,PAST MEDICAL HISTORY: , Positive for congestive heart failure, chronic renal insufficiency, azotemia, hyperglycemia, coronary artery disease, history of paroxysmal atrial fibrillation. 
,PAST MEDICAL HISTORY : , Positive for congestive heart failure , chronic renal insufficiency , azotemia , hyperglycemia , coronary artery disease , history of paroxysmal atrial fibrillation .