This appears to be a notation related to a cardiac stress test. "144 tach" likely refers to a heart rate of 144 beats per minute. "Weak 30" could suggest that the patient experienced weakness after 30 minutes of activity. "Rest 90" indicates a period of rest, possibly lasting 90 seconds. "Over palp" may refer to palpitations experienced during the test. It is important to consult a medical professional for a thorough interpretation.
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