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- PTB Diagnostic ECG
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- Record:
Record s0055lre-patient017
- ECG date: 22/11/1990
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-lateral
- Former infarction (localization): inferior
- Additional diagnoses: Arterial hypertension
- Smoker: no
- Number of coronary vessels involved: 2
- Infarction date (acute): 18/11/1990
- Previous infarction (1) date: 01/01/1986
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 26/11/1990
- Ventriculography: Hypokinesia/Akinesia postero-basal and posero-lateral wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 150/90 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 17/8 cmH2O
- Pulmonary artery pressure (at rest) (mean): 12 cmH2O
- Pulmonary capillary wedge pressure (at rest): 3 cmH2O
- Cardiac output (at rest): 4,2 l/min
- Cardiac index (at rest): 2,46 l/min/sqrmBSA
- Stroke volume index (at rest): 24.1 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 20/10 cmH2O
- Pulmonary artery pressure (load) (mean): 15 cmH2O
- Pulmonary capillary wedge pressure (load): 3 cmH2O
- Cardiac output (load): 7,57 l/min
- Cardiac index (load): 4,43 l/min/sqrmBSA
- Stroke volume index (load): 36,9 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_2 70%.
- Left coronary artery stenoses (RCX): RCX at origin 50%
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 18/11/1990
- Catheterization date: 26/11/1990
- Admission date: 18/11/1990
- Medication pre admission: Metoprolol
- Start lysis therapy (hh.mm): 20:27
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Triflupromazin ASA Diazepam Oxazepam
- In hospital medication: Metprolol Isosorbit-Mononitrate Ca-antagonist
- Medication after discharge: Metprolol Isosorbit-Mononitrate ASA
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