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- PTB Diagnostic ECG
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- Record:
Record s0086lre-patient024
- ECG date: 28/12/1990
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-septal
- Former infarction (localization): no
- Additional diagnoses: Gastritis, Rheumatoid arthritis
- Smoker: no
- Number of coronary vessels involved: 1
- Infarction date (acute): 20/12/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 27/12/1990
- Ventriculography: Akinesia antero-lateral wall and apex
- Chest X-ray: Heart size upper limit of norm, pulmonary venous congestion
- Peripheral blood Pressure (syst/diast): 100/60 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 25/11 cmH2O
- Pulmonary artery pressure (at rest) (mean): 16 cmH2O
- Pulmonary capillary wedge pressure (at rest): 11 cmH2O
- Cardiac output (at rest): 4,85 l/min
- Cardiac index (at rest): 2,64 l/min/sqrmBSA
- Stroke volume index (at rest): 44.0 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 53/21 cmH2O
- Pulmonary artery pressure (load) (mean): 35 cmH2O
- Pulmonary capillary wedge pressure (load): 21 cmH2O
- Cardiac output (load): 7,6 l/min
- Cardiac index (load): 2,64 l/min/sqrmBSA
- Stroke volume index (load): 47 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA 80%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 20/12/1990
- Catheterization date: 27/12/1990
- Admission date: 20/12/1990
- Medication pre admission: Diclofenac
- Start lysis therapy (hh.mm): 20:00
- Lytic agent: Urokinase
- Dosage (lytic agent): 3 Mio IE
- Additional medication: Metoprolol Isosorbit-Dinitrate ASA
- In hospital medication: Nitrate Isosorbit-Mononitrate Ca-antagonist Diazepam Molsidomin
- Medication after discharge: Ca-antagonist Isosorbit-Dinitrat ASA
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