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  • Record:
Record s0026lre-patient007
  • Age: 70
  • Sex: Male
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    Additional data

    • ECG date: 29/10/1990

    • Diagnose

      • Reason for admission: Myocardial infarction
      • Acute infarction (localization): anterior
      • Former infarction (localization): antero-septal
      • Additional diagnoses: Hyperlipoproteinemia
      • Smoker: no
      • Number of coronary vessels involved: 3
      • Infarction date (acute): 28/10/1990
      • Previous infarction (1) date: 23/12/1989
      • Previous infarction (2) date: n/a

    • Hemodynamics

      • Catheterization date: 05/11/1990
      • Ventriculography: Akinesia/Dyskinesia antero-lateral, apex and inferior wall
      • Chest X-ray: normal
      • Peripheral blood Pressure (syst/diast): 140/90 mmHg
      • Pulmonary artery pressure (at rest) (syst/diast): 23/6 cmH2O
      • Pulmonary artery pressure (at rest) (mean): 13 cmH2O
      • Pulmonary capillary wedge pressure (at rest): 7 cmH2O
      • Cardiac output (at rest): 6,96 l/min
      • Cardiac index (at rest): 3,78 l/min/sqrmBSA
      • Stroke volume index (at rest): 48.5 ml/beat
      • Pulmonary artery pressure (load) (syst/diast): 53/17 cmH2O
      • Pulmonary artery pressure (load) (mean): 36 cmH2O
      • Pulmonary capillary wedge pressure (load): 30 cmH2O
      • Cardiac output (load): 11,76 l/min
      • Cardiac index (load): 6,39 l/min/sqrmBSA
      • Stroke volume index (load): 53,3 ml/beat
      • Aorta (at rest) (syst/diast): n/a
      • Aorta (at rest) mean: n/a
      • Left coronary artery stenoses (RIVA): RIVA proximal to ramus diagonalis_1 100%,
      • Left coronary artery stenoses (RCX): Posterolateral ramus of RCX 75%
      • Right coronary artery stenoses (RCA): RCA distal to ramus ventricularis dexter 70%, Ramus interventricularis posterior 95%
      • Echocardiography: n/a

    • Therapy

      • Infarction date: 28/10/1990
      • Catheterization date: 05/11/1990
      • Admission date: 28/10/1990
      • Medication pre admission: Isosorbit-Mononitrate Isosorbit-Dinitrate Ca-antagonist ASA
      • Start lysis therapy (hh.mm): 05:30
      • Lytic agent: Streptokinase
      • Dosage (lytic agent): 1.5 MIO IE
      • Additional medication: Isosorbit-Mononitrate ASA Ca-antagonist
      • In hospital medication: Ranitidin Buprenorphin Nitrate
      • Medication after discharge: ASA Isosorbit-Mononitrate Ca-antagonist Metoprolol
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