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- PTB Diagnostic ECG
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- Record:
Record s0051lre-patient013
- ECG date: 17/11/1990
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-septal
- Former infarction (localization): no
- Additional diagnoses: Diabetes mellitus, Renal insufficiency
- Smoker: yes
- Number of coronary vessels involved: 1
- Infarction date (acute): 09/11/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 19/11/1990
- Ventriculography: Akinesia antero-lateral wall and apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 130/80 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 19/7 cmH2O
- Pulmonary artery pressure (at rest) (mean): 11 cmH2O
- Pulmonary capillary wedge pressure (at rest): 4 cmH2O
- Cardiac output (at rest): 4,05 l/min
- Cardiac index (at rest): 2,74 l/min/sqrmBSA
- Stroke volume index (at rest): 31.8 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 39/17 cmH2O
- Pulmonary artery pressure (load) (mean): 28 cmH2O
- Pulmonary capillary wedge pressure (load): 19 cmH2O
- Cardiac output (load): 5,83 l/min
- Cardiac index (load): 3,94 l/min/sqrmBSA
- Stroke volume index (load): 36,1 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA distal to ramus diagonalis_1 95%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 09/11/1990
- Catheterization date: 19/11/1990
- Admission date: 09/11/1990
- Medication pre admission: Insulin
- Start lysis therapy (hh.mm): 14:35
- Lytic agent: Gamma-TPA
- Dosage (lytic agent): 30 mg
- Additional medication: Heparin ASA Isosorbit-Mononitrate Insulin Triflupromazin
- In hospital medication: ASA Isosorbit-Mononitrate Insulin
- Medication after discharge: ASA Isosorbit-Mononitrate Insulin
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