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- PTB Diagnostic ECG
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- Record:
Record s0064lre-patient006
- ECG date: 03/12/1990
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): anterior
- Former infarction (localization): inferior ?
- Additional diagnoses: Struma (euthyroid)
- Smoker: yes
- Number of coronary vessels involved: 2
- Infarction date (acute): 18/10/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 26/10/1990
- Ventriculography: Akinesia antero-lateral and infero-apical, Dyskinesia apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 110/70 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 21/9 cmH2O
- Pulmonary artery pressure (at rest) (mean): 15 cmH2O
- Pulmonary capillary wedge pressure (at rest): 9 cmH2O
- Cardiac output (at rest): 5,45 l/min
- Cardiac index (at rest): 3,24 l/min/sqrmBSA
- Stroke volume index (at rest): 33.8 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 46/18 cmH2O
- Pulmonary artery pressure (load) (mean): 32 cmH2O
- Pulmonary capillary wedge pressure (load): 24 cmH2O
- Cardiac output (load): 6,51 l/min
- Cardiac index (load): 3,88 l/min/sqrmBSA
- Stroke volume index (load): 32,3 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): LCA 30%, RIVA distal to ramus diagonalis_1 90%,
- Left coronary artery stenoses (RCX): RCX proximal to ramus marginalis sinister_2 75%
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 18/10/1990
- Catheterization date: 26/10/1990
- Admission date: 19/10/1990
- Medication pre admission: L-Thyroxin
- Start lysis therapy (hh.mm): 17:40
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin ASA L-Thyroxin
- In hospital medication: Isosorbit-Mononitrate Triflupromazin L-Thyroxin
- Medication after discharge: ASA Isosorbit-Mononitrate L-Thyroxin Lactulose
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