,DIAGNOSTIC DATA/LAB DATA: , EKGs are reviewed including from 07/07/09 at 08:31 a.m., which shows atrial fibrillation with left anterior fascicular block, poor R-wave progression when compared to one done on 07/06/09 at 18:25, there is really no significant change. 
,DIAGNOSTIC DATA / LAB DATA : , EKGs are reviewed including from 07/07/09 at 08:31 a.m. , which shows atrial fibrillation with left anterior fascicular block , poor R - wave progression when compared to one done on 07/06/09 at 18:25 , there is really no significant change .