paLerns appear normal.IMPRESSION:1. LeB Ventricle: Global systolic func>on: Systolic func>on is normal with an EF > 60%.Ravi Varshney, MD FRCPC BXCardiologist Sonographer"}...
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{"name": "letters-97754.pdf", " {"name": "letters-97754.pdf", "content_type": "application/octet-stream", "size": 97441, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-e02cdf5c-14d7-4744-a1f6-9424f6df225f"}...
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{"status": "completed", "conte {"status": "completed", "content": "Page 1 of 2 PHN/ULI: 500855080 Exam Date (Y/M/D): 2025-10-21\n201, 3151 27 st NE Calgary, Alberta T1Y 0B4T: 403.235.4109F: 403.235.4147www.advancedcardiology.ca\n Meadow MilesSuite 250 \u2013 8500 Blackfoot Trail SECalgary AB, T2J 7E1Tel 403-879-7911Fax 403-879-7899 Transthoracic EchocardiographySukhwinder NarainDOB(D/M/Y): 1972-05-20 (53 years)PHN#: 500855080Sex: female Height: 165 cmWeight: 64 kgBSA: 1.71 m2BP: 133/88Report finalized\nDate of Study: 2025-10-21Report Date: 2025-10-21Sonographer: BXInterpreted by: Ravi Varshney, MD FRCPCReferred by: Loca>on: ACCD NEMeasureM mode LVRWT 0.33 [0.22-0.42] TAPSE 2.0cm [>=1.7]2D mode IVSd 0.7cm LVIDd 4.9cm [3.8-5.2] LVIDs 3.0cm [2.2-3.5] LV FS 39%\n LVPWd 0.8cm LVd Mass (ASE) 122g LVd Mass Index (ASE) 71g/m\u00b2 LA Diam 3.2cm [2.7-3.8] Ao Root Diam\n 3.3cm [2.1-2.5] Ao Asc Diam\n 3.7cm [2.3-3.1]Doppler MV E Velocity 0.7m/s MV A Velocity 0.6m/s MV E / A 1.2 [0.8-1.8] MV Dec. Time\n 246ms [143-219] MV Dec. Slope 3.0m/s\u00b2TDI MV E' Sept 10.0cm/s [7.6-16.8] MV E / E' Sept 7.5 MV E' Lat\n 10.5cm/s [11.5-20.7] MV E / E' Lat 7.1 MV E' Avg 10cm/s MV E / E' Avg 7.3Indica>onChest PainStudy Type/Study QualityA transthoracic study was performed including 2D, M-mode, spectral, color-flow and TissueDoppler imaging. View: The image quality was adequateECG/RhythmSinus rhythm. LeB VentricleThe leF ventricular cavity size is normal. LV wall thickness is normal. Global systolic funcJon: Systolic funcJon is normal with an EF > 60%. Regional systolic funcJon: \nWall moJon: All segments contract normally. Page 2 of 2 PHN/ULI: 500855080 Exam Date (Y/M/D): 2025-10-21\nThe leF ventricular cavity size is normal. LV wall thickness is normal. Global systolic funcJon: Systolic funcJon is normal with an EF > 60%. Regional systolic funcJon: \nWall moJon: All segments contract normally. DiastolicFunc>onThe diastolic filling paLern is normal . Right VentricleNormal right ventricular size and systolic funcJon. LeB AtriumThe leF atrial size is normal. Right AtriumThe right atrial size is normal. Aor>c ValveThe aorJc valve is trileaflet and structurally normal. No evidence of valvular aorJc stenosis.There is no aorJc insufficiency by color or spectral Doppler. Mitral ValveThe mitral valve is structurally normal. No evidence of mitral stenosis is seen. There is tracemitral regurgitaJon present. Tricuspid ValveThe tricuspid valve is structurally normal. There is no evidence of tricuspid valve stenosis.There is trace tricuspid regurgitaJon present. There is inadequate tricuspid regurgitaJon to esJmate right ventricular systolic pressure. Pulmonic ValvePulmonic valve appears structurally normal. No evidence of pulmonic stenosis. Trace pulmonic regurgitaJon.PericardiumThe pericardium is normal. There is no pericardial effusion present. Shunts Patent foramen ovale: There was no Patent Foramen Ovale detected by colour Doppler.IVC/Hepa>cVeins Normal inferior vena cava. Normal inspiratory response. Aorta The aorJc root, ascending aorta , aorJc arch are normal in size. PulmonaryArteryNormal pulmonary arteries. PulmonaryVeins The flow paLerns appear normal.IMPRESSION:1. LeB Ventricle: Global systolic func>on: Systolic func>on is normal with an EF > 60%.Ravi Varshney, MD FRCPC BXCardiologist Sonographer"}...
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{"name": "letters-AC2251391.pdf", {"name": "letters-AC2251391.pdf", "content_type": "application/octet-stream", "size": 78295, "data": {"patient_id": "3e448bf0-0f45-11f0-8be5-73d44ea410c5"}, "collection_name": "file-f7cf6f59-e6fd-4728-9b93-dcf57416fc5d"}...
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{"status": "completed", "conte {"status": "completed", "content": "Page 1 of 2 Exam Date (M/D/Y): 4/4/2025\n201, 3151 27 st NE Calgary, Alberta T1Y 0B4T: 403.235.4109F: 403.235.4147www.advancedcardiology.ca\n Meadow MilesSuite 250 \u2013 8500 Blackfoot Trail SECalgary AB, T2J 7E1Tel 403-879-7911Fax 403-879-7899 Transthoracic EchocardiographyMuhammed SyedDOB(M/D/Y): 08/15/1991 (33 years)PHN#: 150702091Sex: male Height: 174 cmWeight: 75 kgBSA: 1.90 m2BP: 122/80Report finalized\nDate of Study: 4/4/2025Report Date: 4/4/2025Sonographer: Mia Interpreted by: Anmol Kapoor, MD FRCPCReferred by: Ravi VarshneyLoca=on: ACCD Meadow MilesMeasureM mode LVRWT 0.41 [0.24-0.42]2D mode IVSd 0.9cm LVIDd 4.6cm [4.2-5.8] LVIDs 2.7cm [2.5-4.0] LV FS 41%\n LVPWd 0.9cm LVd Mass (ASE) 142g LVd Mass Index (ASE) 75g/m\u00b2 LA Diam 3.4cm [3.0-4.0]\n LAAs (A4C) 16.3cm\u00b2 LAESVI (A-L) 26ml/m\u00b2 Ao Root Diam 2.9cm [2.3-2.9] Ao Asc Diam\n 2.6cm [2.6-3.4]Doppler MV E Velocity 0.9m/s MV A Velocity 0.9m/s MV E / A 1.0 [0.7-2.3] MV Dec. Time 172ms [138-194] MV Dec. Slope 5.2m/s\u00b2TDI MV E' Sept\n 9.1cm/s [10.1-20.9] MV E / E' Sept 9.9 MV E' Lat 17.7cm/s [14.0-25.6] MV E / E' Lat 5.1 MV E' Avg 13cm/s MV E / E' Avg 6.7Indica=onHeart Murmur. ? RheumaAc Heart DiseaseStudy Type/Study QualityA transthoracic study was performed including 2D, M-mode, spectral, color-flow and TissueDoppler imaging. View: The image quality was adequateECG/RhythmSinus rhythm. LeA VentricleThe leF ventricular cavity size is normal. LV wall thickness is normal. Global systolic funcAon: Systolic funcAon is normal with an EF > 60% . Page 2 of 2 Exam Date (M/D/Y): 4/4/2025\nDiastolicFunc=onThe diastolic filling paLern is normal for the age of the paAent. Right VentricleNormal right ventricular size and systolic funcAon. LeA AtriumThe leF atrial volume is normal.Right AtriumThe right atrial size is normal. Aor=c ValveThe aorAc valve is trileaflet and structurally normal. No evidence of valvular aorAc stenosis.There is no aorAc insufficiency by color or spectral Doppler. Mitral ValveThe mitral valve is structurally normal. Mild mitral annular calcificaAon present. No evidenceof mitral stenosis is seen. There is trace mitral regurgitaAon present. Tricuspid ValveThe TV was structurally normal. There was no tricuspid stenosis. There is physiologicaltricuspid regurgitaAon. The RVSP could not be esAmated. Pulmonic ValvePulmonic valve appears structurally normal. No evidence of pulmonic stenosis. Trace pulmonic regurgitaAon. PericardiumThere is no pericardial effusion. Shunts Patent foramen ovale: There was no Patent Foramen Ovale detected by colour Doppler. IVC/Hepa=cVeins Normal inferior vena cava. Normal inspiratory response. Aorta The aorAc root, ascending aorta , aorAc arch and descending aorta are all normal in size. PulmonaryArteryNormal pulmonary artery. PulmonaryVeins The flow paLerns appear normal.IMPRESSION:1. Systolic func=on is normal with an EF > 60% .2. No hemodynamically significant valvular abnormalityAnmol Kapoor, MD FRCPC Mia Cardiologist Sonographer"}...
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