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- PTB Diagnostic ECG
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- Record:
Record s0082lre-patient018
- ECG date: 19/12/1990
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-poster-lateral
- Former infarction (localization): no
- Additional diagnoses: Arterial hypertension, Obesity, Hyperlipoproteinemia Type IIa
- Smoker: no
- Number of coronary vessels involved: 1
- Infarction date (acute): 17/11/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 27/11/1990
- Ventriculography: Akinesia infero-posterior wall and apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 130/80 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 11/5 cmH2O
- Pulmonary artery pressure (at rest) (mean): 7 cmH2O
- Pulmonary capillary wedge pressure (at rest): 4 cmH2O
- Cardiac output (at rest): 7,17 l/min
- Cardiac index (at rest): 3,5 l/min/sqrmBSA
- Stroke volume index (at rest): 44.0 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 22/10 cmH2O
- Pulmonary artery pressure (load) (mean): 14 cmH2O
- Pulmonary capillary wedge pressure (load): 9 cmH2O
- Cardiac output (load): 14,9 l/min
- Cardiac index (load): 7,3 l/min/sqrmBSA
- Stroke volume index (load): 70 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 marginalis sinister_2 of RCX 80% at origin
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 17/11/1990
- Catheterization date: 27/11/1990
- Admission date: 17/11/1990
- Medication pre admission: Amiloride+Chlorothiazide
- Start lysis therapy (hh.mm): 09:15
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin ASA Ca-antagonist Atropin Triflupromazin
- In hospital medication: ASA Isosorbit-Dinitrate Metoprolol Lovastatin
- Medication after discharge: Isosorbit-Dinitrate ASA Metoprolol Lovastatin
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