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- PTB Diagnostic ECG
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- Record:
Record s0058lre-patient019
- ECG date: 26/11/1990
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-lateral
- Former infarction (localization): no
- Additional diagnoses: Arterial hypertension, Hyperlipoproteinemia Typ IIa, Obesity
- Smoker: yes
- Number of coronary vessels involved: 1
- Infarction date (acute): 24/11/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 03/12/1990
- Ventriculography: Hypokinesia inferior wall and apex
- Chest X-ray: Heart size upper limit of norm
- Peripheral blood Pressure (syst/diast): 110/80 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 19/7 cmH2O
- Pulmonary artery pressure (at rest) (mean): 13 cmH2O
- Pulmonary capillary wedge pressure (at rest): 10 cmH2O
- Cardiac output (at rest): 7,9 l/min
- Cardiac index (at rest): 3,9 l/min/sqrmBSA
- Stroke volume index (at rest): 50.0 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 38/17 cmH2O
- Pulmonary artery pressure (load) (mean): 16 cmH2O
- Pulmonary capillary wedge pressure (load): 17 cmH2O
- Cardiac output (load): 15,1 l/min
- Cardiac index (load): 7,5 l/min/sqrmBSA
- Stroke volume index (load): 54 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): No stenoses
- Left coronary artery stenoses (RCX): Ramus postero-lateralis of RCX 70%
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 24/11/1990
- Catheterization date: 03/12/1990
- Admission date: 24/11/1990
- Medication pre admission: Metoprolol Diazepam
- Start lysis therapy (hh.mm): 16:55
- Lytic agent: Urokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Heparin Isosorbit-Mononitrate ASA Diazepam Ranitidin
- In hospital medication: Metoprolol Nitrate-spray Isosorbit-Dinitrate Diazepam Ofloxacin
- Medication after discharge: ASA
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