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- PTB Diagnostic ECG
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- Record:
Record s0061lre-patient010
- ECG date: 26/11/1990
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): anterior
- Former infarction (localization): no
- Additional diagnoses: Rheumatoid arthritis,Hyperlipoproteinemia Type IV
- Smoker: no
- Number of coronary vessels involved: 1
- Infarction date (acute): 01/11/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 08/11/1990
- Ventriculography: Akinesia antero-lateral wall and apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 140/80 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 16/8 cmH2O
- Pulmonary artery pressure (at rest) (mean): 12 cmH2O
- Pulmonary capillary wedge pressure (at rest): 13 cmH2O
- Cardiac output (at rest): 5,75 l/min
- Cardiac index (at rest): 3 l/min/sqrmBSA
- Stroke volume index (at rest): 33.0 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 36/12 cmH2O
- Pulmonary artery pressure (load) (mean): 33 cmH2O
- Pulmonary capillary wedge pressure (load): 14 cmH2O
- Cardiac output (load): 9,5 l/min
- Cardiac index (load): 5 l/min/sqrmBSA
- Stroke volume index (load): 40 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA 100% proximal to ramus diagonalis_2
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 01/11/1990
- Catheterization date: 08/11/1990
- Admission date: 01/11/1990
- Medication pre admission: Purin-antagonist Diclofenac
- Start lysis therapy (hh.mm): 10:45
- Lytic agent: Gamma-TPA
- Dosage (lytic agent): 30 mg
- Additional medication: Heparin ASA Isosorbit-Dinitrate Molsidomin Metoprolol Amiloride+Chlorothiazide Ca-antagonist
- In hospital medication: ASA Isosorbit-Dinitrate Molsidomin Metoprolol
- Medication after discharge: ASA Isosorbit-Dinitrate Ca-antagonist
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