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- PTB Diagnostic ECG
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- Record:
Record s0079lre-patient020
- ECG date: 17/12/1990
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): anterior
- Former infarction (localization): no
- Additional diagnoses: Arterial hypertension, Hyperlipoproteinemia, Obesity, Colon cancer
- Smoker: no
- Number of coronary vessels involved: 1
- Infarction date (acute): 26/11/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 04/12/1990
- Ventriculography: Akinesia antero-lateral wall, apex, and inferior wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 130/80 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 27/5 cmH2O
- Pulmonary artery pressure (at rest) (mean): 14 cmH2O
- Pulmonary capillary wedge pressure (at rest): 8 cmH2O
- Cardiac output (at rest): 5,33 l/min
- Cardiac index (at rest): 3,08 l/min/sqrmBSA
- Stroke volume index (at rest): 51.3 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 47/16 cmH2O
- Pulmonary artery pressure (load) (mean): 28 cmH2O
- Pulmonary capillary wedge pressure (load): n/a
- Cardiac output (load): 10,3 l/min
- Cardiac index (load): 5,95 l/min/sqrmBSA
- Stroke volume index (load): 58 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA proximal to ramus diagonalis_1 95%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): RCA distal to ramus ventricularis dexter 20%
- Echocardiography: n/a
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Therapy
- Infarction date: 26/11/1990
- Catheterization date: 04/12/1990
- Admission date: 26/11/1990
- Medication pre admission: Propanolol Ca-Antagonist
- Start lysis therapy (hh.mm): 17:56
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Heparin ASA Ca-antagonist Isosorbit-Dinitrate Diazepam
- In hospital medication: ASA Isosorbit-Mononitrate Molsidomin Ca-antagonist
- Medication after discharge: ASA Molsidomin Atenolol Lovastatin
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