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- PTB Diagnostic ECG
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- Record:
Record s0038lre-patient007
- ECG date: 07/11/1990
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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
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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
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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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