RCMP

You’re summarizing a clinical ECG/Echo interpretation and plan—here’s a cleaned-up, professional version of your note that could be suitable for a medical record or consultant communication:

SBQ Interpretation Summary:

• ECG/Echo findings:
  
• LAE (Left Atrial Enlargement)
• LAHB (Left Anterior Hemiblock)
• LVH (Left Ventricular Hypertrophy)
• Atrial tachycardia (AT) with variable block
• Features suggestive of Atrial Cardiomyopathy (AtCM)
• 
  
• Clinical Impression & Plan:
  
• Maintain high suspicion for cardioembolic source—consider stroke prevention and initiate anticoagulation as per risk stratification (e.g., CHA₂DS₂-VASc).
• Atrial arrhythmia is a dynamic continuum—current AT may evolve into atrial flutter (AFlu) or atrial fibrillation (AFib); close monitoring warranted.
• Consider underlying restrictive cardiomyopathy (RCMP)—evaluate with cardiac MRI or tissue Doppler if clinical suspicion persists.
• 
  

Let me know if you’d like this translated into a discharge summary, referral note, or patient explanation version.

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What we also have incontrovertible evidence for, though, is the

Mahavamsa’s assertion that Ashoka sent off a number of Buddhist missions

at the end of the third Buddhist council—to the Himalayas, the northwest,

Kashmir and Gandhara, central India, western Malwa, the western Deccan,

Myanmar or southeast Asia, and Sri Lanka.18 A very precise and thorough

encompassing of his known world, this! Of the five monks despatched to

the Himalayan region, two find mention on the relic casket found in Stupa

no. 2 at the Buddhist monastic site of Sanchi in central India. And, of

course, that the one sent to Sri Lanka was Ashoka’s own son,

Mahinda/Mahindra/Mahendra, is a well-known fact. Add to this the fact

that Ashoka was the prime propagator of his own message of dhamma at

home—and you have a clearly indefatigable, if dhamma-obsessed, person

on your hands.

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